【摘要】：目的探討接觸職業(yè)病危害因素、勞動(dòng)強(qiáng)度和膳食與男性軋鋼工人患代謝綜合征(MS)的關(guān)系。方法采用判斷抽樣方法,以某軋鋼廠1 105名男性工人為研究對(duì)象。通過(guò)問(wèn)卷調(diào)查和健康檢查等方式收集研究對(duì)象相關(guān)信息。分析不同個(gè)體特征工人MS患病情況和影響因素。結(jié)果研究對(duì)象MS的患病率為32.5%(359/1 105);接觸職業(yè)病危害因素組工人MS患病率高于對(duì)照組(33.5%vs 20.2%,P0.05)。MS患病率呈隨年齡的增長(zhǎng)而增加的趨勢(shì)(P0.05),呈隨工人勞動(dòng)強(qiáng)度和家庭人均月收入的增加而下降的趨勢(shì)(P0.05)。吸煙者M(jìn)S患病率高于非吸煙者(P0.017),動(dòng)物膳食模式工人MS患病率分別高于均衡膳食模式及傳統(tǒng)膳食模式工人(P0.017)。多因素Logistic回歸分析結(jié)果顯示,調(diào)整年齡、工齡、家庭人均月收入、吸煙和飲酒等混雜因素后,單獨(dú)接觸一氧化碳、高溫與一氧化碳聯(lián)合接觸、高溫與噪聲聯(lián)合接觸工人MS的患病風(fēng)險(xiǎn)均高于無(wú)接觸職業(yè)病危害因素工人(P0.05),比值比(OR)及其95%可信區(qū)間(CI)分別為2.246(1.097~4.597)、2.581(1.308~5.094)和2.435(1.281~4.627);動(dòng)物膳食模式工人MS的患病風(fēng)險(xiǎn)高于傳統(tǒng)膳食模式工人(P0.01),OR及其95%CI為1.497(1.106~2.025);勞動(dòng)強(qiáng)度每增加1個(gè)等級(jí),MS的患病危險(xiǎn)性較原來(lái)下降24.6%(P0.05)。結(jié)論動(dòng)物膳食模式、勞動(dòng)強(qiáng)度增加、接觸一氧化碳、高溫與一氧化碳聯(lián)合接觸、高溫與噪聲聯(lián)合接觸均可增加MS患病風(fēng)險(xiǎn)。
[Abstract]:Objective to investigate the relationship between exposure to occupational diseases, labor intensity and diet and metabolic syndrome (MS) in male steel rolling workers. Methods 1105 male workers in a rolling mill were studied by judgment sampling. The relevant information of the subjects was collected by questionnaire survey and health examination. The prevalence and influencing factors of MS in workers with different individual characteristics were analyzed. Results the prevalence rate of MS was 32.5% (359 鈮，

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