广州市某港口码头高温作业工人慢性病患病影响因素分析  

Influencing factors on prevalence of chronic diseases in workers under high-temperature condition in a port of Guangzhou City

作　　者：林秋月[1] 丘丛玺[1] 李燕茹[1] 刘鑫[1] 周浩[1] 肖吕武[1] 刘移民[1] LIN Qiuyue;QIU Congxi;LI Yanru;LIU Xin;ZHOU Hao;XIAO Lvwu;LIU Yimin(Guangzhou Occupational Disease Prevention and Treatment Center, Guangzhou, Guangdong 510620, China)

机构地区：[1]广州市职业病防治院,广东广州510620

出　　处：《中国职业医学》2018年第3期329-334,共6页China Occupational Medicine

基　　金：广州市民生科技重大项目(2014Y2-00067);广州市职业环境与健康效应实验室建设项目(2014SY000020);广州市医学重点学科建设项目(穗卫教[2016]27号);广州市产学研协同创新重大专项项目(201704020177);广州市"121人才梯队工程"后备人才项目(穗人社发[2011]167号)

摘　　要：目的了解广州市某港口码头高温作业工人慢性病的患病情况及其影响因素。方法采用判断抽样方法,以广州市某港口码头5 603名高温作业工人为研究对象,收集其职业健康检查结果,分析该人群慢性病患病情况及其影响因素。结果研究对象慢性病患病率为67.6%,其中高脂血症、高尿酸血症、高血压和糖尿病的患病率分别为51.8%、29.3%、14.0%和10.2%。多因素Logistic回归分析结果显示,男性人群罹患高脂血症、高尿酸血症和高血压的风险高于女性(P<0.05);年龄越大者,罹患高脂血症、高血压和糖尿病的风险越高(P<0.01);高温作业工龄越长者,罹患高脂血症、高尿酸血症和高血压的风险越高(P<0.01);经常吸烟者罹患高血压的风险高于不吸烟者(P<0.05);运动越少者,罹患高血压和糖尿病的风险越高(P<0.01)。结论高温作业工人慢性病患病率较高;性别、年龄、高温作业工龄、吸烟和运动均是高温作业工人罹患慢性病的主要影响因素。Objective To investigate the prevalence of chronic diseases and main influencing factors in workers under high-temperature in a port of Guangzhou City.Methods A total of 5 603 workers under high-temperature operation condition were selected by judgment sampling method.The occupational health examination results were collected to analyze the prevalence of chronic diseases and the related influencing factors.Results The prevalence of chronic diseases was 67.6%.The prevalence rates of hyperlipidemia,hyperuricemia,hypertension and diabetes were 51.8%,29.3%,14.0% and 10.2%,respectively.Multivariate logistic regression analysis indicated that the risks of hyperlipidemia,hyperuricemia and hypertension in male workers were higher than that of female workers（ P〈0.05）.The prevalence risk of hyperlipidemia,hypertension and diabetes increased with the increase age（ P〈0.01）.With the increase of the length of high-temperature operation,the risk of hyperlipidemia,hyperuricemia and hypertension increased（ P〈0.01）.The risk of hypertension in regular smokers was higher than that of non-smokers（ P〈0.05）.The less exercise,the higher risk of hypertension and diabetes（ P〈0.01）.Conclusion The prevalence of chronic diseases is high in workers exposed to high-temperature.The gender,age,length of high-temperature operation,smoking and exercise were the major influencing factors of chronic diseases in the workers.

关 键 词：高温作业 港口码头 慢性病 高脂血症 高尿酸血症 高血压 糖尿病 患病率 

分 类 号：R134.3[医药卫生—劳动卫生]