Transplant Medicine and Surgery Research Centre, Changhua Christian Hospital, Changhua 50006, Taiwan.
Department of Medical Research, China Medical University Hospital, Taichung 40402, Taiwan.
Int J Environ Res Public Health. 2019 Jul 3;16(13):2369. doi: 10.3390/ijerph16132369.
Policemen and firefighters encounter numerous emergency events that frequently lead to high burnout and low job support, resulting in adverse health effects. A number of studies reported the correlation between job characteristics and the risk of peptic ulcer diseases (PUD) across various industries. However, there is very little research on evaluating the interaction effects of burnout and job support on the prevalence of PUD among firefighters and policemen. The objective of this study was to assess the interactional effects between burnout and job support on the prevalence of PUD among firefighters and policemen. This was a cross-sectional quantitative study. Registered, full-time police officers and firefighters in Taiwan were anonymously interviewed by a mail-delivered questionnaire. All female workers were excluded due to different job characteristics and a limited sample size. A total of 9328 firefighters and 42,798 policemen completed the questionnaire, with a response rate of 78.7%. Overall, prevalence rates of self-reported and self-reports of physician-diagnosed PUD were 8.3% and 6.5% for policemen and 7.1% and 5.5% for firefighters, respectively. There was a 22% reduced odds ratio of PUD as diagnosed by physicians for the group with low burnout and high job support, but an increased odds ratio of 53% for the group with high burnout and low job support, after adjusting for lifestyle and demographic variables. There must be an increase of job support and reduction of burnout through the modification of work structure and setting up of counseling services to reduce workplace stress and the prevalence of PUD among policemen and firefighters.
警察和消防队员会遇到许多紧急情况，这些情况经常导致高 burnout（职业倦怠）和低工作支持，从而对健康产生不利影响。许多研究报告了不同行业中工作特征与消化性溃疡病（PUD）风险之间的相关性。然而，对于评估 burnout（职业倦怠）和工作支持对消防员和警察中 PUD 患病率的交互作用影响的研究很少。本研究旨在评估 burnout（职业倦怠）和工作支持对消防员和警察中 PUD 患病率的交互作用影响。这是一项横断面定量研究。台湾注册的全职警察和消防员通过邮寄问卷进行匿名访谈。由于工作特征不同和样本量有限，所有女性工人均被排除在外。共有 9328 名消防员和 42798 名警察完成了问卷，应答率为 78.7%。总体而言，自我报告和医生诊断的 PUD 患病率分别为 8.3%和 6.5%的警察和 7.1%和 5.5%的消防员。在调整生活方式和人口统计学变量后，低 burnout（职业倦怠）和高工作支持组患医生诊断 PUD 的几率降低了 22%，而高 burnout（职业倦怠）和低工作支持组的几率增加了 53%。必须通过修改工作结构和建立咨询服务来增加工作支持和减少 burnout（职业倦怠），以减轻工作场所压力和消防员与警察中 PUD 的患病率。
