上海市浦东新区企事业单位员工微信步数及工作压力与身心健康的关联  

Relationships of WeChat steps and working pressure with physical and mental health of occupational groups in enterprises and public institutions in Pudong New Area of Shanghai

作　　者：顾铭 程旻娜[2] 张莉[3] 孙双圆 杨沁平 傅华[1] 王静[3] 贾英男[1] GU Ming;CHENG Min-na;ZHANG Li;SUN Shuang-yuan;YANG Qin-ping;FU Hua;WANG Jing;JIA Ying-nan(Institute of Health Communication,Key Lab of Public Health Safety of Ministry of Education,School of Public Health,Fudan University,Shanghai 200032,China;Division of Noncommunicable Diseases and Injury,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China;Department of Health Education,Shanghai Pudong New Area Center for Disease Control and Prevention,Shanghai 200136,China)

机构地区：[1]复旦大学公共卫生学院,复旦大学健康传播研究所,教育部公共卫生安全重点实验室,上海200032 [2]上海市疾病预防控制中心慢性非传染病与伤害防治所,上海200336 [3]上海市浦东新区疾病预防控制中心健康教育科,上海200136

出　　处：《环境与职业医学》2020年第7期695-700,共6页Journal of Environmental and Occupational Medicine

基　　金：上海市浦东新区卫生系统重点学科群建设项目(PWZxk2017-28)。

摘　　要：[背景]身体活动与工作压力对员工的健康具有重要影响。[目的]探究每日步数及工作压力与员工身心健康的关系。[方法]采用方便抽样的方法选取上海市浦东新区11家事业单位和10家企业进行调查,共发放问卷2236份,回收1800份有效问卷,问卷有效回收率为80.5%。根据微信步数的有效性,最终纳入对象1247人。问卷调查中包括了一般人口学特征学资料,通过一个问题进行健康自评,采用世界卫生组织的幸福感指数中文问卷评估心理健康状况,中文版工作内容量表评估工作压力,并通过微信公众号授权获取调查对象2019年8月2—31日的每日微信运动步数。运用多因素logistic分析两类员工每日步数及工作压力与自评健康和心理健康的关联。[结果]本次研究对象共1247人,事业单位员工667人,企业员工580人。两类单位员工步数的M(P25,P75)分别为6579(5014,8421)和8882(6703,11642);工作压力方面,两类单位员工的工作要求得分分别为4.02±0.58和3.87±0.53,工作自主性得分分别为3.27±0.53和3.38±0.54,社会支持得分分别为4.15±0.55和4.14±0.52;两类单位员工自评健康为好的比例分别为54.0%和65.2%,心理健康为好的比例分别为69.6%和70.2%。多因素logistic回归结果显示:调整人口学特征后,对于事业单位员工而言,日均5000~9999步的员工的心理健康好于日均步数<5000的员工(OR=1.68,95%CI:1.11~2.56),工作要求越低(OR=0.59,95%CI:0.42~0.83)、工作自主性(OR=2.15,95%CI:1.49~3.11)和社会支持越高(OR=1.87,95%CI:1.30~2.70)的员工心理健康好的可能性越大;日均步数≥10000的员工的自评健康好于<5000步的员工(OR=2.15,95%CI:1.19~3.89),社会支持越高的员工自评健康好的可能性越大(OR=1.52,95%CI:1.08~2.14)。对于企业员工而言,日均5000~9999步的员工的心理健康好于日均步数<5000的员工(OR=1.91,95%CI:1.01~3.60),工作自主性越高(OR=1.97,95%CI:1.30~2.97)和社会支持越高(OR=2.97,[Background]Physical activity and working pressure have a great impact on employees’physical and mental health.[Objective]This study explores the associations of daily steps and working pressure with physical and mental health of employees.[Methods]A cross-sectional study with convenience sampling was conducted in 11 public institutions and 10 enterprises in Pudong New Area of Shanghai.A total of 2236 questionnaires were distributed,and 1800 valid questionnaires were recovered,with a valid return rate of 80.5%.According to the validity of We Chat steps,1247 participants were finally included.Demographic characteristics were investigated by questionnaire;self-rated health was evaluated by a question;mental health was evaluated by World Health Organization Well-being Index Chinese version;working pressure was assessed by Job Content Questionnaire Chinese version;daily We Chat steps of the participants from 2-31 August 2019 were collected through a participant-authorized official account.Multiple logistic regression was used to analyze the relationships of daily steps and working pressure with physical and mental health of the two types of employees.[Results]A total of 1247 participants were investigated in this study,including 667 employees from public institutions and 580 employees from enterprises.For employees in public institutions and enterprises,the M(P25,P75)of daily steps were 6579(5014,8421)and 8882(6703,11642)respectively;in terms of working pressure,the job demand scores were 4.02±0.58 and 3.87±0.53,the job control scores were 3.27±0.53 and 3.38±0.54,and the social support scores were 4.15±0.55 and 4.14±0.52 respectively;the proportions with good self-rated health were 54.0%and 65.2%,and the proportions with good mental health were 69.6%and 70.2%respectively.The multiple logistic regression results indicated that after adjusting for selected demographic characteristics,in public institutions,the employees with average daily steps between 5000-9999(versus those with average daily steps<5000,OR=1.6

关 键 词：职业人群 步数 工作环境 心理健康 自评健康 

分 类 号：G806[文化科学—运动人体科学]