军警人员与消防员健康状况的对比分析：巴西巴拉那州的一项横断面研究。

Comparative analysis of the health status of military police officers and firefighters: a cross-sectional study in the State of Paraná, Brazil.

机构信息

Graduate Program in Internal Medicine and Health Sciences, Federal University of Parana, Curitiba, Paraná, Brazil

Health Division, Paraná Military Police, Curitiba, Paraná, Brazil.

出版信息

BMJ Open. 2022 Sep 7;12(9):e049182. doi: 10.1136/bmjopen-2021-049182.

DOI:10.1136/bmjopen-2021-049182

PMID:36691169

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9453999/

Abstract

OBJECTIVES

To evaluate the health-condition of military police officers and firefighters. To identify risk factors for not being medically ready for duty.

DESIGN

Cross-sectional study.

SETTING

Data were extracted from medical records during annual periodic health assessments of police officers and firefighters serving with the military police in Paraná, Brazil.

PARTICIPANTS

6621 police officers (5927 men and 694 women) and 1347 firefighters (1257 men and 90 women) who underwent health assessments between July 2018 and June 2019 were analysed. Pregnant women were excluded.

OUTCOME MEASURES

Data included variables such as sex, age, anthropometric measurements, lifestyle, comorbidities and laboratory tests. Multiple logistic regression was used to estimate the probability of not being medically ready for active duty.

RESULTS

Overall, police officers had worse health status than firefighters and greater prevalence of overweight and obesity, regardless of sex. Musculoskeletal diseases were the most commonly reported disease by police officers and firefighters of both sexes. Among men, hypertension was the second most prevalent disease, followed by psychiatric diseases and dyslipidaemia. Among women, psychiatric diseases were the second most prevalent. Male police officers ≥40 years old presented the highest probability of not being considered ready for duty (40.1%). The probability of male police officers between the ages of 31 and 40 not being ready was similar to that for male firefighters >40 years old. There was a higher chance of not being medically ready professionals with diseases such as diabetes mellitus (OR 2.95, 95% CI 1.97 to 5.03), dyslipidaemia (OR 2.65, 95% CI 1.96 to 3.58), hypertension (OR 2.29, 95% CI 1.85 to 4.70), high total cholesterol (OR 2.16, 95% CI 1.93 to 2.42), and heart disease (OR 2.13, 95% CI 1.32 to 3.45).

CONCLUSIONS

There was a high prevalence of chronic diseases and modifiable cardiovascular risk factors among police officers and firefighters. Healthy protective measures should be offered frequently, particularly to police officers at an earlier age.

摘要

目的

评估宪兵和消防员的健康状况。确定不能胜任医疗任务的风险因素。

设计

横断面研究。

地点

从巴西巴拉那州宪兵队警察和消防员年度定期健康评估的医疗记录中提取数据。

参与者

6621 名警察（5927 名男性和 694 名女性）和 1347 名消防员（1257 名男性和 90 名女性），他们于 2018 年 7 月至 2019 年 6 月接受了健康评估。孕妇被排除在外。

结果

数据包括性别、年龄、人体测量、生活方式、合并症和实验室检查等变量。多变量逻辑回归用于估计不能胜任现役的概率。

总体而言，警察的健康状况比消防员差，无论性别，超重和肥胖的患病率都更高。警察和消防员报告的最常见疾病是肌肉骨骼疾病。在男性中，高血压是第二常见的疾病，其次是精神疾病和血脂异常。在女性中，精神疾病是第二常见的疾病。40 岁以上的男性警察不能胜任任务的可能性最高（40.1%）。31 至 40 岁男性警察不能胜任的可能性与 40 岁以上男性消防员相似。患有糖尿病（OR 2.95，95%CI 1.97 至 5.03）、血脂异常（OR 2.65，95%CI 1.96 至 3.58）、高血压（OR 2.29，95%CI 1.85 至 4.70）、总胆固醇升高（OR 2.16，95%CI 1.93 至 2.42）和心脏病（OR 2.13，95%CI 1.32 至 3.45）等疾病的医务人员不能胜任医疗任务的可能性更高。