CAJ | 학술논문

目的探讨北京市西城区在职人群健康相关行为及影响因素,为在职人群健康管理提供科学依据.方法 2008年11月至2009年3月,采用多阶段分层整群随机抽样方法,对西城区15岁以上33 936名常住居民进行抽样调查.利用自行设计的调查表收集被调查人群个人基本情况,测量身高、体重、血压.本文对其中12 980名18～60岁在职人员进行分析,采用多元逐步Logistic回归分析方法探讨在职人群健康相关行为危险因素的影响因素.结果共发放调查问卷36 761份,回收有效问卷33 936份,有效应答率92.3％.在职人群缺乏体育锻炼率、超重率、吸烟率、饮酒率、嗜盐率、肥胖率分别为62.2％(8 074/12 980)、31.6％(4 104/12 980)、25.0％(3 249/12 980)、23.5％(3 047/12 980)、17.9％(2 324/12 980)和8.7％(1125/12980).多因素Logistic回归分析表明,缺乏体育锻炼的影响因素分别为:吸烟和嗜盐,男性、年龄和高学历是保护因素(P＜0.05);超重和肥胖的影响因素分别为:男性、年龄、饮酒和嗜盐,高学历是保护因素(P＜0.05);吸烟的影响因素分别为:男性、年龄、饮酒、缺乏体育锻炼和嗜盐,高学历是保护因素(P＜0.05);饮酒的影响因素分别为:男性、年龄、超重和肥胖、吸烟和嗜盐(P＜0.05);嗜盐的影响因素分别为:超重和肥胖、吸烟、饮酒和缺乏体育锻炼,高学历是保护因素(P＜0.05).结论应针对不同在职人群特点开展相应的健康教育和行为干预,积极探索在职人群健康管理的模式.
목적 탐토북경시서성구재직인군건강상관행위급영향인소,위재직인군건강관리제공과학의거.방법 2008년11월지2009년3월,채용다계단분층정군수궤추양방법,대서성구15세이상33 936명상주거민진행추양조사.이용자행설계적조사표수집피조사인군개인기본정황,측량신고、체중、혈압.본문대기중12 980명18～60세재직인원진행분석,채용다원축보Logistic회귀분석방법탐토재직인군건강상관행위위험인소적영향인소.결과 공발방조사문권36 761빈,회수유효문권33 936빈,유효응답솔92.3％.재직인군결핍체육단련솔、초중솔、흡연솔、음주솔、기염솔、비반솔분별위62.2％(8 074/12 980)、31.6％(4 104/12 980)、25.0％(3 249/12 980)、23.5％(3 047/12 980)、17.9％(2 324/12 980)화8.7％(1125/12980).다인소Logistic회귀분석표명,결핍체육단련적영향인소분별위:흡연화기염,남성、년령화고학력시보호인소(P＜0.05);초중화비반적영향인소분별위:남성、년령、음주화기염,고학력시보호인소(P＜0.05);흡연적영향인소분별위:남성、년령、음주、결핍체육단련화기염,고학력시보호인소(P＜0.05);음주적영향인소분별위:남성、년령、초중화비반、흡연화기염(P＜0.05);기염적영향인소분별위:초중화비반、흡연、음주화결핍체육단련,고학력시보호인소(P＜0.05).결론 응침대불동재직인군특점개전상응적건강교육화행위간예,적겁탐색재직인군건강관리적모식.
Objective To investigate health related behavior and its affecting factors among occupational populations living in Xicheng District of Beijing so as to provide good evidence for health management services.Methods A total of 33 936 permanent residents aged 15 years or above living in Xicheng District of Beijing were randomly selected with stratified multi-stage cluster random sampling method from November 2008 to March 2009,among whom 12 980 incumbency residents aged 18-60 years old were analyzed.A self-designed questionnaire was used,and height,body weight and blood pressure were measured.Multivariate non-conditional logistic regression was used for data analysis.Results The responding rate was 92.3％ (33 936/36 761).The rate of lacking physical exercise,overweight,current cigarette smoking,alcohol drinking,over-intake of salt and obesity was 62.2％ (8 074/12 980),31.6％ (4 104/12 980),25.0％ (3 249/12 980),23.5％ (3 047/12 980),17.9％ (2 324/12 980)and 8.7％(1 125/12 980),respectively.In logistic regression,the risk factors of insufficient physical exercises were current cigarette smoking and over-intake of salt,while its protective factors were male,age and higher education level (all P＜0.05).The risk factors of overweight and obesity were male,age,alcohol consumption and over-intake of salt,while its protective factor was higher education level (P＜0.05).The risk factors of current cigarette smoking were male,age,alcohol drinking,lack of physical exercises and over-intake of salt,while its protective factor was higher education level (P＜0.05).The risk factors of alcohol consumption were male,age,overweight and obesity,current cigarette smoking and over-intake of salt (all P＜0.05).The risk factors of over-intake of salt were overweight and obesity,current cigarette smoking,alcohol intake and lack of physical exercises,while its protective factor was higher education level (P＜0.05).Conclusion Our investigation suggests that the occupational population should be offered with health education and behavioral intervention.