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[2013 - 2015年新疆维吾尔自治区油田工人职业压力与精神障碍的前瞻性队列研究]

[Prospective cohort study on the occupational stress and mental disorder among the oilfield workers in Xinjiang Autonomous Region in 2013-2015].

作者信息

Han Rui, Shi Haohua, Chen Yulu, Lian Yulong, Liu Jiwen

机构信息

the First Affiliated Hospital of the Medical College, Shihezi University, Shihezi 832000, China.

出版信息

Wei Sheng Yan Jiu. 2018 Jan;47(1):73-77.

Abstract

OBJECTIVE

To explore the relationship between occupational stress and psychological disorder among oilfield workers.

METHODS

In 2013, 1485 psychological normal oilfield workers using the stratified cluster sampling in Xinjiang Autonomous Region were investigated, and the follow-up was conducted in 2015. Occupational stress and mental health status were assessed by questionnaire for the occupation stress and self-rating symptom.

RESULTS

The people with mental disorder was 556, the incidence rate was40. 29%. The level of occupational stress level low-high group( RR = 2. 689, 95% CI1. 342-5. 391) and middle-high group( RR = 2. 878, 95% CI 1. 205-6. 875) of mental disorder were higher than the low-low group, the level of Personal Strain Questionnaire low-middle group( RR = 2. 500, 95% CI 1. 700-3. 763) and low-high group( RR =3. 907, 95% CI 1. 955-7. 651) and middle-middle group( RR = 2. 141, 95% CI 1. 016-4. 512) of mental disorder were higher than low-low group. Without drinking( RR =0. 779, 95% CI = 0. 622-0. 976) was protective factor for mental disorders.

CONCLUSION

Occupational stress and drinking are the risk factors of mental disorder, it is more practical to multiple measurement of the psychological disorder of occupational stress exposure than single one.

摘要

目的

探讨油田工人职业压力与心理障碍之间的关系。

方法

2013年,采用分层整群抽样法对新疆地区1485名心理正常的油田工人进行调查,并于2015年进行随访。采用职业压力问卷和自评症状量表对职业压力和心理健康状况进行评估。

结果

心理障碍患者556例,发病率为40.29%。职业压力水平低-高组(RR = 2.689,95%CI 1.342 - 5.391)和中-高组(RR = 2.878,95%CI 1.205 - 6.875)的心理障碍发生率高于低-低组;个人紧张问卷低-中组(RR = 2.500,95%CI 1.700 - 3.763)、低-高组(RR = 3.907,95%CI 1.955 - 7.651)和中-中组(RR = 2.141,95%CI 1.016 - 4.512)的心理障碍发生率高于低-低组。不饮酒(RR = 0.779,95%CI = 0.622 - 0.976)是心理障碍的保护因素。

结论

职业压力和饮酒是心理障碍的危险因素,对职业压力暴露所致心理障碍进行多次测量比单次测量更具实际意义。

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