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目的分析职业紧张与钢铁作业工人高血压的关系。方法采用分层整群抽样方法,选取某钢铁集团1 580名作业工人为研究对象。采用中文版《工作内容问卷》进行职业紧张调查,以工作要求维度得分与工作自主度维度得分的比值≥1.00者判定为职业紧张;采用校正的汞柱式血压计测量作业工人血压。分析职业紧张对钢铁作业工人血压的影响。结果高血压组作业工人工作自主度维度得分低于非高血压组[20(16,23)分vs 20(17,24)分,P<0.05];而高血压组作业工人职业紧张比值和工作要求、社会支持维度得分分别与非高血压组比较,差异均无统计学意义(P>0.05)。多因素Logistic回归分析显示:工作自主和社会支持的维度得分均与罹患高血压存在负相关[比值比(95%可信区间)分别为0.68(0.51,0.90)和0.54(0.45,0.76),P<0.01]。结论工作自主度和社会支持是影响钢铁作业工人罹患高血压的因素,但尚未发现职业紧张、工作要求与罹患高血压有关联。
Objective To analyze the relationship between job stress and hypertension in steel workers. Methods A stratified cluster sampling method was used to select 1 580 workers in a steel group as the research object. Occupational stress was investigated using the Chinese version of the Work Content Questionnaire, occupational stress was assessed as a ratio of ≥1.00 for the scale of job-required and job-independent dimensions, and blood pressure was measured using a calibrated mercury sphygmomanometer. Analyze the Influence of Occupational Stress on Blood Pressure of Steel Workers. Results The work-related dimensions of work-related self-reliance in hypertension group were lower than those in non-hypertension group [20 (16,23) vs 20 (17,24) points, P <0.05] Requirements, social support dimensions score respectively, compared with non-hypertension group, the difference was not statistically significant (P> 0.05). Multivariate logistic regression analysis showed that there was a negative correlation between work-based and social support dimensions scores and hypertension (odds ratio 95% confidence interval 0.68 (0.51,0.90) and 0.54 (0.45,0.76, P <0.01]. Conclusion Work autonomy and social support are the factors that affect the workers suffering from high blood pressure in steel work. However, no occupational stress and job requirements are associated with hypertension.