摘要
目的通过分析青岛港45岁以上男性作业人员骨健康流行病学特点,探讨并分析相关影响因素。方法调查选取2021年1月至2022年12月在海军青岛特勤疗养中心军民融合健康体检项目中进行检查的381例青岛港45岁以上男性作业人员,将被调查对象按不同工作性质分为户外组和室内组,通过自行设计的《青岛地区港口作业中老年男性骨健康调查表》收集包括基本人口学信息、生活行为、岗位种类、工作强度、婚姻状态等资料,测量骨密度、血压、身高和体质量,计算体质指数(BMI)和腰臀比。单因素分析后对有意义的因素进行Logistic回归分析。结果①户外组骨量正常者占比低于室内组,骨量减少者占比高于室内组(χ^(2)=4.015,P=0.045)。两组骨量正常者占比均高于骨量异常者,差异具有统计学意义(χ^(2)=35.852,P<0.001;χ^(2)=7.014,P=0.078),两组骨质疏松患病率分别为8.97%和6.12%,组间比较差异无统计学意义(P>0.05)。②年龄升高、户外岗位、睡眠障碍是骨健康问题的危险因素,非常/经常关注健康知识、婚姻状态(已婚且夫妻共居一地)以及参与常规班次是骨健康问题的保护因素。结论明确影响港口45岁以上作业工人骨健康的相关因素后,可有效干预危险因素,强化保护性因素的积极作用,进而提高该群体的骨健康水平。
Objective To analyze the epidemiological characteristics of bone health of male workers over 45 years of age in Qingdao Port,and the influencing factors.Methods A total of 381 male workers over 45 years of age in Qingdao Port in the military-civilian integration health examination project of Navy Qingdao Special Service Rehabilitation Center from January 2021 to December 2022 were recruited.They were divided into outdoor and indoor group based on the job duties.A self-made Bone Health Survey Form of Middle-aged and Elderly Men in Qingdao Port was used to investigate basic demographic information,life behavior,job type,work intensity,marriage status,bone mineral density,blood pressure,height and weight.The body mass index(BMI)and waist-hip ratio were calculated.Influencing factors were analyzed by Logistic regression after univariate analysis.Results①The proportion of subjects with a normal bone mass in the outdoor group was significantly lower than that of the indoor group,and the proportion of subjects with a decreased bone mass was significantly higher(χ^(2)=4.015,P=0.045).The proportion of subjects with a normal bone mass in both groups was significantly higher than those with an abnormal bone mass(χ^(2)=35.852,P<0.001;χ^(2)=7.014,P=0.078).There was no significant difference in the prevalence of osteoporosis between groups(8.97%VS 6.12%,P>0.05).②Elderly age,outdoor jobs,and sleep disorders were risk factors for bone health problems,and special/frequent focus on health literacy,marital status(married and married together),and participation in routine shifts were protective factors for bone health problems.Conclusion Identifying influencing factors for bone health of the port workers over 45 years of age contributes to effectively intervene risk factors and strengthen the positive effect of protective factors,thus improving the bone health level.
作者
许菡菡
陈瑛
邹萍
陆敏
XU Han-han;CHEN Ying;ZOU Ping;LU Min
出处
《中国疗养医学》
2024年第1期85-89,共5页
Chinese Journal of Convalescent Medicine
基金
青岛市医药卫生科研计划项目(2021-WJZD254)。
关键词
青岛地区
骨密度
骨健康
流行病学
影响因素
Qingdao area
Bone mineral density
Bone health
Epidemiology
Influence factor
