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一项关于日本男性工人饮酒与健康相关生活质量的横断面研究。

A cross-sectional study of alcohol drinking and health-related quality of life among male workers in Japan.

作者信息

Saito Isao, Okamura Tomonori, Fukuhara Shunichi, Tanaka Taichiro, Suzukamo Yoshimi, Okayama Akira, Ueshima Hirotsugu

机构信息

Department of Public Health, Nara Medical University.

出版信息

J Occup Health. 2005 Nov;47(6):496-503. doi: 10.1539/joh.47.496.

Abstract

BACKGROUND

Although light and moderate alcohol drinkers are likely to have better subjective health, the sub-scales for subjective health have not been well documented.

METHODS

We studied 4,521 male workers aged 25 yr and older with no history of cancer or cardiovascular disease, in 12 occupational groups in Japan. Data were from the High-risk and Population Strategy for Occupational Health Promotion Study (HIPOP-OHP). Drinking status was classified according to daily alcohol intake or frequency of drinking. We assessed the health-related quality of life (HRQOL) based on scores for five scales of the SF-36.

RESULTS

Decreased odds ratios of sub-optimal HRQOL conditions, defined as less than the median SF-36 scores, for Role-Physical and General Health were found among persons who consumed 1.0 to 22.9 g/d of alcohol. Odds ratios for sub-optimal Vitality conditions were lowered according to increased levels of alcohol intake. Role-Emotional scores were not associated with alcohol drinking. People who drank 5 to 6 d/wk had higher levels of Role-Physical and Vitality, and those who drank 1 to 2 d/wk had better Vitality and Mental Health scores than non-drinkers. When adjusted for age, marital status, working hours, physical activity at work, self-reported job stress, smoking, regular exercise, hypertension, hyperlipidemia, and diabetes, the associations were almost unchanged except for General Health.

CONCLUSIONS

Associations of drinking patterns with subjective health varied in five sub-scales of the SF-36. Overall, alcohol drinkers rated their health as good in comparison with non-drinkers.

摘要

背景

尽管轻度和中度饮酒者可能主观健康状况更好,但主观健康的子量表尚未得到充分记录。

方法

我们研究了日本12个职业组中4521名年龄在25岁及以上、无癌症或心血管疾病史的男性工人。数据来自职业健康促进高风险与人群策略研究(HIPOP-OHP)。饮酒状况根据每日酒精摄入量或饮酒频率进行分类。我们基于SF-36五个量表的得分评估了健康相关生活质量(HRQOL)。

结果

在每日摄入酒精1.0至22.9克的人群中,发现角色-身体和总体健康方面的HRQOL状况不佳(定义为低于SF-36得分中位数)的比值比降低。活力状况不佳的比值比随着酒精摄入量的增加而降低。角色-情感得分与饮酒无关。每周饮酒5至6天的人在角色-身体和活力方面得分较高,每周饮酒1至2天的人在活力和心理健康方面得分比不饮酒者更好。在对年龄、婚姻状况、工作时间、工作中的体力活动、自我报告的工作压力、吸烟、定期锻炼、高血压、高脂血症和糖尿病进行调整后,除总体健康外,这些关联几乎没有变化。

结论

饮酒模式与主观健康的关联在SF-36的五个子量表中各不相同。总体而言,与不饮酒者相比,饮酒者对自己健康的评价较好。

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