陕西省城市4类职业人群超重肥胖流行特征分析

Epidemic characters of overweight,obesity and center obesity among 4 professional populations in Shaanxi Province

目的掌握陕西省城市4类职业人群超重、肥胖、中心型肥胖流行特征及影响因素,为开展职业人群体重控制提供依据。方法整群抽取陕西省18~45岁1210名职业人群进行问卷调查及体格测量,描述其超重、肥胖、中心型肥胖人群分布特征,并采用χ~2检验和Logistic回归统计分析方法对其相关影响因素进行研究。结果超重率22.1%,肥胖率9.1%;超重肥胖比2.4∶1;中心型肥胖率22.2%,超重肥胖率男性45.1%,女性16.3%(P<0.05);各职业超重肥胖率企业管理人员44.2%,事业单位人员37.5%,公务员34.1%,学生10.9%(P<0.05);文化程度越高,超重肥胖率越低(P<0.05)。Logistic结果显示,女性(OR=0.212)、大学本科及以上(OR=0.592)和月平均收入为2000~2999元(OR=0.546)是陕西省职业人群超重肥胖的保护因素,"36~40岁"(OR=1.686)和"41~45岁"年龄组(OR=1.864),公务员(OR=4.544)、企业管理人员(OR=7.128)和事业单位人员(OR=6.020)3类职业为危险因素。结论陕西省城市职业人群超重肥胖率高,男性为高危人群,应对其加强健康教育,进而预防慢性病发生。

Objective To understand the characteristics of overweight, obesity and central obesity among 4 pro- fessional populations and their influencing factors, and provide the basis for professional people weight control in Shaanxi Province city. Methods A cluster sampling method was used and 1210 workers aged 18 to 45 years old in Shaanxi Province were enrolled. The population distribution of overweight, obesity and central obesity were described and Chi-square and logis- tic regression statistical analysis method were used. Results The rates of overweight and obesity were 22. 1% and 9. 1%. The ratio of overweight to obesity was 2.4 ： 1. The rate of center type obesity was 22. 2%. The rate of obesity and overweight among men was 45. 1% , the rate among female was 16. 3% （ P 〈 0. 05 ）. The overweight and obesity rate of enterprise management persons was 44. 2% , of business unit persons 37.5% , of civil servants 34. 1%, of students 10. 9% （P 〈 0. 05 ）. Level of education was higher, the overweight obesity rate was lower （P 〈 0. 05）. Logistic regression results showed that female （ OR = 0. 212）, college degree and above （ OR = 0. 592 ） and the average monthly income ＂between 2000 and 2999＂ （OR=0.546） were protection factors, aged 36-40 years old （OR=1.686） and aged 41 -45 （0R=1.864） groups, civil servant （ OR = 4. 544） , enterprise management person （ OR = 7. 128） and business unit person （ OR = 6. 020 ） were risk factors. Conclusion The overweight and obesity rate of professional population was high in Shaanxi Province, male was high-risk groups. We should strengthen health education, thereby prevent chronic diseases occurring.