From the Saw Swee Hock School of Public Health (Drs Lim, Chia, and Lim), National University of Singapore; and Public Health Group (Drs Ma and Heng, Mr Fong, and Ms Chua), Ministry of Health Singapore.
J Occup Environ Med. 2014 May;56(5):498-509. doi: 10.1097/JOM.0000000000000131.
To compare the prevalence of common medical conditions (including mental health and self-rated health) and lifestyle risk factors for disease of the Singapore workforce with the nonworking population, and evaluate the association of these factors with occupation class.
Data were obtained from a population-representative cross-sectional survey in 2010. Adjusted prevalence ratios (PRs) were obtained by modified Breslow-Cox proportional hazards regression model.
Within the workforce, after adjustment for age, sex, and ethnicity, daily smoking (PR = 1.87; 95% confidence interval [CI], 1.40 to 2.51; P < 0.001), no regular exercise (PR = 1.13; 95% CI, 1.07 to 1.20; P < 0.001), and poor self-rated health (PR = 1.46, 95% CI, 1.22 to 1.76; P < 0.001) were more prevalent in the lower-skilled occupation classes.
Lower-skilled occupation classes in Singapore are associated with lifestyle risk factors, and tailored workplace health promotion programs addressing their specific health needs are needed.
比较新加坡劳动力人群和非劳动力人群常见疾病（包括心理健康和自我评估健康）和疾病风险因素的流行情况，并评估这些因素与职业类别的关联。
数据来自 2010 年进行的一项具有代表性的人群横断面调查。采用修正 Breslow-Cox 比例风险回归模型得出调整后的患病率比（PR）。
在劳动力人群中，调整年龄、性别和种族后，每日吸烟（PR = 1.87；95%置信区间 [CI]，1.40 至 2.51；P < 0.001）、不规律运动（PR = 1.13；95% CI，1.07 至 1.20；P < 0.001）和自我评估健康状况较差（PR = 1.46，95% CI，1.22 至 1.76；P < 0.001）在低技能职业类别的人群中更为普遍。
新加坡低技能职业类别的人群与生活方式风险因素有关，需要针对他们的特定健康需求制定有针对性的工作场所健康促进计划。
