Epidemiological study on the risk factors of chronic diseases among Xinjiang railway workers
10.3760/cma.j.issn.1674-0815.2017.02.006
- VernacularTitle:新疆某地铁路职工慢性病危险因素流行病学调查
- Author:
Xiaohong LIU
;
Jun XU
;
Mengtian ZHANG
- Keywords:
Chronic disease;
Risk factors;
Epidemiological characteristics
- From:
Chinese Journal of Health Management
2017;11(2):132-138
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the distribution of risk factors,the relationship between risk factors and chronic diseases and the order of intervention priorities of high-risk population,and to provide scientific evidence for the prevention and control of chronic diseases in different population within Xinjiang railway bureau.Methods A multi-stage stratified random sampling method was used to enroll 1 171 employees aged 18 and above from one region administered directly by the railway bureau and two other regions administered by the West Railway Station,on-site questionnaire interview and physical examination were conducted.Results The prevalence of dyslipidemia was the highest (380/1 171,32.45％),followed by hypertension (197/1 171,16.82％) and coronary atherosclerotic heart disease (75/1 171,6.40％).Age,family history,smoking,drinking,overweight and obesity,lack of physical exercise,unhealthy diet are major risk factors for chronic disease.Among the modifiable risk factors,percentage of subjects with smoking,drinking,overweight and unhealthy eating were 43.55％ (510/1 171),23.57％ (276/1 171),37.66％ (441/1 171) and 32.11％(376/1 171) respectively,the percentage of subjects with physical exercise was 38.60％(452/1 171).There were significant differences in smoking,drinking,obesity,physical exercise and unhealthy diets among different age groups (P＜0.05).In different education level,smoking rate of subjects at high school/ technical secondary school was significantly higher than those of college and above,High school/technical secondary school physical exercise rate is the lowest,36.87％ (212/575),junior college and above the lowest rate of poor diet,26.62％ (127/477).The smoking rate of diesel locomotive drivers,connecting workers are higher than other types of workers,the drinking rate of line workers,train inspection staff are higher than other types of workers,the obesity rate of diesel locomotive drivers,train inspection staff,station attendant are higher than other types of workers,the physical exercise rate of diesel locomotives drivers,conductor,truck inspection staff are lower than other types of workers.Conclusion intervention Priorities for chronic disease should be given to hypertension and dyslipidemia;production and frontline workers are a highcr risk.Intervention should focus on the top-five occupational groups ranked by the distribution of risk factors and prevalence of chronic diseases (diesel locomotive drivers,truck inspection staff,station attendants,train inspection staff and conductor).
