中国警察的心理困扰与血脂异常：中国天津的一项4年随访研究
Psychological distress and dyslipidemia in chinese police officers: a 4-year follow-up study in Tianjin, China.
作者信息
Chen Xi, Leng Ling, Yu Hao, Yang Xi-lin, Dong Guang-hui, Yue Song, Chen Jing-shan, Tang Nai-jun
机构信息
From the Department of Occupational and Environmental Health (Drs Chen and Tang, Ms Leng, Mr Yu, and Mr Chen) and Department of Epidemiology and Biostatistics (Dr Yang), School of Public Health, Tianjin Medical University; Department of Preventive Medicine (Dr Dong), School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong; and Medical Center of Police Hospital in Tianjin (Dr Yue), China.
出版信息
J Occup Environ Med. 2015 Apr;57(4):400-5. doi: 10.1097/JOM.0000000000000372.
OBJECTIVE
This study aimed at investigating whether psychological distress in police officers was associated with dyslipidemia.
METHODS
A survey was conducted to examine the psychological distress among 5867 police officers in Tianjin, China, from 2007 to 2011. Psychological distress was measured using the Symptom Check List-90-Revised. Cox proportional hazard regression was used to calculate the hazard ratios (HR) of the incidence of dyslipidemia predicted by psychological distress.
RESULTS
Among the 3300 participants without dyslipidemia at baseline (2567 with dyslipidemia), 60.5% (n = 1829) developed incident dyslipidemia 2.61 years (median) later. The adjusted HR was 1.15 (95% confidence interval, 1.05 to 1.26) after the adjustment of police classifications and other variables. The adjusted HR for police officers in charge of traffic control was 1.30 (95% confidence interval, 1.09 to 1.56).
CONCLUSIONS
Further investigations for associations of psychological factors with dyslipidemia and cardiovascular diseases are needed.
目的
本研究旨在调查警察的心理困扰是否与血脂异常有关。
方法
2007年至2011年对中国天津的5867名警察进行了一项调查，以检查他们的心理困扰情况。使用症状自评量表90修订版来测量心理困扰。采用Cox比例风险回归分析来计算心理困扰预测血脂异常发生率的风险比（HR）。
结果
在基线时无血脂异常的3300名参与者中（2567名有血脂异常），60.5%（n = 1829）在2.61年（中位数）后发生了新发血脂异常。在调整警察类别和其他变量后，调整后的HR为1.15（95%置信区间，1.05至1.26）。负责交通管制的警察的调整后HR为1.30（95%置信区间，1.09至1.56）。
结论
需要进一步研究心理因素与血脂异常和心血管疾病之间的关联。
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