男性轮班工人高血压和糖尿病的寻求治疗概况
Nuri Purwito Adi1, Tomohisa Nagata, Koji Mori
1From the Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (N.P.A., T.N., K.M., K.O., S.K.); Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia (N.P.A.); Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan (T.K.); Data Science Center for Occupational Health, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (K.F., S.M.); Department of Information Management Center, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (M.O.); Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (M.N.); Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan. (Y.F.); and Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan (S.M.).
与白天工人相比,男性轮班工人不太可能寻求高血压和糖尿病治疗. 这一发现凸显了轮班工人获得医疗保健的潜在差异.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 轮班工作在全球越来越普遍,影响着各种行业数百万工人.
- 了解轮班工人寻求健康的行为对于制定有针对性的健康干预措施至关重要.
- 高血压和糖尿病是严重的公共卫生问题,特别是在劳动人口中.
研究的目的:
- 调查与日间工人相比,男性轮班工人中寻求高血压和糖尿病医疗治疗的可能性.
- 确定这两个工作组在医疗保健获取和利用方面的潜在差异.
主要方法:
- 进行了一项回顾性队列研究,涉及日本9家大型公司.
- 从2017年至2020年期间的健康检查,医疗保险记录和问卷收集了数据.
- 统计分析包括卡普兰-梅尔曲线和考克斯回归来比较寻求治疗的行为.
主要成果:
- 该研究包括了轮班工人和日间工人的大量人日,用于高血压和糖尿病分析.
- 与白天工人相比,轮班工人寻求高血压治疗的可能性在统计学上显著降低 (46%更低的可能性) 和糖尿病 (56%更低的可能性).
- 在调整了人口统计和生活方式因素后,这些发现仍然很重要.
结论:
- 男性轮班工人不太可能寻求高血压和糖尿病的治疗,而不是他们的白天工作同行.
- 这表明男性轮班工人对医疗保健服务的潜在障碍或获取限制.
- 需要进一步的研究来探索这些差异的根本原因,并为公共卫生战略提供信息.
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