Instituto de Pesquisa Econômica Aplicada, Brasília, Brazil.
Cad Saude Publica. 2010 May;26(5):971-80. doi: 10.1590/s0102-311x2010000500019.
This cross-sectional study with 1,249 workers from all 49 municipal primary health care centers was conducted in Florianópolis, Santa Catarina State, Brazil, with the objective of investigating the prevalence of poor self-rated health and its association with working conditions and other factors. Multivariate statistical analyses were conducted using Poisson regression. The prevalence of poor self-rated health was 21.86% (95%CI: 19.56%-24.15%). The largest prevalence was found among dental assistants (35.71%), and the lowest among physicians (10.66%). In the adjusted analysis, the outcome was associated with female gender (PR = 1.48; 95%CI: 1.03-2.14), older age (PR = 1.29; 95%CI: 1.05-1.59), higher education (PR = 0.69; 95%CI: 0.55-0.87), more time working at the primary care center (PR = 1.57; 95%CI: 1.29-1.98), higher workload score (PR = 1.67; 95%CI: 1.35-2.05), obesity (PR = 1.74; 95%CI: 1.37-2.21), and often or always experiencing musculoskeletal symptoms (PR = 2.69; 95%CI: 1.90-3.83). A higher workload score remained associated with the outcome, suggesting an association between working conditions and self-rated health.
这项横断面研究共纳入来自巴西圣卡塔琳娜州 49 个市级基层医疗保健中心的 1249 名工作人员，旨在调查自我报告健康状况不佳的流行情况及其与工作条件和其他因素的关联。采用泊松回归进行多变量统计分析。自我报告健康状况不佳的患病率为 21.86%（95%CI：19.56%-24.15%）。牙科技师的患病率最高（35.71%），医生的患病率最低（10.66%）。在调整分析中，该结果与女性（PR=1.48；95%CI：1.03-2.14）、年龄较大（PR=1.29；95%CI：1.05-1.59）、较高的教育程度（PR=0.69；95%CI：0.55-0.87）、在基层医疗保健中心工作时间较长（PR=1.57；95%CI：1.29-1.98）、工作负荷评分较高（PR=1.67；95%CI：1.35-2.05）、肥胖（PR=1.74；95%CI：1.37-2.21）和经常或总是经历肌肉骨骼症状（PR=2.69；95%CI：1.90-3.83）相关。较高的工作负荷评分仍与结果相关，表明工作条件和自我报告健康之间存在关联。
