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目的为推动天津市医疗保险工作科学、有序的开展,为提高该人群的健康水平提供指导依据。方法采用整群抽样的方法,自编调查表对2 822例公务员的一般情况、常见病和高发病、膳食习惯、生活方式等内容进行现况调查。患病情况用患病率描述,logistic分析疾病影响因素,检验水准α=0.05。结果调查显示天津市公务员人群患病率较高的前四种疾病及患病率分别为:脂肪肝(17.86%)、高血压(14.64%)、颈腰椎疾病(14.25%)、高血脂(13.11%)。公务员患病的多因素分析显示其影响因素有:年龄(OR=1.052,95%CI:1.041~1.063)、性别(OR=1.345,95%CI:1.029~1.759)、体质指数(OR=1.186,95%CI:1.145~1.228)、吸烟(OR=1.311,95%CI:1.066~1.613)、睡眠时间(OR=0.829,95%CI:0.760~0.905)、按时吃饭情况(OR=1.570,95%CI:1.365~1.806)、按时吃早餐情况(OR=1.240,95%CI:1.090~1.434)。结论本调查研究表明,公务员人群健康状况不容乐观,公务员是各种慢性病发病的高危人群,是今后开展健康管理的重点群体。
Objective To promote scientific and orderly development of medical insurance in Tianjin and provide guidance for improving the health of the population. Methods The method of cluster sampling was used to survey the general conditions, common diseases, high incidence, dietary habits and life style of 2 822 civil servants from the self-made questionnaire. Prevalence of illness with the description of the disease, logistic analysis of disease factors, test level α = 0.05. Results The survey showed that the prevalence rates of the first four diseases and the prevalence rates among the civil servants in Tianjin were as follows: fatty liver (17.86%), hypertension (14.64%), cervical and lumbar diseases (14.25%), hyperlipidemia %). Multivariate analysis of the prevalence of civil servants showed that the influencing factors were age (OR = 1.052,95% CI: 1.041-1.0663), sex (OR = 1.345,95% CI: 1.029-1.759), body mass index (OR = 1.529, 95% CI: 1.145-1.228), smoking (OR = 1.311, 95% CI: 1.066-1.613), sleep time (OR = 0.829, 95% CI: 0.760-0.905) CI: 1.365 ~ 1.806), eating breakfast on time (OR = 1.240, 95% CI: 1.090 ~ 1.434). Conclusions This survey shows that the health status of civil servants is not optimistic. Civil servants are the high risk groups with various chronic diseases and the key groups for health management in the future.