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求职者中的健康行为与健康风险行为:在一家职业介绍所进行的筛查

[Health behaviour and health-risk behaviour among job-seekers: a screening at an employment agency].

作者信息

Pockrandt C, Coder B, Lau K, Hartmann B, John U, Freyer-Adam J

机构信息

Institut für Epidemiologie und Sozialmedizin, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald.

出版信息

Gesundheitswesen. 2007 Nov;69(11):628-34. doi: 10.1055/s-2007-990306.

Abstract

AIM

The purpose of this study was to investigate the distribution of health behaviours and health-risk behaviours among three groups of job-seeking persons at employment agencies: short-term unemployed, long-term unemployed, and non-unemployed (e.g., threatened by job loss) persons. A related aim was to identify the general willingness of persons recruited at employment agencies to participate in a study regarding health behaviours.

METHOD

At the employment agency Greifswald (Western Pomerania, Germany), over a period of two weeks, all job-seeking persons while waiting were personally asked to participate in a screening regarding health behaviours.

RESULTS

A total of 1672 persons (M=34 years, 54% women), that is 74.3% of all job-seekers, participated in the screening. Regarding physical activity, fruit and vegetable intake, smoking, at-risk drinking, drug use and overweight, all three groups showed a lack of health behaviour and increased risky behaviour compared to the general population or nation-wide guidelines. ANOVAs, chi (2) tests and logistic regressions showed significant differences among the three groups. Non-unemployed persons were more likely to report a healthier life style compared to both unemployed groups. Long-term unemployed persons had a higher risk of smoking (OR=1.56; CI 95%=1.14-2.12) and of using drugs (OR=2.79; CI 95%=1.30-5.98) compared to short-term unemployed persons.

CONCLUSIONS

The high participation rate, along with the high rates of risky behaviour and lack of health behaviour indicate the demand for intervention programs for job-seekers and the opportunity of using this setting for proactive interventions that could reach more than 70% of all job-seekers.

摘要

目的

本研究旨在调查职业介绍所中三类求职者的健康行为和健康风险行为分布情况,这三类求职者分别是短期失业者、长期失业者以及非失业者(例如面临失业威胁者)。一个相关目的是确定在职业介绍所招募的人员参与有关健康行为研究的总体意愿。

方法

在德国西波美拉尼亚州格赖夫斯瓦尔德的职业介绍所,在两周时间内,亲自询问所有等待的求职者是否愿意参与一项关于健康行为的筛查。

结果

共有1672人(平均年龄34岁,54%为女性)参与了筛查,占所有求职者的74.3%。在体育活动、水果和蔬菜摄入量、吸烟、高危饮酒、吸毒以及超重方面,与普通人群或全国性指导方针相比,这三组人群均表现出健康行为缺失且风险行为增加。方差分析、卡方检验和逻辑回归显示三组之间存在显著差异。与两个失业组相比,非失业者更有可能报告更健康的生活方式。与短期失业者相比,长期失业者吸烟(比值比=1.56;95%置信区间=1.14 - 2.12)和吸毒(比值比=2.79;95%置信区间=1.30 - 5.98)的风险更高。

结论

高参与率,以及高风险行为率和健康行为缺失表明有必要为求职者制定干预计划,并且有机会利用这一环境进行积极干预,从而覆盖超过70%的所有求职者。

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