Bolbol Sarah A, Al-Fajjam Shaikhah M, Al-Ateeq Al-Anoud E, Al-Hajeri Shaikha S, El-Saka Salwa F
Occupational Health Administration, Ministry of Health, Kuwait.
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
PLOS Glob Public Health. 2025 Jul 11;5(7):e0004911. doi: 10.1371/journal.pgph.0004911. eCollection 2025.
Diabetes Mellitus (DM) can influence physical and mental health, and workability can be affected by how well workers can manage the disease. So, the aim was to assess workability and identify factors associated with decreased workability among migrant diabetic workers. A cross-sectional study was conducted on 134 migrant diabetic workers in an occupational health clinic in Kuwait. Interview questionnaires on sociodemographic, occupational history, and workability index were used. Workers were subjected to clinical examinations and lab tests including alanine transaminase, aspartate aminotransferase, creatinine, fasting blood sugar, and HbA1C. The study showed that among diabetic workers, 19.4% had poor workability, 37.3% had moderate workability, and 34.3% had good to excellent workability. Poor workability was significantly associated with a long history of having DM (≥ 10 years). Workers with poor workability had significantly higher levels of fasting blood sugar (FBS), HbA1c, and creatinine (0.044, 0.019, and <0.001, respectively). Correlation showed that increased level of FBS, HbA1c, and creatinine was significantly associated with decreased levels of workability among diabetic workers (0.04, 0.02, 0.000 respectively). In conclusion, although many adults with diabetes remain productive members of the workforce, effective disease management is essential to minimizing complications and reducing its impact on job performance.
糖尿病（DM）会影响身心健康，而工人对该疾病的管理情况会影响其工作能力。因此，本研究旨在评估流动糖尿病工人的工作能力，并确定与工作能力下降相关的因素。在科威特一家职业健康诊所对134名流动糖尿病工人进行了一项横断面研究。使用了关于社会人口统计学、职业史和工作能力指数的访谈问卷。对工人进行了临床检查和实验室测试，包括丙氨酸转氨酶、天冬氨酸转氨酶、肌酐、空腹血糖和糖化血红蛋白。研究表明，在糖尿病工人中，19.4%的人工作能力较差，37.3%的人工作能力中等，34.3%的人工作能力良好至优秀。工作能力差与患糖尿病的病史较长（≥10年）显著相关。工作能力差的工人空腹血糖（FBS）、糖化血红蛋白和肌酐水平显著更高（分别为0.044、0.019和<0.001）。相关性分析表明，糖尿病工人中FBS、糖化血红蛋白和肌酐水平升高与工作能力水平下降显著相关（分别为0.04、0.02、0.000）。总之，尽管许多成年糖尿病患者仍是劳动力中的有生产力成员，但有效的疾病管理对于将并发症降至最低并减少其对工作表现的影响至关重要。
