Hara S, Yanagi H, Okuno J, Azuma K, Yuzawa T, Hirano C, Tomura S, Tsuchiya S
Institute of Community Medicine, University of Tsukuba.
Nihon Koshu Eisei Zasshi. 1998 Dec;45(12):1162-70.
To examine lifestyle, mental health and awareness of health, a self-administered questionnaire survey was performed among 751 employees of a bus company in a rural city of Japan. From 597 (79.5%) respondents, we analyzed 130 male bus drivers and age-matched 130 male clerks. The questionnaire included eleven questions about lifestyle and mental health, three questions about awareness of health, and questions on personal concern about specific parts of the body or diseases, and health information they needed. Answers for lifestyle and mental health were classified into the categories of "good" or "not good" practices recommended by Breslow and Morimoto. The results were as follows; 1) Over 80 percent of subjects of both groups had good awareness of health, but bus drivers had significantly worse lifestyle with regard to nutritional intake (p < 0.05), daily walking (p < 0.001), sports (p < 0.05), and sleeping hours (p < 0.001). 2) Bus drivers had significantly greater prevalence of concern about their cardiovascular system, esophagus and gastrointestinal system, and joints and bones than clerks (p < 0.05). 3) Bus drivers had a significantly greater need for information about nutritional intake (p < 0.001), and methods for prevention of diseases (p < 0.01). From these results, the discrepancy between awareness of health and lifestyle seen in this study, especially in food intake, walking time, sports participation, and sleep, may have resulted from the bus driver's characteristics of job, for example, long and irregular working hours. Therefore, effective guidance on health and lifestyle changes to restore balance and improve their lifestyle.
为了调查生活方式、心理健康和健康意识,我们对日本一个乡村城市的一家公交公司的751名员工进行了一项自填式问卷调查。从597名(79.5%)受访者中,我们分析了130名男性公交司机和130名年龄匹配的男性职员。问卷包括11个关于生活方式和心理健康的问题、3个关于健康意识的问题,以及关于身体特定部位或疾病的个人关注问题和他们需要的健康信息。生活方式和心理健康的答案被分类为Breslow和森本推荐的“良好”或“不良”做法类别。结果如下:1)两组中超过80%的受试者有良好的健康意识,但公交司机在营养摄入(p<0.05)、每日步行(p<0.001)、运动(p<0.05)和睡眠时间(p<0.001)方面的生活方式明显较差。2)公交司机对心血管系统、食道和胃肠道系统以及关节和骨骼的关注患病率明显高于职员(p<0.05)。3)公交司机对营养摄入信息(p<0.001)和疾病预防方法(p<0.01)的需求明显更大。从这些结果来看,本研究中观察到的健康意识和生活方式之间的差异,尤其是在食物摄入、步行时间、运动参与和睡眠方面,可能是由于公交司机的工作特点,例如工作时间长且不规律。因此,需要针对健康和生活方式改变进行有效指导,以恢复平衡并改善他们的生活方式。