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唐山市社区居民职业健康检查参与率及影响因素分析

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目的 了解唐山市社区居民的职业健康检查参与率及影响因素.方法 2022年3-9月,采用多阶段分层随机抽样方法,抽取唐山市1 890名常住社区居民进行问卷调查,并对数据进行分析.结果 唐山市社区居民职业健康检查参与率为69.4%.Logistic回归结果显示,文化程度高、脑力劳动、自评身体健康状况良好、家庭氛围和睦、参加健康教育活动、认为有必要参加职业健康检查、电子健康素养高均是社区居民参与职业健康检查的保护因素(OR=1.793、1.692、8.075、4.649、1.683、1.391和2.321,均P<0.05).决策树模型分析结果显示,自评身体健康状况、家庭氛围、参加健康教育活动、文化程度、职业、职业健康检查认知、电子健康素养是社区居民参与职业健康检查的影响因素(均P<0.05).Logistic回归模型显示,灵敏度为81.2%,特异度为77.0%,曲线下面积为0.872;决策树模型灵敏度为79.3%,特异度为79.8%,曲线下面积为0.865.两个模型的曲线下面积差异无统计学意义(Z=1.640,P>0.05).结论 唐山市社区居民职业健康检查率仍有可提升空间,可以通过参加社区开展的健康教育活动、树立正确的健康认知、提升电子健康素养等多种手段提高居民职业健康检查参与率,早期发现疾病,以更好地预防疾病.
Analysis on participation rate and influencing factors of occupational health examination for community residents in Tangshan City
Objective To understand the participation rate and influencing factors of occupational health examinations among community residents in Tangshan City.Methods From March to September 2022,a multi-stage stratified random sampling method was used to select 1 890 permanent community residents in Tangshan City for a questionnaire survey,and the data were analyzed.Results The participation rate of occupational health examinations among community residents in Tangshan City was 69.4%.The logistic regression results showed that high education level,mental labor,good self-rated physical health status,harmonious family atmosphere,participation in health education activities,belief in the necessity of participating in occupational health examinations,and high electronic health literacy were all protective factors for community residents to participate in occupational health examinations(OR=1.793,1.692,8.075,4.649,1.683,1.391,2.321,all P<0.05).The analysis results of the decision tree model showed that self-rated physical health,family atmosphere,participation in health education activities,educational level,occupation,cognition of occupational health examination,and e-health literacy were the influencing factors of community residents'participation in health examination(all P<0.05).The sensitivity of the logistic regression model was 81.2%,the specificity was 77.0%,and the area under the curve was 0.872.The sensitivity of the decision tree model was 79.3%,the specificity was 79.8%,and the area under the curve was 0.865.There was no significant difference in the area under the curve between the two models(Z=1.640,P>0.05).Conclusion There is still room for improvement in the occupational health examination rate of community residents in Tangshan City.Various measures can be taken to increase the participation rate of residents in occupational health examinations,such as participating in health education activities organized by the community,establishing correct health awareness,and improving electronic health literacy,in order to detect diseases early and better prevent them.

Community residentsOccupational health examinationInfluencing factors

路瑜臻、张微、岳淑玲、董彬、张晓松、葛洁明

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唐山爱尔眼科医院眼科,河北唐山 063000

华北理工大学附属医院护理部,河北唐山 063000

社区居民 职业健康检查 影响因素

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(14)
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