摘要
目的了解广州市某汽车制造企业男性工人脂肪肝检出情况及影响因素。方法选取2018年广州某汽车制造企业完成职业健康检查的3240名男性工人为研究对象,同时进行问卷调查,分析各因素与脂肪肝发生的相关性。结果该汽车制造企业工作场所存在职业病危害因素主要为苯系物、工频电磁场、紫外辐射、氮氧化物、粉尘等;除噪声超标率为30%外,其余职业病危害因素监测结果均低于国家职业接触限值。男性工人脂肪肝检出率为14.17%。多因素logistic回归分析结果显示:年龄每增加1岁,BMI每上升1个单位,发生脂肪肝的风险分别增加至原来的1.092、1.957倍(P<0.05);婚姻状况、工龄、是否接触职业病危害因素均不是脂肪肝发生的影响因素(P>0.05)。结论广州某汽车制造企业男性工人脂肪肝患病率较低,年龄和BMI是该企业男性工人脂肪肝发生的独立危险因素,应加强对工人的健康教育。
Objective To investigate the prevalence of fatty liver and influencing factors among male workers in an automobile manufacturing enterprise in Guangzhou.Methods A total of 3240 male workers from an automobile manufacturing enterprise in Guangzhou who came to a hospital for occupational health examination in 2018 were studied with additional questionnaire,and the correlation between potential affecting factor and occurrence of fatty liver was analyzed.Results The main occupational hazard factors in the workplaces of this automobile manufacturing enterprise included in benzene series,power frequency electromagnetic field,ultraviolet radiation,nitrogen oxides and dust.The monitoring results showed that the levels of occupational hazards were lower than the national occupational exposure limits,except for the noise(30%,noncompliant).The prevalence of fatty liver in male workers was 14.17%.Multivariate logistic regression analysis showed that the risk of fatty liver increased to 1.092 and 1.957 times with the increment of age and BMI(P<0.05);marital status,time of service and exposure to occupational hazards were not the influencing factors of fatty liver(P>0.05).Conclusions The prevalence of fatty liver in male workers of an automobile manufacturer in Guangzhou was low,age and BMI were independent risk factors for fatty liver.Health education for workers should be strengthened.
作者
谢春姣
李燕茹
朱蕊泉
鲍二宝
刘影玫
刘移民
XIE Chunjiao;LI Yanru;ZHU Ruiquan;BAO Erbao;LIU Yingmei;LIU Yimin(Guangzhou Occupational Disease Prevention and Treatment Hospital,Guangzhou,Guangdong 510620,China;Institute of Occupational and Environmental Health,Guangzhou Medical University,Guangzhou,Guangdong 510180,China)
出处
《职业卫生与应急救援》
2020年第6期599-602,共4页
Occupational Health and Emergency Rescue
基金
广东省医学科学技术研究基金项目(A2020340)
广州市医学重点学科建设项目(穗卫科教〔2016〕27号)
广州市高水平临床重点专科建设项目(穗卫函〔2019〕1555号)
广州市“121人才梯队工程”后备人才项目(穗人社发〔2011〕167号)。
关键词
汽车制造
男性工人
脂肪肝
影响因素
职业病危害因素
automobile manufacturing
male workers
fatty liver
influencing factors
occupational hazards
