高海拔地区作业人员代谢综合征与职业紧张相关关系  

Relationship between metabolic syndrome and occupational stress among workers in high altitude area

作　　者：马晓明[1] 康海丽[1] 李岳[1] 姬红蓉 史春波[1] 吴扬帆[1] 雷红彦[1] 刘治华[1] 王庚[1] 

机构地区：[1]青海省疾病预防控制中心,青海西宁810007

出　　处：《中国职业医学》2017年第5期600-603,共4页China Occupational Medicine

基　　金：青海省卫生和计划生育委员会医药卫生科研指导性计划项目(2013003)

摘　　要：目的探讨高海拔地区作业人员代谢综合征(MS)与职业紧张的关系。方法采用横断面调查方法,以高海拔地区940名石油冶炼、火力发电、金融管理等行业的工作人员为调查对象,采用修订版《职业紧张量表》进行职业紧张调查;开展职业健康检查,测量研究对象腰围、血压、血糖和血脂。结果研究对象肥胖和三酰甘油、高密度脂蛋白、血压、空腹血糖异常的检出率分别为28.3%、16.3%、14.3%、13.3%和6.5%。MS检出率为5.0%(47/940)。多因素逐步Logistic回归分析结果显示,在调整混杂因素性别和劳动性质后,职业紧张水平越高者,发生MS的风险越低(P<0.05);职业紧张反应越严重者,发生MS的风险越高(P<0.01)。结论高海拔地区作业人员职业紧张反应越高者更容易发生MS。Objective To explore the relationship between metabolic syndrome（ MS） and occupational stress among workers in high altitude area. Methods A cross-sectional study was conducted in 940 workers as research subjects who were engaged in petroleum smelting,thermal power generation and financial management et al. in high altitude area. A questionnaire survey was conducted using the Occupational Stress Inventory-Revised for occupational stress, The occupational health examination was performed to measure waist circumference,blood pressure,blood sugar and blood lipids. Results The abnormal rates in obesity,triglycerides,high-density lipoprotein,blood pressure and fasting blood glucose were 28. 3%,16. 3%,14. 3%,13. 3% and 6. 5%, respectively. The detection rate of MS was 5. 0%（ 47/940）. The multivariate logistic regression analysis showed that the risk of elevated MS decreased with the increased of occupational stress level（ P〈0. 05）,and the risk of elevated MS increased with the increased of occupational stress reaction severity（ P〈0. 05）,after adjusting the confounding factors of gender and labor nature. Conclusion The higher occupational stress reaction of the workers in high altitude area,the higher the risk of MS.

关 键 词：代谢综合征 职业紧张 影响因素 

分 类 号：R135.14[医药卫生—劳动卫生]