Pan Xiaoyu, Wang Shuqi, Jia Boying, Yue Lin, Chen Shuchun
Department of Internal Medicine, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Department of Endocrinology, Hebei General Hospital, Shijiazhuang, Hebei, People's Republic of China.
Risk Manag Healthc Policy. 2024 May 17;17:1301-1313. doi: 10.2147/RMHP.S457345. eCollection 2024.
The objective of this investigation was to explore the health status and epidemiological features of civil servants working in Hebei Province, China.
Data was collected through a cross-sectional survey that involved 50,039 adult civil servants in Hebei Province. The research was conducted at the Hebei Provincial Medical Examination Centre and included inquiries about demographics, health behaviours, chronic illnesses, and abnormal check-up indicators. Statistical data were used to determine the prevalence of chronic diseases and abnormal health examination indicators. Subgroup analyses by sex were then conducted to calculate the similarities and differences in health status between men and women.
The findings of the survey indicate that 14.2% of individuals who work in civil service suffer from obesity. Additionally, a considerable proportion of this group display poor health behaviours, including smoking and alcohol consumption. Hypertension (21.03%), dyslipidaemia (10.88%), and diabetes mellitus (8.56%) were identified as the top three chronic diseases, while cardiovascular diseases were prevalent at 6.27% among civil servants. Ultrasound showed a high prevalence of fatty liver, non-smooth gallbladder and liver cysts (44.61%, 33.24% and 23.26% respectively). The occurrence of pulmonary nodules was alarmingly high at 88.48%, while thyroid nodules were found in as much as 62.65% of patients. Abnormal E/A values≤1, prostate hyperplasia, breast nodules, and carotid plaques were also prevalent, with percentages ranging from 46.76% to 63.04%. In subgroup analyses by gender, the prevalence of chronic diseases and abnormal screening indicators was consistently higher in men than in women, with the exception of thyroid nodules and thyroid surgery.
The survey revealed a large proportion of civil servants in Hebei Province, China, suffering from chronic diseases, underscoring the necessity for enhanced attention to chronic disease prevention and management in this group and emphasising the requirement for focused interventions aimed at improving health outcomes.
本调查的目的是探究中国河北省公务员的健康状况和流行病学特征。
通过横断面调查收集数据，该调查涉及河北省50039名成年公务员。研究在河北省体检中心进行，包括询问人口统计学信息、健康行为、慢性病和异常体检指标。使用统计数据确定慢性病和异常健康检查指标的患病率。然后按性别进行亚组分析，以计算男性和女性健康状况的异同。
调查结果表明，14.2%的公务员患有肥胖症。此外，该群体中相当一部分人表现出不良健康行为，包括吸烟和饮酒。高血压（21.03%）、血脂异常（10.88%）和糖尿病（8.56%）被确定为三大慢性病，而公务员中心血管疾病的患病率为6.27%。超声显示脂肪肝、胆囊不光滑和肝囊肿的患病率很高（分别为44.61%、33.24%和23.26%）。肺结节的发生率高得惊人，为88.48%，而甲状腺结节在多达62.65%的患者中被发现。异常E/A值≤1、前列腺增生、乳腺结节和颈动脉斑块也很普遍，百分比在46.76%至63.04%之间。在按性别进行的亚组分析中，除甲状腺结节和甲状腺手术外，男性慢性病和异常筛查指标的患病率始终高于女性。
调查显示，中国河北省有很大比例的公务员患有慢性病，这凸显了加强对该群体慢性病预防和管理的必要性，并强调了需要有针对性的干预措施以改善健康结果。
