机构地区:[1]宁波市第二医院医院办公室,浙江宁波315010 [2]南方医科大学人文与管理学院 [3]南方医科大学南方医院药学部 [4]南方医科大学医学情报研究教研室
出 处:《中国公共卫生》2014年第5期614-618,共5页Chinese Journal of Public Health
基 金:国家高技术研究发展计划(863计划)专项课题(2008AA02Z409)
摘 要:目的了解辽宁省沈阳市公务员亚健康现状及其影响因素,为公务员制定有针对性的干预措施和政策提供理论依据。方法采用分层整群抽样的方法,在辽宁省沈阳市皇姑区、沈河区、和平区、铁西区、大东区,分别抽取公安系统、税务系统、工商系统、教育系统四类单位性质不同的公务员2700人进行亚健康状况问卷调查。结果共收回有效问卷2412份,健康者占24.7%(596/2412),亚健康者占50.0%(1207/2412),疾病者占25.2%(609/2412);生理亚健康者占54.1%(1305/2412);心理亚健康者占38.9%(939/2412);社会亚健康者占50.8%(1225/2412)。单因素分析结果显示,男性公务员亚健康发生率为52.3%,高于女性的45.2%,差异有统计学意义(P〈0.05);40~50岁公务员亚健康发生率最高,为61.0%,各年龄段公务员亚健康发生率差异有统计学意义(P〈0.05);肥胖组公务员亚健康发生率最高,为57.2%,不同体重指数公务员亚健康发生率差异有统计学意义(P〈0.05);已婚公务员亚健康发生率最高,为52.1%,不同婚姻状况的公务员亚健康发生率差异有统计学意义(P〈0.05);大专学历公务员亚健康发生率最高,为61.5%,公务员的文化程度不同,亚健康发生率差异有统计学意义(P〈0.05);就职情况中,在职公务员亚健康的发生率最高,为50.7%;不同单位性质中,税务系统公务员亚健康发生率最高,为58.1%;不同工作性质中,行政执法类公务员亚健康发生率最高,为54.1%;不同职务级别中,办事员亚健康发生率最高,为64.3%;个人月平均收入为5000元~者的亚健康发生率最高,为72.7%。二分类logistic回归分析结果显示,性别、年龄、学历、工作性质、与家人不和、家庭经济出现问题、住房紧张、工作压力大Objective To investigate the status and influencing factors of sub-health among civil servants in Shenyang and to provide evidence for developing intervention measures and strategies for health promotion in civil serv- ants. Methods A total of 2 700 civil servants from public security system, tax system,industrial and commercial admin- istration, and education system were selected in Huanggu, Shenhe, Heping, Tiexi, and Dadong district of Shenyang city with stratified cluster sampling method. A self-administered questionnaire survey was conducted among the civil servants. Results Totally 2 412 eligible questionnaires were collected. Among the servants, 24. 7% ( 596/2 412 ) reported being healthy and 50.0% ( 1 207/2 412 ) reported sub-health symptoms. The prevalence rate of physiological sub-health was 54. 1% ( 1 305/2 412). The prevalence rate of psychological sub-health was 38. 9% (939/2 412). The prevalence rate of social sub-health was 50. 8% (1 225/2 412). Univariate analysis showed that the prevalence rate of male was 52. 3%, higher than that of female(45.2% ,P 〈 0. 05 ). The sub-health prevalence rate among the servants between 40 and 50 years old was the highest(61.0%, P 〈 0. 05 ). A higher prevalence rate of subhealth (52. 1% )was reported by the civil servants with obesity(P 〈 0. 05 ). The married civil servants reported the highest prevalence rate of sub-health(52. 1%, P〈0. 05 ). The sub-health prevalence rate in the civil servants graduating from college was the highest (61.5%, P 〈 0. 05 ). The civil servants working in tax system reported a higher prevalence rate of sub-health(58.1%, P 〈 0. 05 ). The civil servants with the duty of administrative enforcement reported a higher prevalence rate of sub-health( 54. 1%, P 〈 0. 05 ). A higher prevalence rate( 64. 3 % )was reported by office worker( P 〈 0.05 ). The civil servants with personal income more than 5 0130 RMB yuan per month reported a higher prevalence rate of sub-health �
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