Prevalence of dyslipidemia and its risk factors among three occupational populations in Nanjing city
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摘要: 目的 了解江苏省南京市企业3类职业人群血脂异常患病率及相关危险因素现状，为职业人群的健康促进提供科学依据。方法 采用分层整群随机抽样方法，从南京2家国有企业抽取2 141人，并按照工作岗位将其分为3组（行政管理组、技术服务组、一线工人组），对其进行问卷调查及体格检查。结果 职业人群血脂异常患病率为16.0%，行政管理组血脂异常患病率最高（22.3%），其次为工人组（15.8%），技术服务组最低（14.7%）；logistic回归分析结果显示，蔬菜适宜摄入量为行政管理组血脂异常的保护因素（OR=0.217，95%CI=0.062~0.754），年龄、收缩压（SBP）、空腹血糖（FPG）、吸烟是技术服务组血脂异常的危险因素，其中吸烟增加血脂异常的危险性最为明显（OR=2.576，95%CI=1.325~5.006），年龄、肥胖、高血压、糖尿病、饮酒是工人组血脂异常的危险因素，其中危险性最为显著的是糖尿病（OR=2.508，95%CI=1.169~5.382）和高血压史（OR=2.445，95%CI=1.455~4.109），其次是肥胖（OR=1.799，95%CI=1.025~3.158）。结论 3类职业人群血脂异常患病率不同，各组影响因素也有差异，对不同岗位的职业人群应采取有针对性的健康干预措施。
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关键词:
- 职业人群 /
- 血脂异常 /
- 危险因素 /
- logistic回归分析
Abstract: Objective To investigate the prevalence of dyslipidemia and its risk factors among three occupational populations in Nanjing city,and to provide scientific evidences for health promotion among occupational populations.Methods Totally 2 141 employees were recruited from 2 large state-owned enterprises using stratified cluster random sampling method.The employees were divided into three groups(administration,technical service,and blue collar workers)according to their working position.A questionnaire survey and physical examination were used to collect related information of the participants and the data were analyzed with SPSS software.Results The overall prevalence rate of dyslipidemia was 16.0%among the participants,with the highest prevalence rate(22.3%)in the administration group,a moderate rate(15.8%)in blue collar workers,and the lowest(14.7%)in the technical service staff.The results of lgistic analyses showed that daily vegetable intake was a protective factor for the prevalence of dyslipidemia in the administration group.Smoking(odds ratio[OR]= 2.576,95%confidence interval[95%CI]=1.325-5.006),age,systolic blood pressure,and fasting plasma-glucose were risk factors of dyslipidemia in the technical service group;diabetes(OR=2.508,95%CI=1.169-5.38),hypertension(OR=2.445,95%CI=1.455-4.109),obesity(OR=1.799,95%CI=1.025-3.158),age,and alcohol drinking were the risk factors among the blue collar workers.Conclusion The prevalence of dyslipidemia and its risk factors were significantly different among occupational populations with different working positions and appropriate intervention measures should be taken for the occupational populations with various types of work.-
Key words:
- occupational population /
- dyslipidemia /
- risk factor /
- logistic analysis
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