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某石化企业职工职业紧张与血糖异常相关性分析
张敏,刘斌,柯伟奕,张灵钰,蔡雅诗,闻昌勇,李慧娴,闫雪华,陈慧峰
1.广东省职业病防治院, 广东 广州 510300;2.山西医科大学公共卫生学院;3.深圳罗湖人民医院
摘 要: 目的 探讨石化企业职工职业紧张与血糖异常相关性及其影响因素。 方法 采用整群随机抽样方法, 以工作需求-自主 (JDC) 和付出-回报失衡 (ERI) 两种模式评估某石化企业 1 683 名员工职业紧张状况, 并收集调查对象的一般人口学特征、 工作特征、 生活方式和健康检查资料。 结果 JDC 和 ERI 模式下, 某石化企业员工职业紧张检出率分别为 28. 4%和 27. 2%。 检出血糖异常 73 人 (4. 5%)。 不同年龄、 婚姻状况、 工龄、 视屏作业和月收入间血糖异常检出率差异均具有统计学意义 (P<0. 05)。 血糖异常组体质量指数 (BMI) 显著高于血糖正常组 (P<0. 001)。 多重线性回归分析显示, 在 JDC 和 ERI 模式下, BMI、年龄、工作制度、工龄均与血糖水平呈显著正相关。在 ERI 模式下, 内在投入与血糖水平呈显著正相关。 结论 BMI、年龄、工作制度和工龄是某石化企业员工血糖异常的影响因素。 在 ERI 模式下, 内在投入与职工血糖水平呈正相关。
关键词: 职业紧张  工作需求-自主 (JDC)  付出-回报失衡 (ERI)  血糖  石化企业
中图分类号: R395. 6    文献标识码: A
基金项目: 广东省医学科研基金 (A2019246, A2021209); 广州市科技计划项目 (202102080135)
Analysis on correlation between occupational stress and dysglycemia in employees of a petrochemical enterprise
ZHANG Min ∗ , LIU Bin, KE Weiyi, ZHANG Lingyu, CAI Yashi, WEN Changyong, LI Huixian, YAN Xuehua, CHEN Huifeng
Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong 510300, China
Abstract: Objective To explore the correlation between occupational stress and dysglycemia and its influencing factors in petrochemical enterprise employees. Methods Using cluster random sampling method, the occupational stress status of 1 683 employees from a petrochemical enterprise were evaluated using two models: job demand-control (JDC) and effort-reward imbalance (ERI), and the general demographic characteristics, work characteristics, lifestyle, and health examination data of the survey subjects were collected as well. Results The results showed that in JDC and ERI models, the detection rates of occupational stress were 28. 4% and 27. 2%, respectively; dysglycemia was detected in 73 persons (4. 5%), there were statistically significant differences in detection rate of dysglycemia among the groups with different age, marital status, length of service, VDT operation and monthly income (P< 0. 05), and the BMI of the dysglycemia group was significantly higher than that of normal blood glucose levels group (P<0. 001). The multiple linear regression analysis showed that BMI, age, work system, and length of service were significantly positively correlated with blood glucose levels in both JDC and ERI models. Conclusion The results suggested that BMI, age, work system and length of service were the influencing factors of dysglycemia in employees of a petrochemical enterprise, and in ERI model, there was a significant positive correlation between over-commitment and blood glucose levels of employees.
Keywords: occupational stress  job demand-control (JDC)  effort-reward imbalance (ERI)  blood glucose  petrochemical enterprise


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