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郝育德, 史博飞, 谭志军, 梁英, 米海, 徐勇勇. 油田企业一线员工慢性病共病患病率与劳动力健康损失调查[J]. 中国公共卫生, 2017, 33(6): 958-961. DOI: 10.11847/zgggws2017-33-06-23
引用本文: 郝育德, 史博飞, 谭志军, 梁英, 米海, 徐勇勇. 油田企业一线员工慢性病共病患病率与劳动力健康损失调查[J]. 中国公共卫生, 2017, 33(6): 958-961. DOI: 10.11847/zgggws2017-33-06-23
HAO Yu-de, SHI Bo-fei, TAN Zhi-jun.et al, . Prevalence of multimorbidity of chronic diseases and related health loss among employees engaged in field operation in large oil fields[J]. Chinese Journal of Public Health, 2017, 33(6): 958-961. DOI: 10.11847/zgggws2017-33-06-23
Citation: HAO Yu-de, SHI Bo-fei, TAN Zhi-jun.et al, . Prevalence of multimorbidity of chronic diseases and related health loss among employees engaged in field operation in large oil fields[J]. Chinese Journal of Public Health, 2017, 33(6): 958-961. DOI: 10.11847/zgggws2017-33-06-23

油田企业一线员工慢性病共病患病率与劳动力健康损失调查

Prevalence of multimorbidity of chronic diseases and related health loss among employees engaged in field operation in large oil fields

  • 摘要: 目的 了解油田员工慢性病患病情况,主要调查石油企业一线员工慢性病患病率、共病模式及健康损失。方法 2015年11—12月,深入长庆油田采油作业区现场,采用面对面访谈和问卷方式调查1 964名一线员工患病和健康损失情况,健康损失用患病持续时间(年)、EQ-5D指数得分、健康自评得分和长期服药比例表示,危险因素分析拟合logistic模型。结果 1 964名调查对象中,至少患有1种慢性病的765例(39.0%),患有≥2种慢性病的303例(15.4%),患有≥3种慢性病的139例(7.1%);主要共病模式为高血压伴高血脂、高血压伴冠心病、骨质疏松伴高血脂、骨质疏松伴高血压、痛风伴高血压、糖尿病伴高血脂等;健康损失评价中慢性病患者EQ-5D指数得分和健康自评得分较低的主要有冠心病、痛风、肥胖症和风湿免疫疾病,24.4%的员工长期服药,其中48.7%为心血管药物;年龄、吸烟、饮酒、精神压力、睡眠质量等是慢性病发生的主要危险因素。结论 近半数油田员工受高血压、骨质疏松等慢性病及其共病的困扰,加强一线员工疾病预防和改进工作模式,提高企业劳动力健康,应受到企业健康管理者的高度重视。

     

    Abstract: Objective To examine the prevalence and multimorbidity of chronic diseases and health loss related to the diseases among employees engaged in field operation in large oil fields.Methods A face-to-face survey was conducted among 1 964 employees engaged in field operation at several work areas of a large oil field using a questionnaire on personal health.Health loss was assessed with duration of chronic diseases,long-term medication,and the scores of Euro-Quality of Life-5 Dimension (EQ-5D)and self-rated health.Binary logistic regression was used to analyze risk factors.Results Of all the employees,765 (39.0%),303 (15.4%),and 139 (7.1%) reported suffering from at least one,two or more,and three or more chronic diseases,respectively.Among the employees with multimorbidity,the main comorbidities were hypertension and hyperlipidemia,hypertension and coronary heart disease,osteoporosis and hyperlipidemia,osteoporosis and hypertension,gout and hypertension,and diabetes and hyperlipidemia.The employees with coronary heart disease,gout,obesity,and rheumaimmune diseases showed lower scores of EQ-5D and self-rated health.There were 24.4% of the employees reporting long-term medication and of the medicines used for long-term medication 48.7% were drugs for cardiovascular diseases.Logistic regression analyses showed that gender,age,smoking,alcohol drinking,mental stress,sleep quality were major influencing factors for the prevalence of chronic diseases.Conclusion Nearly half of the oil filed employees engaged in field operation suffered from chronic diseases,including hypertension and osteoporosis,and multimorbidity of the diseases;the results suggest that more concerns should be paid on chronic disease prevention and health promotion among the employees.

     

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