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目的:了解卫生人员慢病患病现状及其主要危险因素。方法:采用多阶段分层随机整群抽样,抽取不同级别及类别的卫生单位为调查对象,对调查单位的所有在职职工进行内科体检、相应的实验室检查和问卷调查。结果:慢病患病率为58.90%,男性65.71%,女性54.90%,男性明显高于女性;监督机构患病率为67.88%,疾控机构为64.85%,医疗机构为57.37%,乡镇卫生院为48.67%,各机构间患病率明显不同;患病居第1至第8位的是高脂血症、胆囊疾患、高血压、慢性鼻炎、慢性消化性疾病、COPD、风湿性关节炎及贫血,其患病率分别为26.38%、16.88%、13.23%、12.17%、9.76%、7.51%、7.32%及5.92%;多因素Logistic分析显示:年龄、超重与肥胖、吸烟、食肉类型、睡眠质量、生活紧张程度是慢病的主要危险因素。结论:卫生人员慢病患病不容忽视,应积极开展慢病综合干预工作。
OBJECTIVE: To understand the status quo and main risk factors of chronic diseases in health workers. Methods: A multistage stratified stratified random cluster sampling was used to select different levels and categories of health units as the survey subjects, and all medical staffs in the investigation units conducted physical examination, corresponding laboratory tests and questionnaires. Results: The prevalence of chronic diseases was 58.90%, male was 65.71%, female was 54.90%, male was significantly higher than female; the prevalence rate of supervising institution was 67.88%, disease controlling institution was 64.85%, and medical institution was 57.37% The prevalence was significantly different among institutions. The first to the eighth highest prevalence were hyperlipidemia, gallbladder disease, hypertension, chronic rhinitis, chronic digestive diseases, COPD, rheumatoid arthritis and The prevalence of anemia was 26.38%, 16.88%, 13.23%, 12.17%, 9.76%, 7.51%, 7.32% and 5.92% respectively. Multivariate Logistic analysis showed that age, overweight and obesity, smoking, carnivorous type, Quality, life stress is the main risk factor for chronic diseases. Conclusion: The chronic diseases of health workers should not be neglected, and the comprehensive intervention of chronic diseases should be actively carried out.