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[教师中的特定慢性病及其风险因素]

[Selected chronic diseases and their risk factors in teachers].

作者信息

Bortkiewicz Alicja, Szyjkowska Agata Magdalena, Siedlecka Jadwiga, Makowiec-Dąbrowska Teresa, Gadzicka Elżbieta

机构信息

Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Fizjologii Pracy i Ergonomii / Department of Work Physiology and Ergonomics).

出版信息

Med Pr. 2020 Mar 30;71(2):221-231. doi: 10.13075/mp.5893.00831. Epub 2020 Jan 30.

Abstract

Chronic diseases (ChDs) pose an essential problem from an individual, social and economic point of view. It is estimated that they account for 60% of all deaths worldwide, and this share is expected to rise to 72% by 2020. The most prevalent are cardiovascular diseases (30%), cancers (13%), respiratory diseases (7%), and diabetes (2%). Their major risk factors include unhealthy diet, the lack of physical activity, and tobacco smoking. Of significance are also occupational and environmental hazards. Among teachers, the factor with the highest impact is noise, reported by 25% of male and 38% of female teachers. In Poland, there are no databases on ChDs or risk factors in teachers; only voice disorders are well-recognized as an occupational disease. Only a few studies of health and lifestyle were conducted among teachers in Poland, but they cannot be generalized because they were carried out with different methods, in small groups of people and in various regions in the country. A representative study carried out by Statistics Poland (GUS) among education employees (with no separate data for teachers) revealed that the most prevalent were musculoskeletal disorders, including back-pain (21.9%), as well as painfulness of the neck, shoulder, hand, hip and leg (10% in each case). Headaches and eye fatigue were found in 14.6%; stress, anxiety and depression in 7.3%; and cardiovascular disorders in 4.6% of the study population. Defining health problems in this professional group is an important public health issue which should enable reducing the prevalence and adverse health effects of ChDs. Med Pr. 2020;71(2):221-31.

摘要

从个人、社会和经济角度来看,慢性病是一个至关重要的问题。据估计,慢性病占全球所有死亡人数的60%,预计到2020年这一比例将升至72%。最常见的慢性病是心血管疾病(30%)、癌症(13%)、呼吸系统疾病(7%)和糖尿病(2%)。其主要风险因素包括不健康饮食、缺乏体育活动和吸烟。职业和环境危害也很重要。在教师中,影响最大的因素是噪音,25%的男教师和38%的女教师报告了这一情况。在波兰,没有关于教师慢性病或风险因素的数据库;只有嗓音障碍被公认为职业病。波兰仅对少数教师群体进行了健康和生活方式研究,但由于研究方法不同、研究对象人数少且分布在该国不同地区,这些研究结果无法推广。波兰统计局(GUS)对教育工作者(没有教师的单独数据)进行的一项代表性研究表明,最常见的是肌肉骨骼疾病,包括背痛(21.9%),以及颈部、肩部、手部、臀部和腿部疼痛(各占10%)。在研究人群中,14.6%的人有头痛和眼疲劳问题;7.3%的人有压力、焦虑和抑郁问题;4.6%的人有心血管疾病问题。确定这一职业群体的健康问题是一个重要的公共卫生问题,应有助于降低慢性病的患病率和对健康的不利影响。《医学实践》。2020年;71(2):221 - 31。

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