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脑卒中高危的在职职工健康管理服务需求调查

Health management demand among occupational population at high risk of stroke

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目的 了解脑卒中高危的在职职工健康管理服务需求及影响因素,为制定职业人群脑卒中健康管理方案提供参考.方法 于2020年8-12月采用定额抽样方法,按4:1:1比例抽取在四川省泸州市3所三甲医院参加健康体检的40~60岁在职职工,通过体检报告收集血生化检测和体格检查资料,根据脑卒中高危人群评估标准筛选脑卒中高危者为调查对象;采用问卷调查收集基本信息、健康管理服务需求等资料;采用多因素logistic回归模型分析健康管理服务需求的影响因素.结果 调查参加健康体检的在职职工3 003人,符合脑卒中高危标准1 062人,占35.36%.其中,男性1 000人,占94.16%;女性62人,占5.84%;年龄为(49.26±4.97)岁;专业技术人员414人,占39.50%.有健康管理服务需求709人,需求率为66.76%;需求率前三位的服务内容为体检(915人占86.16%)、健康咨询(601人占56.60%)、运动指导(560人占52.73%);接受过健康管理服务210人,占19.77%.多因素logistic回归分析结果显示,接受过健康管理服务的脑卒中高危在职职工存在健康管理服务需求的可能性较高(OR=2.158,95%CI:1.479~3.149).结论 脑卒中高危的在职职工存在健康管理服务需求,是否接受过健康管理服务对健康管理服务需求有影响.
Objective To investigate the demand for health management and influencing factors among occupational popu-lation at high risk of stroke,so as to provide insights into the development of stroke health management strategies among occupational population.Methods Occupational population aged 40 to 60 years who participated in health exami-nation were sampled from three tertiary hospitals in Luzhou City,Sichuan Province using a quota sampling method in the ratio of 4:1:1,from August to December 2020.Participants'blood biochemistry tests and health examination were collected through the examination reports,and the participants at high risk of stroke were screened using the as-sessment criteria for high-risk of stroke.Participants'general information and demand for health management were col-lected using questionnaire surveys.In addition,factors affecting the demand for health management were identified using a multivariable logistic regression model.Results A total of 3 003 people who participated in health examination were investigated,and 1 062 participants met the assessment criteria for high risk of stroke,accounting for 35.36%.There were 1 000 men(94.16%)and 62 women(5.84%),with a mean age of(49.26±4.97)years.There were 414 professional and technical staff(39.50%).There were 709 participants(66.76%)with demand for health management,with the top three in the demand as health checkups(915 participants,accounting for 86.16%),health consultation(601 participants,accounting for 56.60%)and exercise guidance(560 participants,accounting for 52.73%),and 210 participants(19.77%)received health management.Multivariable logistic regression analysis showed that occupational population at high risk of stroke who received health management were more likely to have the demand for health management(OR=2.158,95%CI:1.479-3.149).Conclusions The occupational population at high risk of stroke have the demand for health man-agement.Having received health management may affect the demand for health management among occupational popula-tion at high risk of stroke.

strokeoccupational populationhealth management demandinfluencing factor

夏华、黄素琼、周忠贤、闫润、叶运莉

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西南医科大学公共卫生学院,四川泸州 646000

西南医科大学附属中医医院,四川泸州 646000

内江市疾病预防控制中心,四川内江 641199

脑卒中 职业人群 健康管理服务需求 影响因素

西南医科大学附属中医医院国家临床研究基地建设项目四川医院管理和发展研究中心

西南医大中医院[2020]33号SCYG2021-04

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(1)
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