血脂与职业紧张的关系及其影响因素
Relationship between Blood Lipid and Occupational Stress and Its Influencing Factors
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摘要:
目的 研究血脂异常率与职业紧张的关系及其影响因素。 方法 分层整群抽样工龄≥3年男性乘警、乘务员以及白领521人,采用统一的一般情况、行为方式、生活状况调查表以及引用状态-特质焦虑问卷(STAI)、A型行为量表、职业紧张量表(OSI-R)进行调查,采用酶法测定血脂,血脂的影响因素分析采用非条件Logistic回归分析统计方法。 结果 (1)乘警、乘务员和白领三类职业人群职业紧张程度不同,血脂异常率也不同,对体质指数(BMI)进行标化后血脂异常率分别为85.0%、43.6%及37.9%;(2)职业紧张中介因素(A型行为)是血脂异常的危险因素(OR=1.68);(3)职业是TG、HDL、血脂异常的危险因素;A型行为是TG、TC、血脂异常的危险因素。 结论 (1)不同的职业类型,其职业紧张程度不同、血脂异常率不同;(2)血脂异常率与职业紧张中介因素有关联;(3)血脂主要危险因素是职业、BMI及A型行为,其不同指标(TC、TG、HDL、LDL)的危险因素各不相同。 Abstract:Objective To study the relationship between the rate of dyslipidemia and occupational stress factors. Methods Cluster sample survey was conducted in 521 male railway policemen, train crew and white-collar workers with length of service more than 3-years. They were investigated by our self-made questionnaire including general situation, behavior and life situation. They were also surveyed by using state-trait anxiety inventory (STAI), occupational stress inventory revised edition (OSI-R)and Type A behavior scale. The risk factors of state-trait anxiety were analyzed by multivariate conditional logistic regression. Results (1) Policemen, train crew and white-collar had different levels of occupational stress and different dyslipidemia rate. After adjustment for body mass index(BMI), the rate of dyslipidemia was 85.0%, 43.6% and 37.9% respepctively, dose-response relationship could be observed between occupational stress and the rate of dyslipidemia. (2) Mediating factors of occupational stress (type A behavior)was a risk factor for dyslipidemia (OR=1.68). (3)Job was the risk factor of triglyceride (TG), high-density lipoprotein (HDL)and dyslipidemia; type A behavior was the risk factor of total cholestero(l TG), TC and dyslipidemia. Conclusion (1)Different type of job had different levels of occupational stress and different rate of dyslipidemia. (2)The rate of dyslipidemia associated with mediating factors of occupational stress. (3)The risk factors of dyslipidemia were the job, BMI and type A behavior, different indices (TC, TG, HDL, low-density lipoprotein)of blood lipids had different risk factors.
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