干预措施在减少工作场所非传染性疾病风险因素聚类方面的有效性:一项准实验性研究
Nahla Guesmi1, Sihem Ben Fredj1,2, Nawel Zammit1,2
1Department of Epidemiology, "LR19SP03", University Hospital Farhat Hached, Sousse, Tunisia.
工作场所的干预措施有效地减少了员工的非传染性疾病风险因素. 这项研究证实了健康促进计划在减少风险因素聚类方面的可行性和有效性.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 慢性疾病流行病学 慢性疾病流行病学
背景情况:
- 非传染性疾病 (NCD) 风险因素聚类构成了重大的公共卫生挑战.
- 需要有效的策略来最大限度地减少非传染性疾病的发病和改善员工健康.
- 工作场所干预为促进健康提供了一个有希望的途径.
研究的目的:
- 评估为期三年的工作场所干预措施的可行性和有效性.
- 减少NCD风险因素在员工中的聚类.
- 评估对身体活动,饮食和戒烟的影响.
主要方法:
- 一项涉及突尼斯苏塞6家公司 (2010-2014) 的准实验性研究.
- 干预组接受了促进身体活动,健康饮食和戒烟的行动.
- 对照组没有接受干预.
- 通过预先测试的问卷和采访收集的数据.
主要成果:
- 干预组每名员工平均风险因素显著下降 (1.99至1.81,p<10-3).
- 在干预组中,两种风险因素集群的患病率显著下降 (40%至34.4%,p=0.014).
- 这项干预显示出对同时出现的危险因素有显著的保护作用 (aOR=0.81).
结论:
- 工作场所健康促进计划在减少非传染性疾病风险因素及其集群方面是可行的和有效的.
- 干预措施显著减少了多种风险因素的同时发生.
- 将其纳入国家卫生政策可以扩大积极影响.
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