焦炉工人职业性肺癌发病相关危险因素Logistic回归分析  

Logistic Regression Analysis of Risk Factors Related to Incidence of Occupational Lung Cancer Among Coke Oven Workers

作　　者：屈路 李莉 QU Lu;LI Li(Henan Third People's Hospital,Zhengzhou,450052)

机构地区：[1]河南省第三人民医院,450052

出　　处：《实用癌症杂志》2024年第9期1520-1523,1533,共5页The Practical Journal of Cancer

摘　　要：目的调查焦炉工人职业性肺癌的发病情况,并分析其发病的危险因素。方法随机选取某地区6个焦化厂2015年1月至2021年12月期间在册的2042例男性焦炉工人为研究对象,统计其职业性肺癌发生情况。采用自制的《焦炉工人职业性肺癌发生情况及影响因素调查表》收集工人的年龄、体质指数(BMI)、婚姻状况、文化程度、吸烟、饮酒情况、呼吸系统疾病史、肺癌家族史、工龄、工种、饮茶习惯、锻炼习惯等基本资料,通过Logistic回归分析焦炉工人发生职业性肺癌的危险因素。结果共纳入2042例焦炉工人,失访率为3.04%(62/2042),实访1980例,其中职业性肺癌发病率为2.73%(54/1980)。单因素分析结果表明,年龄、吸烟、呼吸系统疾病史、工龄、工种均和焦炉工人发生职业性肺癌有关(P<0.05);多因素Logistic回归分析结果表示,年龄≥50岁、有呼吸系统疾病史、工龄长、工种为炉顶工均是导致焦炉工人发生职业性肺癌的独立危险因素(P<0.05)。结论焦炉工人中职业性肺癌的发病率较高,年龄≥50岁、有呼吸系统疾病史、工龄长、工种为炉顶工均是焦炉工人发生职业性肺癌的危险因素,工厂应加大对具备上述因素的焦炉工人的关注度,加强对焦炉工人的保护措施,以降低焦炉工人职业性肺癌的发生率。Objective To investigate the incidence of occupational lung cancer among coke oven workers and analyze its risk factors.Methods A total of 2042 registered male coke oven workers from 6 coking plants in a certain region were randomly collected as the study subjects,and their incidence of occupational lung cancer was analyzed.The basic data of the age,body mass index(BMI),marital status,education level,smoking,drinking,history of respiratory diseases,family history of lung cancer,length of service,type of work,tea drinking habits,exercise habits and other basic data of the workers were collected through the self-designed Questionnaire on the Occurrence and Influencing Factors of Occupational Lung Cancer among Coke Oven Workers,Logistic regression analysis was applied to identify the risk factors for occupational lung cancer among coke oven workers.Results A total of 2042 coke oven workers were included in this study,with a loss of follow-up rate of 3.04%(62/2042),the incidence rate of occupational lung cancer among 1980 coke oven workers was 2.73%(54/1980).The results of univariate analysis showed that age,smoking,history of respiratory diseases,length of service,and type of work were all related to the occurrence of occupational lung cancer among coke oven workers(P<0.05);the results of multivariate Logistic regression analysis showed that age≥50 years old,a history of respiratory diseases,long length of service,and type of work as furnace top workers were all independent risk factors for occupational lung cancer among coke oven workers(P<0.05).Conclusion The incidence rate of occupational lung cancer among coke oven workers is high.Age≥50 years old,history of respiratory diseases,long length of service,and type of work as furnace top workers are all risk factors for occupational lung cancer among coke oven workers.Factories should pay more attention to coke oven workers with the above factors and strengthen protection measures for coke oven workers to reduce the incidence of occupational lung cancer among cok

关 键 词：焦炉工人 职业性肺癌 危险因素 

分 类 号：R734.2[医药卫生—肿瘤]