首页|脑力劳动者工作适配与甲状腺自身免疫性异常的相关性研究

脑力劳动者工作适配与甲状腺自身免疫性异常的相关性研究

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目的 探讨工作适配和甲状腺自身免疫性异常的关系,为个人和企业健康管理提供理论依据.方法 采用方便抽样的方法,抽取某医院进行健康体检的334名脑力劳动者作为研究对象.采用自行设计的调查问卷收集基本信息,评估其工作适配情况;甲状腺彩超、甲状腺过氧化物酶抗体(thyroid peroxidase antibody,TPO-Ab)和甲状腺球蛋白抗体(thyroglobulin antibody,Tg-Ab)3项指标综合评判甲状腺自身免疫性异常.采用结构方程模型分析工作适配与甲状腺自身免疫性异常的相关性.结果 334名研究对象中男性239名(占71.56%),女性95名(占28.44%);工作适配得分(44.46±6.26)分,甲状腺过氧化物酶抗体值(18.27±15.99)IU/mL,甲状腺球蛋白抗体值(49.04±26.72)IU/mL;甲状腺彩超阳性者155名(占46.41%),甲状腺过氧化物酶抗体阳性者27名(占8.08%),甲状腺球蛋白抗体阳性者22名(占6.59%).结构方程模型拟合良好,甲状腺彩超、TPO-Ab和Tg-Ab对甲状腺自身免疫性异常解释程度较高,主观负荷量对工作适配存在正向相关(β=0.165,P<0.01),工作适配对甲状腺自身免疫性异常存在负向相关(β=-0.149,P<0.05).结论 工作适配情况越佳,出现甲状腺自身免疫性异常的可能性越低.企业管理人员应多加关注劳动者工作适配情况,保护劳动者健康.
Study on the correlation between worker-occupation fit and thyroid autoimmune abnormalities in mental workers
Objective To investigate the relationship between worker-occupation fit and thyroid autoimmune abnormalities,providing a theoretical basis for personal and corporate health management.Methods Using a convenience sampling method,334 mental workers undergoing health examinations at a hospital were selected as study subjects.A self-designed questionnaire was used to collect basic information and assess their worker-occupation fit.Thyroid autoimmune abnormalities were comprehensively evaluated using three indicators:thyroid ultrasound,thyroid peroxidase antibody(TPO-Ab),and thyroglobulin antibody(Tg-Ab).The correlation between worker-occupation fit and thyroid autoimmune abnormalities was analyzed using a structural equation model.Results Among the 334 study subjects,239 were male(71.56%)and 95 were female(28.44%).The worker-occupation fit score was(44.46±6.26),the thyroid peroxidase antibody level was(18.27±15.99)IU/mL,and the thyroglobulin antibody level was(49.04±26.72)IU/mL.There were 155 subjects with positive thyroid ultrasound results(46.41%),27 subjects with positive thyroid peroxidase antibody results(8.08%),and 22 subjects with positive thyroglobulin antibody results(6.59%).The structural equation model fitted well,with thyroid ultrasound,TPO-Ab,and Tg-Ab explaining a high degree of thyroid autoimmune abnormalities.There was a positive correlation between subjective load and worker-occupation fit(β=0.165,P<0.01),and a negative correlation between worker-occupation fit and thyroid autoimmune abnormalities(β=-0.149,P<0.05).Conclusions The better the worker-occupation fit,the lower the likelihood of thyroid autoimmune abnormalities.Corporate managers should pay more attention to workers'worker-occupation fit to protect their health.

worker-occupation fitthyroid autoimmunitythyroid peroxidase antibodythyroglobulin antibodystructural equation

陈玉玲、马景璇、王娟、栗宁、黄磊、兰亚佳

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四川大学华西公共卫生学院/华西第四医院,四川 成都 610041

四川大学华西临床医学院/四川大学华西医院,四川 成都 610041

工作适配 甲状腺自身免疫 甲状腺过氧化物酶抗体 甲状腺球蛋白抗体 结构方程

2024

职业卫生与应急救援
上海市职业安全健康研究院,上海市化工职业病防治院

职业卫生与应急救援

CSTPCD
影响因子:0.515
ISSN:1007-1326
年,卷(期):2024.42(6)