南阳市医学高职高专教师慢性胃病职业危险因素分析

Analysis on occupational risk factors for chronic stomach disease in higher vocational medical teachers in Nanyang

目的消化性溃疡是一种常见病和多发病,对工作和生活影响较大。本研究旨在探寻南阳市医学高职高专教师慢性胃病的职业危险因素。方法 2014-01-01-2014-12-31选取南阳市2所高职高专医学院校的教师1 178人,通过调查问卷的形式分析教师群体慢性胃病的患病情况,并通过Logistic多元回归分析慢性胃病的职业风险因素。结果总患病率为32.6%,男性教师的患病率为27.4%(155/565),低于女性的37.4%(229/613),差异有统计学意义(χ~2=13.18,P<0.001)。慢性胃病的患病率随年龄增加,男性教师不同职称、教龄、无法照顾家庭、睡眠时长、体育锻炼频率患病率比较,差异均有统计学意义,均P<0.05。女性教师不同年龄、职称、教龄、无法照顾家庭、睡眠时长患病率比较,差异均有统计学意义,均P<0.05。多因素分析结果显示,年龄(OR=31.94,95%CI为19.15～53.26,P<0.001)、性别(OR=2.48,95%CI为1.77～3.48,P<0.001)和教龄(OR=3.26,95%CI为2.31～4.59,P<0.001)均是医学高职高专教师慢性胃病患病的有害影响因素,其中,年龄的风险性最高,优势比为31.94,教龄的优势比为3.26。结论慢性胃病是影响南阳市医学高职高专教师身体健康和工作的高危因素。

OBJECTIVE To explore the occupational risk factors for chronic stomach disease in higher vocational medical teachers in Nanyang.METHODS Totally 1 178 higher vocational medical teachers were selected from January 1,2014 to December 31,2014 in 2 higher vocational medical colleges by random sampling and the incidence of chronic stomach disease was analyzed by questionnaire.Furthermore,the occupational risk factors of chronic stomach disease in higher vocational medical teachers were analyzed by logistic regression analysis.RESULTS The total prevalence rate was32.6%.The prevalence rate of male teachers was 27.4%(155/565),which was lower than 37.4%of female teachers(229/613).The difference was statistically significant(χ~2=13.18,P<0.001).The prevalence of chronic gastropathy increased with age.There were significant differences among male teachers with different professional titles,teaching age,inability to take care of their families,length of sleep and frequency of physical exercise,all P<0.05.The prevalence rates of female teachers with different ages,professional titles,teaching ages,inability to take care of their families and length of sleep were significantly different,all P<0.05.Multivariate analysis showed that age(OR=31.94,95%CI:19.15-53.26,P<0.001),sex(OR=2.48,95%CI:1.77-3.48,P<0.001)and teaching age(OR=3.26,95%CI:2.31-4.59,P<0.001)were the harmful factors of chronic gastropathy among medical teachers in higher vocational medicine colleges.Age was the most risky,with a dominant ratio of 31.94.The dominant ratio of teaching age was 3.26.CONCLUSION Chronic stomach disease is a high-risk factor affecting the health and work of teachers in Nanyang medical vocational colleges.