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