Monash Centre for Occupational and Environmental Health (MonCOEH), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
J Occup Environ Med. 2018 Mar;60(3):286-294. doi: 10.1097/JOM.0000000000001228.
The aim of this study was to investigate prevalence of type 2 diabetes (diabetes) and cardiovascular disease (CVD) risk in occupational and industry groups in a large, diverse working population.
Five hundred thousand Victorian workers undertook health checks, including lifestyle, anthropometric, and biomedical cardiovascular risk factor assessment. Five-year diabetes (AUSDRISK) and absolute CVD risk were estimated.
High diabetes and CVD risk was increased in many occupational groups and industries relative to managers and Professional/Scientific/Technical Services, respectively. Significantly more blue-collar workers had high diabetes risk [males prevalence ratio (PR) 1.19 (95% confidence interval, 95% CI 1.17 to 1.20); females 1.34 (95% CI 1.30 to 1.38)], high CVD risk [males 1.45 (95% CI 1.37 to 1.53); females 1.48 (95% CI 1.17 to 1.88], and risk factors including smoking [males 2.26 (95% CI 2.22 to 2.30); females 2.20 (95% CI 2.13 to 2.27)], compared with white-collar workers.
Targeting occupational and industry groups within sustainable workplace programs could assist in reducing chronic diseases, lowering sickness absence, and improving productivity.
本研究旨在调查大型多样化工作人群中职业和行业群体 2 型糖尿病(糖尿病)和心血管疾病(CVD)风险的患病率。
50 万名维多利亚州工人接受了健康检查,包括生活方式、人体测量和生物医学心血管风险因素评估。估计了 5 年糖尿病(AUSDRISK)和绝对 CVD 风险。
与经理和专业/科学/技术服务人员相比,许多职业群体和行业的高糖尿病和 CVD 风险增加。明显更多的蓝领工人有高糖尿病风险[男性患病率比(PR)1.19(95%置信区间,95%CI 1.17 至 1.20);女性 1.34(95%CI 1.30 至 1.38)]、高 CVD 风险[男性 1.45(95%CI 1.37 至 1.53);女性 1.48(95%CI 1.17 至 1.88)]和危险因素,包括吸烟[男性 2.26(95%CI 2.22 至 2.30);女性 2.20(95%CI 2.13 至 2.27)],与白领工人相比。
在可持续工作场所计划中针对职业和行业群体,可能有助于减少慢性疾病、降低病假率和提高生产力。