血脂与职业紧张的关系及其影响因素  

Relationship between Blood Lipid and Occupational Stress and Its Influencing Factors

作　　者：周慧[1] 郑能雄[2] 沈波[2] 刘宝英[1] 陈朱云[1] 

机构地区：[1]福建医科大学公共卫生学院,福建福州350004 [2]福州市疾病预防控制中心,福建福州350004

出　　处：《环境与职业医学》2010年第8期491-494,共4页Journal of Environmental and Occupational Medicine

基　　金：福建省医学创新课题(编号:2007-CX-8);福建医科大学公共卫生学院"环境与健康"重点学科发展基金项目(编号:GW09)

摘　　要：[目的]研究血脂异常率与职业紧张的关系及其影响因素。[方法]分层整群抽样工龄≥3年男性乘警、乘务员以及白领521人,采用统一的一般情况、行为方式、生活状况调查表以及引用状态-特质焦虑问卷(STAI)、A型行为量表、职业紧张量表(OSI-R)进行调查,采用酶法测定血脂,血脂的影响因素分析采用非条件Logistic回归分析统计方法。[结果](1)乘警、乘务员和白领三类职业人群职业紧张程度不同,血脂异常率也不同,对体质指数(BMI)进行标化后血脂异常率分别为85.0%、43.6%及37.9%;(2)职业紧张中介因素(A型行为)是血脂异常的危险因素(OR=1.68);(3)职业是TG、HDL、血脂异常的危险因素;A型行为是TG、TC、血脂异常的危险因素。[结论](1)不同的职业类型,其职业紧张程度不同、血脂异常率不同;(2)血脂异常率与职业紧张中介因素有关联;(3)血脂主要危险因素是职业、BMI及A型行为,其不同指标(TC、TG、HDL、LDL)的危险因素各不相同。[ Objective ] To study the relationship between the rate of dyslipidemia and occupational stress factors. [ Methods ] Cluster sample survey was conducted in 521 male railway policemen, train crew and white-collar workers with length of service more than 3-years. They were investigated by our self-made questionnaire including general situation, behavior and life situation. They were also surveyed by using state-trait anxiety inventory（ STAI ）, occupational stress inventory revised edition（ OSI-R ）and Type A behavior scale. The risk factors of state-trait anxiety were analyzed by multivariate conditional logistic regression. [ Results ] （ 1 ） Policemen, train crew and white-collar had different levels of occupational stress and different dyslipidemia rate. After adjustment for body mass index （ BMI ）, the rate of dyslipidemia was 85.0%, 43.6% and 37.9% respepctively, dose-response relationship could be observed between occupational stress and the rate of dyslipidemia. （ 2 ） Mediating factors of occupational stress （ type A behavior ）was a risk factor for dyslipidemia（ OR = 1.68 ）. （ 3 ）Job was the risk factor of triglyceride（ TG ）, high-density lipoprotein （ HDL ）and dyslipidemia; type A behavior was the risk factor of total cholesterol（ TG ）, TC and dyslipidemia. [ Conclusion ] （ 1 ）Different type of job had different levels of occupational stress and different rate of dyslipidemia.（ 2 ）The rate of dyslipidemia associated with mediating factors of occupational stress. （ 3 ）The risk factors of dyslipidemia were the job, BMI and type A behavior, different indices （ TC, TG, HDL, low-density lipoprotein ）of blood lipids had different risk factors.

关 键 词：血脂 职业紧张 危险因素 

分 类 号：R181.3[医药卫生—流行病学]