我国公务员群体亚健康状况研究——基于SHMS V1.0量表的元分析  

Sub-health status of civil servants:a meta-analysis based on SHMS V1.0

作　　者：冯叶芳 薛允莲[2] 许军[3] 蒋丽洁 FENG Ye-fang;XUE Yun-lian;XU Jun;JIANG Li-jie(School of Health Management,Southern Medical University,Guangzhou,Guangdong 510515,China)

机构地区：[1]南方医科大学卫生管理学院,广东广州510515 [2]广东省人民医院(广东省医学科学院),广东广州510080 [3]南方医科大学南方医院卫生经济管理科,广东广州510515

出　　处：《现代预防医学》2020年第15期2779-2784,共6页Modern Preventive Medicine

基　　金：国家自然科学基金(71673126);国家高技术研究发展计划(863计划)(2008AA02Z409);广东省高校哲学社科重点实验室:“公共卫生政策研究与评价”重点实验室(2015WSY0010);广州市人文社会科学重点研究基地:“广州市公共卫生服务体系建设研究基地(2018-2020年)”。

摘　　要：目的了解我国公务员群体亚健康状况的真实水平,以及与城镇居民亚健康常模的差异,以便为科学开展公务员群体健康管理工作提供证据支持。方法检索CNKI、维普、万方、PubMed、Embase、Springer等数据库中建库至2018年有关公务员SHMS V1.0(Sub-health Measurement Scale Version 1.0)的实证研究,采用Review Manager 5.3进行元分析。结果与2018年城镇居民常模相比显示,公务员的心理子量表MS(SMD=0.03,95%CI:0.02~0.05)、社会子量表SS(SMD=0.11,95%CI:0.09~0.13)评分高于城镇居民,生理子量表PS(SMD=-0.26,95%CI:-0.28^-0.24)、亚健康总体评分GS(SMD=-0.08,95%CI:-0.10^-0.06)评分低于城镇居民;男性公务员MS(SMD=0.14,95%CI:0.11~0.18)、GS(SMD=0.08,95%CI:0.04~0.11)评分均高于女性,PS、SS评分没有差异(P>0.05)。结论对公务员群体进行健康管理时,应侧重于生理健康教育,并重点关注女性公务员的心理健康问题,还需要结合不同区域亚健康特征采取有针对性的策略。Objective To learn the true level of the sub-health status of civil servants in China,and how it differs from the norms of the sub-health of urban residents,so as to provide evidence support for the scientific management of civil servants.Methods The empirical studies before 2018 on civil servant SHMS V1.0(Sub-health Measurement Scale Version 1.0)were retrieved from CNKI,CQVIP,WANFANG,PubMed,Embase,Springer,and other databases.Review Manager 5.3 was used to perform meta-analysis.Results The results showed that compared with the norm of urban residents in 2018,civil servants’MS(SMD=0.03,95%CI:0.02-0.05),SS(SMD=0.11,95%CI:0.09-0.13)scored higher than urban residents,PS(SMD=-0.26,95%CI:-0.28--0.24),GS(SMD=-0.08,95%CI:0.10--0.06)scored lower than urban residents.And male civil servant MS(SMD=0.14,95%CI:0.11-0.18),GS(SMD=0.08,95%CI:0.04-0.11)scored higher than females,and there was no difference in PS and SS scores(P>0.05).Conclusion The current evidence suggests that when conducting health management for civil servants,it should focus on physical health education and pay highly attention to the mental health of female civil servants.Besides,there is a need to adopt a targeted strategy on sub-health characteristics in different regions.

关 键 词：亚健康评价量表SHMS V1.0 常模 公务员 元分析 

分 类 号：R195.4[医药卫生—卫生统计学]