海口市某区公务员健康状况调查

Investigation on Health Status of Civil Servants in a District in Haikou City

目的:了解海口市某区公务员健康状况及其影响因素。方法:按照分层抽样原则,对2011-2013年463名在职与离退休公务员的体检结果、疾病风险和兼患病情况进行统计学分析。结果:在职和离退休公务员的疾病谱变化不大,其中在职公务员高血压、高脂血症、脂肪肝、糖尿病的患病率逐年增加,且男性患病率略高于女性;离退休公务员中动脉硬化、骨关节病和泌尿系统疾病的患病率增加较为明显,且男性患病率略高于女性。在职公务员的患病风险高于离退休公务员,且差异有统计学意义(χ2=16.82,P<0.05),在职和离退休公务员体检结果存在较大差异(χ2=59.27,P<0.05)。不同性别的公务员临床检查结果存在较大差异(χ2=34.58,P<0.05),男性公务员比女性公务员面临着更高的疾病风险,且差异有统计学意义(χ2=31.96,P<0.05)。不同年龄段的公务员兼患病情况存在着较大差异(χ2=18.72,P<0.05),年龄越大,其人均患病种数越多,患病种数与年龄存在正相关。结论:应关注公务员群体的健康状况,加强慢性病健康教育与促进工作,指导其建立良好的生活方式,避免过度疲劳,增强公务员的自我保健意识。

Objective：To investigate the factors of health status of civil servants and its influence in a district of Haikou City. Methods：Ac-cording to the principle of stratified sampling, servant examination results, disease risk and prevalence of 463 in-service and retired civil were sta-tistically analyzed during 2011-2013. Results：Examination results in 2011-2013 show that in-service and retired civil servants of the disease spectrum changed little, the on-the-job officeholder hypertension, hyperglycemia, fatty liver, diabetes prevalence rate increased year by year, and the incidence rate in male is slightly higher than the female;from the artery sclerosis, a retired civil servant in bone and joint disease and uri-nary system disease prevalence was increased significantly, and the prevalence rate of male is higher than female. The prevalence of risk of civil servant is higher than that of retired civil servants, and there were significant differences （χ2=16. 82, P〈0. 05）. From the physical examination results of in-service and retired civil servants differences （χ2=59. 27, P〈0. 05）, there is a big difference between different gender clinical exam-ination results （χ2=34. 58, P〈0. 05）;male civil servants than female civil servants face a higher risk of disease, and there are significant differ-ences （χ2=31. 96, P〈0. 05）;significant difference the existence of different age and the prevalence of civil servants （χ2=18. 72, P〈0. 05）;the older people are sick, more species, there is a positive correlation among species and age. Conclusion：We should pay attention to civil serv-ants group health, strengthen health education for chronic disease and promote the work to guide the establishment of a good life style, to avoid ex-cessive fatigue, enhance self-health care consciousness of civil servants.