北京市580名男性在职出租车司机前列腺检查结果及影响因素

Analysis on prostate examination results and influencing factors of 580 male in-service taxi drivers in Beijing

目的调查北京市男性在职出租车司机前列腺患病情况,为改善其健康状况提供相关依据。方法按照纳入标准随机选取2018年5月—2019年6月间来首都医科大学附属北京康复医院健康管理中心接受健康检查的580名男性在职出租车司机作为调查对象,使用自制检查表对其进行问卷调查及健康检查,分析患前列腺疾病的影响因素。结果回收有效问卷563份,有效率为97.07%。563名在职出租车司机检出前列腺疾病者242名,检出率为42.98%。单因素分析显示,不同年龄、体质指数、从业年限、日出车时长、日饮水量、日下车活动时长的出租车司机前列腺疾病患病率比较,差异均有统计学意义(均P<0.05)。多因素logistic回归分析显示,年龄≥50岁(OR=2.099)、肥胖(OR=1.708)、从业年限≥6年(OR=2.167)、日出车时长≥14 h(OR=2.444)、日饮水量<250 mL(OR=4.198)是北京市男性出租车司机患前列腺疾病的危险因素(均P<0.05),而日下车活动≥20 min(OR=0.249)是出租车司机前列腺的保护因素(P<0.05)。结论男性出租车司机应重视前列腺健康的自我保健,尤其是年龄≥50岁、肥胖、从业年限≥6年、日出车时长≥14 h、日下车活动<5 min、日饮水量<250 mL的司机。

Objective To investigate the prevalence of prostate disease of male in-service taxi drivers in Beijing,provide relevant evidence for improving their health status. Methods According to the inclusion criteria,580 male in-service taxi drivers who have received the occupational health inspection in the Physical Examination Center of Beijing Rehabilitation Hospital Affiliated to Capital Medical University. The self-made checklist was used for questionnaire survey and health examination,to analyze the influencing factors of prostate disease. Results There were 563 valid questionnaires with the effective rate of 97.07%. 242 of 580 male in-service taxi drivers suffered from prostate disease,and the detection rate was 42.98%. Univariate analysis showed that there were statistically significant differences in prevalence rates of prostate disease among taxi drivers with different age,body mass index,working years,length of daily driving,daily water consumption,and length of daily getting off activities(all P<0.05).Multivariate logistic regression analysis showed that the age ≥50 years old(OR=2.099),obesity(OR=1.708),have worked for≥6 years(OR=2.167),daily driving ≥14 h(OR=2.444),daily drinking water <250 mL(OR=4.198) were risk factors for prostate disease among male taxi drivers in Beijing(all P<0.05),while daily getting off activity ≥20 min(OR=0.249) was a protective factor for taxi drivers′ prostate(P<0.05). Conclusion Male taxi drivers should pay attention to the self-care of prostate health,especially drivers who are ≥50 years old,obesity,have worked for ≥6 years,daily driving ≥14 h,daily getting off activities <5 min,and daily drinking water <250 mL.