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[警察职业压力与代谢综合征之间的关系]

[The relationship between occupational stress and metabolic syndrome among policemen].

作者信息

Liu Qian, Yue Song, Tang Nai-Jun, Yu Zhi-Rui, Ma Xiao-Ming, Chen Xi, Xu Yuan-Jing, Tian Feng-Shi

机构信息

School of Public Health, Tianjin Medical University, Tianjin 300070, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2011 Jul;45(7):639-44.

PMID:22041570
Abstract

OBJECTIVE

To explore the occupational stress factors associated with the prevalence of metabolic syndrome (MS) among male policemen.

METHODS

Using cluster sampling method, we selected four Public Security Bureau within the jurisdiction of the station now in some city. All the male police were included as research objects, and finally 1490 persons were selected, health and occupational stress inventory-revised (OSI-R) questionnaire were used for epidemiological surveys, and anthropometric examination and chemical indicators were also measured at the same time. The analysis methods were chi-square test and unconditional logistical regression.

RESULTS

Among the 1490 of research objects, 1483 completed the questionnaire, and 1480 of the eligible questionnaires were available.237 cases were MS, and the prevalence rate was 16.0%(237/1480). The number of cases who were high, moderate and lack of occupational stress in MS group were 8, 39 and 23, that in non-MS were 14, 114 and 131, respectively. The odds of occupational stress with the highest and medium among policemen than who were lack were 4.82 (95%CI: 1.50 - 15.41) and 3.33 (95%CI: 1.62 - 6.79); the average score of role ambiguity, role insufficiency and responsibility in the group of MS were (38.76 ± 6.83), (25.74 ± 7.22), (25.76 ± 6.27); and that in non-MS were (37.55 ± 6.85), (24.50 ± 6.58), (25.05 ± 5.95). The logistical regression analysis showed that: the likely three occupational risk stress factors which influencing the prevalence of MS were role ambiguity, role insufficiency and responsibility, and the OR (95%CI) were 1.06 (1.02 - 1.10), 1.04 (1.02 - 1.07) and 1.03 (1.01 - 1.06), respectively.

CONCLUSION

Role ambiguity, role insufficiency and responsibility were the occupational risk stress factors associated with the prevalence of MS among male policemen.

摘要

目的

探讨男性警察中与代谢综合征(MS)患病率相关的职业压力因素。

方法

采用整群抽样法,选取某市辖区内的4个公安分局。将所有男性警察纳入研究对象,最终选取1490人,采用健康与职业压力问卷修订版(OSI-R)进行流行病学调查,同时进行人体测量检查和化学指标检测。分析方法采用卡方检验和非条件logistic回归。

结果

在1490名研究对象中,1483人完成问卷,获得有效合格问卷1480份。MS患者237例,患病率为16.0%(237/1480)。MS组中职业压力高、中、低的人数分别为8例、39例和23例,非MS组分别为14例、114例和131例。警察中职业压力高和中等的人群患MS的几率分别是低职业压力人群的4.82倍(95%CI:1.50 - 15.41)和3.33倍(95%CI:1.62 - 6.79);MS组中角色模糊、角色不足和责任的平均得分分别为(38.76 ± 6.83)、(25.74 ± 7.22)、(25.76 ± 6.27);非MS组分别为(37.55 ± 6.85)、(24.50 ± 6.58)、(25.05 ± 5.95)。logistic回归分析显示:影响MS患病率的三个可能的职业风险压力因素为角色模糊、角色不足和责任,其OR(95%CI)分别为1.06(1.02 - 1.10)、1.04(1.02 - 1.07)和1.03(1.01 - 1.06)。

结论

角色模糊、角色不足和责任是与男性警察MS患病率相关的职业风险压力因素。

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