男性警察职业紧张与代谢综合征的关系  

The relationship between occupational stress and metabolic syndrome among policemen

作　　者：刘乾[2] 岳松[3] 汤乃军[1] 于智睿[4] 马晓明[1] 陈曦[1] 徐媛婧[1] 田凤石[3] 

机构地区：[1]天津医科大学公共卫生学院劳动卫生教研室,300070 [2]山东省职业卫生与职业病防治研究院,济南250062 [3]天津市公安医院物检科 [4]天津出入境检验检疫局工业品中心

出　　处：《中华预防医学杂志》2011年第7期639-644,共6页Chinese Journal of Preventive Medicine

基　　金：天津市科技支撑计划重点项目（08ZCGYSF01500）

摘　　要：目的探讨导致男性警察代谢综合征（metabolic syndrome，MS）患病的职业紧张因素。方法采用随机整群抽样的方法，从某市公安局现管辖的分局中抽取4个分局，以该4个分局的全体男性警察作为调查对象，共纳入1490名。采用统一设计的健康调查问卷和职业紧张量表进行流行病学调查，同时进行体格检查和生化指标检测，应用X^2检验和logistic回归模型进行分析。结果1490名研究对象中，实际完成问卷1483名，合格问卷1480份，其中MS患者有237例，患病率为16．0％（237／1480）。高度、中度及缺乏职业紧张者MS组分别有8、39和23例，非MS组有14、114和131例，高度与中度缺乏职业紧张者MS患病风险分别为缺乏职业紧张者的4．82倍（95％CI：1．50～15．41）和3．33倍（95％CI：1．62～6．79）。任务过重、任务不适和责任感MS组得分分别为（38．76±6．83）、（25．74±7．22）、（25．76±6．27）分；非MS组得分分别为（37．55±6．85）、（24．50±6．58）、（25．05±5．95）分。多因素logistic回归分析显示，任务过重、任务不适和责任感可能为MS患病的职业紧张危险因素，OR（95％CI）值分别为1．06（1．02～1．10）、1．04（1．02—1．07）、1．03（1．01～1．06）。结论任务过重、任务不适和责任感为导致男性警察MS患病的职业紧张危险因素。Objective To explore the occupational stress factors associated with the prevalence of metabolic syndrome （MS） among male policemen. Methods Using cluster sampling method, we selected four Public Security Bureau within the jurisdiction of the station now in somesity. All the male police were included as research objects, and finally 1490 persons were selected, health and occupational stress inventory- revised （OSI-R） questionnaire were used for epidemiological surveys, and anthropometric examination and chemical indicators were also measured at the same time. The analysis methods were chi-square test and unconditional logistical regression. Results Among the 1490 of research objects, 1483 completed the questionnaire, and 1480 of the eligible questionnaires were available. 237 cases were MS, and the prevalence rate was 16. 0% （237/1480）. The number of cases who were high, moderate and lack of occupational stress in MS group were 8,39 and 23,that in non-MS were 14,114 and 131,respectively. The odds of occupational stress with the highest and medium among policemen than who were lack were 4. 82 （95% CI： 1.50 - 15.41 ） and 3.33 （ 95 % CI： 1.62 - 6. 79 ） ; the average score of role ambiguity, role insufficiency and responsibility in the group of MS were （ 38.76 ± 6. 83 ）, （ 25.74 ± 7.22 ）, （ 25.76 ± 6. 27 ） ; and that in non-MS were （37. 55 ± 6. 85 ）, （ 24. 50 ± 6. 58 ）, （ 25.05 ± 5.95 ）. The logistical regression analysis showed that ： the likely three occupational risk stress factors which influencing the prevalence of MS were role ambiguity, role insufficiency and responsibility,and the OR（95% CI） were 1.06 （ 1.02 - 1.10） , 1.04 （ 1.02 - 1.07 ） and 1.03 （ 1.01 - 1.06） , respectively. Conclusion Role ambiguity, role insufficiency and responsibility were the occupational risk stress factors associated with the prevalence of MS among male policemen.

关 键 词：警察 代谢综合征X LOGISTIC模型 职业紧张 

分 类 号：R589[医药卫生—内分泌]