Goldberg P, Landre M F, David S, Goldberg M, Dassa S, Marne M J
INSERM U88, HNSM, Saint-Maurice, France.
Rev Epidemiol Sante Publique. 1996 Jun;44(3):200-13.
A cross-sectional epidemiological survey was conducted among prison staff in France to investigate the relationships between working conditions and health. The sample included men and women 20 to 64 years old belonging to all categories of prison personnel: prison guards, administrative staff, socioeducational workers, technicians, health care workers, and managers (n = 4587, response rate 45.7%). A mailed self-administered questionnaire was used to assess sociodemographic characteristics, working conditions, and physical and mental disorders. Multiple logistic regression analyses were conducted to determine the effects of working conditions and social relationships on health of prison staff. However, the results reported here only concern 17 health disorders: body mass index, sick leave, medication use, accidents, digestive disorders, lower extremities and back disorders, hypertension, hemorrhoids, arthritis, skin disorders, urinary infections, chronic bronchitis, cholesterol, gastric ulcer, respiratory infections, ocular disorders. The living non professional conditions mostly associated with health disorders were financial difficulties (OR: 1.9 for digestive disorders, 1.8 for gastric ulcer, 1.7 for medication use) and irregularity of meals (OR = 1.5 for digestive disorders, and hypertension). In the occupational environment, the factors most associated with health disorders are seniority (OR = 4.2 for arthritis, 2.3 for cholesterol) and constraints (OR = 1.7 for lower extremities disorders). In spite of some limits associated to this kind of study, relationships between occupational and non occupational factors and physical health conditions were observed; the results also pointed out the protective role of the social relationships for health conditions.
在法国监狱工作人员中开展了一项横断面流行病学调查,以研究工作条件与健康之间的关系。样本包括年龄在20至64岁之间的男性和女性,涵盖监狱各类工作人员:狱警、行政人员、社会教育工作者、技术人员、医护人员和管理人员(n = 4587,应答率45.7%)。采用邮寄自填式问卷评估社会人口学特征、工作条件以及身心障碍情况。进行了多项逻辑回归分析,以确定工作条件和社会关系对监狱工作人员健康的影响。然而,此处报告的结果仅涉及17种健康障碍:体重指数、病假、药物使用、事故、消化系统疾病、下肢和背部疾病、高血压、痔疮、关节炎、皮肤疾病、泌尿系统感染、慢性支气管炎、胆固醇、胃溃疡、呼吸道感染、眼部疾病。与健康障碍最相关的非职业生活条件是经济困难(消化系统疾病的OR为1.9,胃溃疡为1.8,药物使用为1.7)和饮食不规律(消化系统疾病和高血压的OR = 1.5)。在职业环境中,与健康障碍最相关的因素是工龄(关节炎的OR = 4.2,胆固醇为2.3)和工作限制(下肢疾病的OR = 1.7)。尽管这类研究存在一些局限性,但观察到了职业和非职业因素与身体健康状况之间的关系;结果还指出了社会关系对健康状况的保护作用。