Shapingba District Disease Control and Prevention Center, Shapingba District, Chongqing, 400000, China.
Chongqing Center for Disease Control and Prevention, Yuzhong District, Chongqing, 400010, China.
Sci Rep. 2024 Sep 2;14(1):20359. doi: 10.1038/s41598-024-71324-3.
Lifestyle is an important factor affecting people's health. Evaluating and promoting healthy lifestyles among occupational population can not only improve work ability and efficiency, but also contribute to the prevention a variety of potential diseases. This study developed a preliminary index system based on literature review and group discussion. Two rounds of expert consultation were conducted on 12 experts using Delphi method. The questionnaire recovery rate of the two rounds of Delphi survey was over 85%, the expert authority coefficient was over 0.70, and Kendall W was 0.450 and 0.446, which were significant (P < 0.001). The weighting coefficient of each indicator was calculated using the hierarchical analysis method. Among them, the weighting coefficients of physical health lifestyle, mental health lifestyle, social adaptation lifestyle and occupational health lifestyle were 0.4133, 0.2922, 0.1078 and 0.1867, respectively. The consistency index CI = 0.024 and the consistency ratio CR = 0.027 of the first-level index judgment matrix. The weighting coefficient is acceptable and the indicators do not cause logical confusion. The healthy lifestyle assessment tool of the occupational population constructed in this study consists of 4 primary indicators, 13 secondary indicators and 45 tertiary indicators, which can provide a standardized and operable assessment tool for monitoring and evaluating the healthy lifestyle of the Chinese occupational population. At the same time, the weight analysis of various indicators through the analytic hierarchy process can also provide reference for the key areas of occupational health intervention.
生活方式是影响人们健康的重要因素。评估和促进职业人群的健康生活方式，不仅可以提高工作能力和效率，而且有助于预防各种潜在疾病。本研究在文献回顾和小组讨论的基础上，初步构建了评价工具的指标体系。采用 Delphi 专家咨询法，对 12 名专家进行了两轮咨询。两轮专家咨询的问卷回收率均超过 85%，专家权威系数均大于 0.70，Kendall W 系数分别为 0.450、0.446，均具有统计学意义（P < 0.001）。采用层次分析法计算各指标的权重系数。其中，身体健康生活方式、心理健康生活方式、社会适应生活方式和职业健康生活方式的权重系数分别为 0.4133、0.2922、0.1078 和 0.1867。一级指标判断矩阵的一致性指标 CI = 0.024，一致性比例 CR = 0.027，权重系数具有可接受性，指标间不存在逻辑混乱。本研究构建的职业人群健康生活方式评价工具包括 4 个一级指标、13 个二级指标和 45 个三级指标，可为监测和评价我国职业人群健康生活方式提供标准化、可操作的评价工具。同时，通过层次分析法对各指标的权重进行分析，也可为职业人群健康干预的重点领域提供参考。
