摘要
目的 评价职业应激和社会支持与职业性非故意伤害的关系.方法 采用1∶1配比的病例-对照调查设计,以2013年10月至2013年12月在中山市6家工伤定点医院收治的151名职业非故意伤害工人和151名经年龄、性别、工种匹配且在过去1年内无非故意伤害的同事为调查对象,用结构式问卷对他们的人口学特征、职业应激（采用付出回报失衡问卷）和社会支持等情况进行调查.结果 两组工人的职业应激各维度得分、付出回报比及上级社会支持维度得分的差异均有统计学意义（P＜0.05）.使用多因素COX回归拟合条件logistic回归分析结果显示,外在付出较多（OR=1.47,95％CI=1.20～1.80）、过度投入较多（OR=1.30,95％CI=1.08～1.55）是职业性非故意伤害的危险因素,而上级支持力度较大（OR=0.64,95％CI=0.48～0.84）及收入＞3 000元（OR=0.67,95％CI=0.54～0.84）是职业性非故意伤害的保护因素.结论 职业应激和社会支持对职业性非故意伤害的发生存在影响.
Objective To evaluate the association between occupational stress,social support,and occupational unintentional injuries.Methods A 1∶1 matched case-control study was conducted in 151 cases of occupational unintentional injuries who were admitted to 6 occupational injury-admitted hospitals in Zhongshan City from October 2013 to December 2013 and 151 matched controls without unintentional injuries in the last year who had matched age,sex,and occupation.Their demographic characteristics,occupational stress （by the effort-reward imbalance questionnaire）,and social support were investigated with a structured questionnaire.Results Analysis of the data showed that there were significant differences in the score of each dimension of occupational stress,the ratio of effort to reward,and the score of superior support between the case group and the control group （P〈0.05）.The Cox regression analysis results showed that more extrinsic efforts （OR=1.47,95%CI=1.20～1.80） and overcommitment （OR=1.30,95%CI=1.08～1.55） were the risk factors for occupational unintentional injuries,while more superior supports （OR=0.64,95%CI=0.48～0.84） and higher earnings （〉3 000 yuan each month） （OR=0.67,95%CI=0.54～0.84） were protective factors.Conclusion Occupational stress and social support have an influence on the occurrence of occupational injuries.
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
2015年第2期110-112,共3页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
广东省科技厅计划项目（20138021800034）
中山市医疗卫生重大科技专项（20132A003）
关键词
应激
职业性非故意伤害
付出回报失衡
社会支持
Stress
Occupational unintentional injuries
Effort-reward imbalance
Social support
