摘要
目的分析2018至2020年11544名教师体检资料,了解教师人群健康问题,为制定干预措施提供依据。方法选取2018至2020年体检的34所幼儿园、14所小学、11所中学及8所高校教职工的体检结果,根据性别组、年龄组(青年教师组、中年教师组、老年教师组)、不同类别教师组(幼儿教师组、小学教师组、中学教师组、高校教师组)进行比较,分析其体检资料并予体检后行健康管理。结果不同性别组比较显示男性组超重、高脂血症、高血压、肺结节、高尿酸血症、脂肪肝、颈动脉斑块组明显高于女性,差异有统计学意义(P<0.05);女性组甲状腺疾病,幽门螺旋杆菌(H.pylori)感染的检出率明显高于男性,差异有统计学意义(P<0.05);不同年龄组比较显示乳腺疾病3组人群中检出率最高,子宫肌瘤的检出率为中年组最多;不同类别教师组别比较显示小学教师组“三高”(高血压、高血糖、高血脂症)、颈动脉斑块的检出率最高,中学教师组肺结节、H.pylori感染检出率最高,而高校教师组超重、肥胖和高尿酸检出率明显高于其他各组,差异有统计学意义(P<0.05)。Logistic多因素回归分析表明男性、已婚、老年教师组、小学教师组均是体检异常的危险因素。结论教师人群的健康状况不容乐观,高血压病、甲状腺疾病、高血脂症发生率高,不同教师职业特点不同,疾病谱也不同,需采取社会、学校、个人等多方面同时干预策略,改善教师人群的健康。
Objective To investigate the physical examination data of 11544 teachers in our hospital from 2018 to 2020 to understand the health condition of the teachers,so as to provide basis for the formulation of intervention measures.Methods The staff in 34 kindergartens,14 primary schools,11 middle schools and 8 colleges and universities were enrolled in the study,who underwent physical examination in our hospital from 2018 to 2020,and who were divided into different gender groups,different age groups and different classification teacher groups.The physical examination results were observed and compared among the groups,moreover the health management was performed after the physical examination.Results The numbers of people with overweight,hyperlipidemia,hypertension,pulmonary nodules,hyperuricemia,fatty liver and carotid artery plaque in male group were significantly higher than those in female group(P<0.05).And the detection rates of thyroid disease and H.pylori infection in female group were significantly higher than those in male group(P<0.05).Moreover the detection rate of uterine fibroids was the highest in the middle age group.In addition the detection rates of“three high”(hypertension,hyperglycemia,hyperlipidemia)and carotid artery plaque were the highest in primary school teacher group,however,the detection rates of pulmonary nodules and H.pylori were the highest in middle school teacher group,and the detection rates of overweight,obesity and high uric acid were the highest in college teacher group(P<0.05).Logistic multivariate regression analysis showed that males,married teacher,elderly teachers and primary school teachers were the risk factors for physical abnormalities.Conclusion The health status of teachers is not optimistic,who have higher incidence rates of hypertension,thyroid disease and hyperlipidemia,and the spectrum of disease is different in the teaches with different occupations.Therefor it is necessary to take multiple intervention measures to improve the health situation of teachers.
作者
季明
何小菁
杨雨辰
杨钧
郭玲
JI Ming;HE Xiaojing;YANG Yuchen(Health Management Center,Sir Run Run Hospital Affiliated to Nanjing Medical University,Jiangsu,Nanjing 211100,China)
出处
《河北医药》
CAS
2022年第4期617-621,共5页
Hebei Medical Journal
基金
江苏省卫健委指导性课题(编号:Z2018042)
南京医科大学重点项目专项基金(编号:2017NJMUZD131)。
关键词
教师人群
健康现状
干预策略
teacher population
health current situation
intervention strategy
