上海市奉贤区20～59岁医务人员体质测试状况及影响因素  

Physical fitness test status and influencing factors of medical workers aged 20-59 years old in Fengxian District of Shanghai

作　　者：袁媛[1] 汤海英[1] 韩海宏 沈洁 孙红 康卫东 张琳[1] 王红[1] 唐怡菁 陈英[1] YUAN Yuan;TANG Hai-ying;HAN Hai-hong;SHEN Jie;SUN Hong;KANG Wei-dong;ZHANG Lin;WANG Hong;TANG Yi-jing;CHEN Ying(Department of Chronic Disease Control and Prevention,Shanghai Fengxian District Center for Disease Control and Prevention,Shanghai,201499,China;Shanghai Fengxian Medical Labor Union,Shanghai,201400,China;Physical Fitness Testing Center of Shanghai Fengxian District Sports Bureau,Shanghai,201400,China)

机构地区：[1]上海市奉贤区疾病预防控制中心慢性病防治科,上海201400 [2]上海市奉贤区医务工会,上海201400 [3]上海市奉贤区体育局体质测试中心,上海201400

出　　处：《职业与健康》2019年第1期57-60,64,共5页Occupation and Health

基　　金：上海市奉贤区科学技术发展基金项目(奉科20141329)

摘　　要：目的了解上海市奉贤区20～59岁医务人员的体质达标状况及影响因素,为相关部门开展医务人员健康干预提供理论依据。方法应用分层随机抽样法选取奉贤区综合医疗机构、专科医院和各社区卫生服务中心医务人员共计1 405人参与国民体质测试和问卷调查。结果奉贤区医务人员体质测试综合评价优秀率和优良率分别为9.96%和27.76%,体质达标率91.60%。随着医疗结构等级的升高,体质测试达标率逐渐增加(χ~2=28.68,P<0.01);女性体质测试达标率(93.53%)高于男性(81.82%),差异有统计学意义(χ~2=34.39,P<0.01);不同年龄组、婚姻状况、职业类型和专业类别间医务人员体质达标率不全相同(P<0.05)。医务人员体质测试水平与总体健康状况呈正相关(Gamma系数为0.22,P<0.01)。多因素logistic回归分析结果显示,单位类型、性别、年龄及主观感觉总体健康状况是医务人员体质达标率的影响因素。结论奉贤区20～59岁医务人员体质测试达标率不高,相关部门应针对重点人群开展健康干预。[Objective]To understand the physical fitness standards and influencing factors of medical staff aged 20-59 years old in Fengxian District of Shanghai,provide theoretical basis for relevant departments to carry out health interventions.[Methods]A total of 1 405 people from the comprehensive medical institutions,specialist hospitals and community health service centers in Fengxian District were selected to participate in the physical fitness test and questionnaire survey by stratified random sampling.[Results]The excellent rate and good rate of physical evaluation of medical staff in Fengxian District was 9.96% and 27.76%respectively,and the standard-reaching rate was 91.60%.With the increase of medical institution level,the standard-reaching rate of physical fitness test gradually increased(χ^2=28.68,P<0.01).The standard-reaching rate of females(93.53%)was higher than that of males(81.82%),and the difference was statistically significant(χ^2=34.39,P<0.01).The standard-reaching rate were different among medical staff in different groups in age marital status,occupational type and professional category(P<0.05).The physical fitness test level of the medical staff was positively correlated with the overall health status(Gamma coefficient was 0.22,P<0.01).Multivariate logistic regression analysis showed that the medical institution type,gender,age and health status were the influencing factors of the standard-reaching rate of medical staff.[Conclusion]The standard-reaching rate of physical fitness test for medical staff aged 20-59 years old in Fengxian District is not optimistic,and relevant departments should carry out health interventions for key populations to improve the physical fitness and health status of medical staff.

关 键 词：医务人员 体质测试 达标 影响因素 

分 类 号：R181.37[医药卫生—流行病学]