Ji F L, Liu Z M, Liu Z S, Zou J F, Yu W L, Li H M, Li J, Kong L M, Jiang Q
Qingdao center for disease control and prevention, Qingdao 266033, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Feb 20;36(2):102-105. doi: 10.3760/cma.j.issn.1001-9391.2018.02.006.
To investigate the mental health status of railway female workers and related influencing factors, and to provide a scientific strategy for labor protection regulations in railway female workers. Cluster sampling was used to select 5033 female workers from Jinan, Nanning, Qinghai-Tibet, and Wuhan railway systems in China from January to August, 2016. A uniform reproductive health questionnaire, as well as the Symptom Checklist-90 (SCL-90) , was used to investigate their general information (age, marital status, education level, and family income) , work type (day shift, night shift, or work on shift) , work position, and the presence or absence of exposure to occupational hazardous factors. The score on each factor of SCL-90 and the positive rate of mental health status were calculated. The positive rate of mental health status was 10.6% in railway female workers. The workers exposed to occupational hazardous factors had a significantly higher positive rate of mental health status than those not exposed to occupational hazardous factors (14.20% 8.02%, <0.01) . There were significant differences in the positive rate of mental health status between workers with different ages, marital status, education levels, histories of abortion, or annual family income levels (<0.01) . The scores of somatization (1.54±0.62) and horror (1.28±0.47) in SCL-90 were significantly higher than the Chinese adult norm (<0.01) . The multivariate logistic regression analysis showed that exposure to occupational hazardous factors, night shift, overwork, and carrying heavy objects were associated with mental health problems (=1.797, 95%: 1.393-2.318; =0.641, 95%: 0.498-0.827; =0.586, 95%: 0.439-0.783; =0.580, 95%: 0.378-0.890) . Railway female workers have lower levels of mental health than the general population and are under significant occupational stress. Exposure to occupational hazardous factors, night shift, overwork, and carrying heavy objects are associated with the development of mental health problems in railway female workers.
为调查铁路女职工的心理健康状况及相关影响因素，为铁路女职工劳动保护法规提供科学策略。2016年1月至8月，采用整群抽样法从中国济南、南宁、青藏和武汉铁路系统选取5033名女职工。使用统一的生殖健康问卷以及症状自评量表90（SCL - 90）来调查她们的一般信息（年龄、婚姻状况、教育程度和家庭收入）、工作类型（日班、夜班或轮班工作）、工作岗位以及是否接触职业危害因素。计算SCL - 90各因子得分及心理健康状况阳性率。铁路女职工心理健康状况阳性率为10.6%。接触职业危害因素的职工心理健康状况阳性率显著高于未接触职业危害因素的职工（14.20%对8.02%，P<0.01）。不同年龄、婚姻状况、教育程度、流产史或家庭年收入水平的职工心理健康状况阳性率存在显著差异（P<0.01）。SCL - 90中躯体化因子得分（1.54±0.62）和恐怖因子得分（1.28±0.47）显著高于中国成年人常模（P<代码开始>
0.01）。多因素logistic回归分析显示，接触职业危害因素、夜班、过度劳累和搬运重物与心理健康问题有关（OR = 1.797，95%CI：1.393 - 2.318；OR = 0.641，95%CI：0.498 - 0.827；OR = 0.586，95%CI：0.439 - 0.783；OR = 0.580，95%CI：0.378 - 0.890）。铁路女职工心理健康水平低于一般人群，且承受着较大的职业压力。接触职业危害因素、夜班、过度劳累和搬运重物与铁路女职工心理健康问题的发生有关。
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原文中最后一段的几个OR值及95%CI的冒号等格式在翻译时尽量保持了一致，但可能因格式转换存在些许视觉差异。
