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[某市女职工生殖系统疾病患病率及相关职业影响因素:9944例病例分析]

[Prevalence of reproductive system diseases among female workers in a city and related occupational influencing factors: an analysis of 9944 cases].

作者信息

Hu L, Fang L Y, Shen Z, Ren Y D, Wang Z H, Xiong Y J, Yu G X, Sun L G, Ye Y

机构信息

Beijing Center for Diseases Prevention and Control& Centers of Preventive Medical Research, Beijing 100020, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Feb 20;36(2):118-121. doi: 10.3760/cma.j.issn.1001-9391.2018.02.010.

DOI:10.3760/cma.j.issn.1001-9391.2018.02.010
PMID:29699011
Abstract

To investigate the prevalence of reproductive system diseases among female workers in a city and related occupational influencing factors. From June to September, 2016, a cross-sectional survey was used to select 9 944 female workers from six districts of Beijing and then a face-to-face questionnaire survey was performed. Univariate analysis using chi-square test and multivariate logistic regression analysis were used to investigate the risk factors for reproductive system diseases. The age of 9944 female workers ranged from 18 to 65 years (mean 35.53±9.52 years) , and among them, 7 351 (73.92%) were married. The overall prevalence rate of reproductive system diseases among these 9944 female workers during the past three months was 28.29%, and the prevalence rates of hyperplasia of mammary glands, vaginitis, and hysteromyoma were 15.54%, 11.25%, and 6.77%, respectively. After adjustment for age, marital status, education level, and annual family income, the multivariate logistic regression analysis showed that frequent overtime work (odds ratio[]=1.119, 95% confidence interval[]: 1.070-1.343) , frequent night shifts (=1.198, 95%: 1.054-1.361) , standing for a long time (=1.197, 95%: 1.063-1.347) , sitting for a long time (=1.327, 95%: 1.191-1.479) , heavy workload (=1.429, 95%: 1.262-1.615) , exposure to lead (=1.696, 95%: 1.307-2.201) , exposure to mercury (=1.452, 95%: 1.086-1.940) , and exposure to ionizing radiation (=1.679, 95%: 1.424-1.980) were associated with reproductive system diseases. The prevalence of reproductive system diseases among female workers in Beijing is not optimistic. Reproductive system diseases are associated with frequent overtime work, frequent night shifts, standing for a long time, sitting for a long time, heavy workload, and exposure to lead, mercury, and ionizing radiation.

摘要

调查某城市女职工生殖系统疾病的患病率及相关职业影响因素。2016年6月至9月,采用横断面调查方法从北京市六个区选取9944名女职工,随后进行面对面问卷调查。采用卡方检验进行单因素分析和多因素logistic回归分析来研究生殖系统疾病的危险因素。9944名女职工年龄在18至65岁之间(平均35.53±9.52岁),其中7351名(73.92%)已婚。这9944名女职工在过去三个月中生殖系统疾病的总体患病率为28.29%,乳腺增生、阴道炎和子宫肌瘤的患病率分别为15.54%、11.25%和6.77%。在对年龄、婚姻状况、教育水平和家庭年收入进行调整后,多因素logistic回归分析显示,经常加班(比值比[]=1.119,95%置信区间[]:1.070 - 1.343)、经常上夜班(=1.198,95%:1.054 - 1.361)、长时间站立(=1.197,95%:1.063 - 1.347)、长时间坐着(=1.327,95%:1.191 - 1.479)、工作量大(=1.429,95%:1.262 - 1.615)、接触铅(=1.696,95%:1.307 - 2.201)、接触汞(=1.452,95%:1.086 - 1.940)以及接触电离辐射(=1.679,95%:1.424 - 1.980)均与生殖系统疾病有关。北京市女职工生殖系统疾病的患病率不容乐观。生殖系统疾病与经常加班、经常上夜班、长时间站立、长时间坐着、工作量大以及接触铅、汞和电离辐射有关。

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