湖北省机关事业单位职工慢性病危险因素及聚集情况  

Clustering of chronic disease risk factors among government and public institutions employees in Hubei Province

作　　者：陈宇星 周芳[1] 刘昊[1] 杨晨璐 方星[1] CHEN Yuxing;ZHOU Fang;LIU Hao;YANG Chenlu;FANG Xing(Institute of Chronic and Non-communicable Disease Control and Prevention,Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]湖北省疾病预防控制中心慢性病防治研究所,湖北武汉430079

出　　处：《中国预防医学杂志》2023年第6期618-624,共7页Chinese Preventive Medicine

摘　　要：目的 了解湖北省机关事业单位职工吸烟、不良饮食行为、从不锻炼、睡眠不足和体质量超标5类慢性病危险因素的流行情况、聚集性及其影响因素,为针对性制定该职业人群慢性病防控综合干预措施提供参考依据。方法 采用整群抽样的方法,于2020年8月1—10日对参加湖北省“万步有约”职业人群健走激励大赛的机关事业单位职工开展横断面调查,内容包括自填电子问卷和身体测量。采用单因素logistic回归模型和多因素logistic回归模型分析其慢性病危险因素聚集情况及影响因素。结果 湖北省机关事业单位职工吸烟1 702人(20.98%)、不良饮食行为1 657人(20.42%)、从不锻炼3 314人(40.85%)、睡眠不足1 487人(18.33%)、体质量超标3 309人(40.79%)。3 461人(42.66%)的机关事业单位职工具有≥2种慢性病危险因素,最常见的2项慢性病危险因素聚集模式为体质量超标合并从不锻炼535人(6.59%),最常见3~5项慢性病危险因素聚集模式为体质量超标、吸烟合并从不锻炼240人(2.96%)。男性(OR=4.06,95%CI=3.67~4.49),患有慢性病(OR=1.44,95%CI=1.24~1.68),慢性病核心知识不知晓(OR=1.33,95%CI=1.21~1.47)的机关事业单位职工慢性病危险因素聚集度高,高年龄组(40~<50岁:OR=0.72, 95%CI=0.61~0.85;50~<65岁:OR=0.57, 95%CI=0.48~0.69)、月收入偏高(3 000~<5 000元,OR=0.86,95%CI=0.75~0.99;≥5 000元,OR=0.67,95%CI=0.57~0.80)的机关事业单位职工慢性病危险因素聚集度低。结论 湖北省机关事业单位职工5类慢性病危险因素普遍存在且聚集现象严重,应针对性开展综合干预措施。Objective To investigate the prevalence and clustering of tobacco use,unhealthy eating habits,physical inactivity,lack of sleep and overweight/obesity among government and public institutions employees in Hubei Province and the influencing factors,so as to provide evidence for comprehensive intervention measures for targeted prevention and control of chronic diseases in this population.Methods Using cluster sampling,employees of government agencies and public institutions who participated in the"10000 Steps brisk walking competition"were selected for a cross-sectional survey from August 1st to 10th,2020.Self-completed electronic questionnaire and anthropometric measurements were collected.Univariable logistic and multivariable logistic regression analyses were used to explore the influencing factors of clustering of chronic disease risk factors among the participants.Results The prevalence of tobacco use,unhealthy eating habits,physical inactivity,lack of sleep and overweight/obesity among the participants were 20.89%,20.42%,40.85%,18.33%and 40.79%,respectively.3461 cases(42.66%)of the participants had≥2 chronic disease risk factors.The most common pattern of clustering of two chronic disease risk factors was overweight/obesity combined with physical inactivity 535 cases(6.59%),and the most common pattern of clustering of 3-5 risk factors was overweight/obesity combined with smoking and physical inactivity 240 cases(2.96%).People being male(OR=4.06,95%CI=3.67-4.49),having chronic diseases(OR=1.44,95%CI=1.24-1.68)and having core knowledge about chronic diseases were at higher risk of clustering chronic disease risk factors.Higher age(40-<50:OR=0.72,95%CI=0.61~0.85;50-<65:OR=0.57,95%CI=0.48-0.69),having higher monthly income(3000-<5000,OR=0.86,95%CI=0.75-0.99;≥5000,OR=0.67,95%CI=0.57-0.80)were at lower risk of clustering of risk factor.Conclusions Tobacco use,unhealthy eating habits,physical inactivity,lack of sleep and overweight/obesity are prevalent and clustering among employees of government and public ins

关 键 词：慢性非传染性疾病 机关事业单位职工 危险因素 聚集性 

分 类 号：R195[医药卫生—卫生统计学]