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健康行为和职业压力对男性上班族糖尿病前期状态的影响。

Influence of Health Behaviors and Occupational Stress on Prediabetic State among Male Office Workers.

机构信息

College of Nursing, Korea University, Seoul 02841, Korea.

出版信息

Int J Environ Res Public Health. 2018 Jun 14;15(6):1264. doi: 10.3390/ijerph15061264.

Abstract

This study examined the influence of health behaviors and occupational stress on the prediabetic state of male office workers, and identified related risks and influencing factors. The study used a cross-sectional design and performed an integrative analysis on data from regular health checkups, health questionnaires, and a health behavior-related survey of employees of a company, using Spearman’s correlation coefficients and multiple logistic regression analysis. The results showed significant relationships of prediabetic state with health behaviors and occupational stress. Among health behaviors, a diet without vegetables and fruits (Odds Ratio (OR) = 3.74, 95% Confidence Interval (CI) = 1.93⁻7.66) was associated with a high risk of prediabetic state. In the subscales on occupational stress, organizational system in the 4th quartile (OR = 4.83, 95% CI = 2.40⁻9.70) was significantly associated with an increased likelihood of prediabetic state. To identify influencing factors of prediabetic state, the multiple logistic regression was performed using regression models. The results showed that dietary habits (β = 1.20, 0.002), total occupational stress score (β = 1.33, 0.024), and organizational system (β = 1.13, 0.009) were significant influencing factors. The present findings indicate that active interventions are needed at workplace for the systematic and comprehensive management of health behaviors and occupational stress that influence prediabetic state of office workers.

摘要

本研究旨在探讨健康行为和职业压力对男性上班族糖尿病前期状态的影响,并识别相关风险和影响因素。采用横断面设计,对公司员工定期健康检查、健康问卷和健康行为相关调查数据进行综合分析,采用 Spearman 相关系数和多因素 logistic 回归分析。结果显示,糖尿病前期状态与健康行为和职业压力显著相关。在健康行为方面,无蔬菜和水果饮食(OR = 3.74,95%CI = 1.93⁻7.66)与糖尿病前期状态的高风险相关。在职业压力亚量表中,第 4 四分位数的组织系统(OR = 4.83,95%CI = 2.40⁻9.70)与糖尿病前期状态的发生显著相关。为了确定糖尿病前期状态的影响因素,采用回归模型进行多因素 logistic 回归分析。结果表明,饮食习惯(β=1.20,0.002)、总职业压力评分(β=1.33,0.024)和组织系统(β=1.13,0.009)是显著的影响因素。本研究结果表明,需要在工作场所采取积极的干预措施,对影响上班族糖尿病前期状态的健康行为和职业压力进行系统全面的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393b/6025255/72acf4886028/ijerph-15-01264-g001.jpg

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