北戴河地区高胆固醇血症的职业分布特点及健康管理对策

Occupation Distribution Features and Health Management Countermeasures of Hypercholesterolemia in Qinhuangdao Area

目的分析秦皇岛市北戴河地区城镇居民高胆固醇血症在不同年龄、性别、职业的分布情况及高强度的暑期工作压力对高胆固醇血症的影响,以期针对性地对其进行调控和预防。方法筛选2009年北戴河地区城镇居民参加体检的健康成人5 408例,检查结果按照年龄、性别、职业、体检时间进行分组,分别对各组检出数据进行统计学处理,分析高胆固醇血症在北戴河地区健康人群中的分布特点,探索其原因,并根据其原因制定健康管理的对策。结果北戴河地区城镇居民高胆固醇血症40岁以下检出率男性(27.1%)高于女性(10.3%),40岁以上者女性(47.3%)高于男性(36.5%),差异均有统计学意义(P>0.01);企业及个体行业检出率高,教师低,行业间比较,差异有统计学意义(P<0.05)。结论北戴河地区城镇居民的高胆固醇血症在青年男性、中老年女性检出率高,企业及个体行业检出率高,相对集中且高强度的工作压力会引起相同职业人群的高胆固醇血症检出率升高,健康管理可以根据职业类别不同辅以年龄、性别及工作压力的考量采用整群管理模式进行管理。

[Objective]To study the distribution of hypercholesterolemia in different age,sex and occupation among urban residents in Beidaihe area of Qinhuangdao city,analyze the effect of high working pressure in summer on hypercholesterolemia,so as to carry out the control and prevent on it.[Methods]5 408 healthy adults were selected from urban residents who were given physical examination in Beidaihe area in 2009,the examination results were divided into different groups according to age,sex,occupation and examination time,and the data of different groups were statistically analyzed respectively.The distribution features of hypercholesterolemia among healthy population in Beidaihe area were analyzed to explore its causes,and the health management countermeasures were made according to the causes.[Results]In under 40 years old group,the detection rate of hypercholesterolemia in men（27.1%） was higher than that in women（10.3%） significantly（P〈0.01）.In over 40 years old group,the detection rate in women（47.3%） was higher than that in men（36.5%） significantly（P〈0.01）.The detection rates of enterprises and individually-owned businesses were high,detection rate of teachers was low,and the difference was significant（P〈0.05）.[Conclusion]The detection rates of hypercholesterolemia among young men,middle and aged women in Beidaihe area were high,and high detection rates were found in enterprises and individually-owned businesses.The centralized and high working pressure can cause the increasing of detection rates of hypercholesterolemia among people in the same occupation.The cluster management mode should be carried out according to occupations,assisted by age,sex and working pressure.