唐山市社区居民职业健康检查参与率及影响因素分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (14): 1984-1989.

唐山市社区居民职业健康检查参与率及影响因素分析

路瑜臻¹, 张微², 岳淑玲², 董彬², 张晓松², 葛洁明²

1.唐山爱尔眼科医院眼科,河北唐山 063000;
2.华北理工大学附属医院护理部,河北唐山 063000

收稿日期:2024-02-23 修回日期:2024-03-17 发布日期:2026-03-17
通信作者: 岳淑玲,副主任护师,E-mail：32731588@qq.com
作者简介:路瑜臻,男,主治医师,主要从事劳动卫生和眼科工作。

Analysis on participation rate and influencing factors of occupational health examination for community residents in Tangshan City

LU Yuzhen¹, ZHANG Wei², YUE Shuling², DONG Bin², ZHANG Xiaosong², GE Jieming²

1. Ophthalmology Department, Tangshan Aier Eye Hospital, Tangshan, Hebei 063000, China;
2. Nursing Department, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, China

Received:2024-02-23 Revised:2024-03-17 Published:2026-03-17
Contact: YUE Shuling,Deputy chief nurse,E-mail：32731588@qq.com

摘要/Abstract

摘要： 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。

关键词: 社区居民, 职业健康检查, 影响因素

Abstract: 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.

Key words: Community residents, Occupational health examination, Influencing factors

中图分类号:

R195

路瑜臻, 张微, 岳淑玲, 董彬, 张晓松, 葛洁明. 唐山市社区居民职业健康检查参与率及影响因素分析. [J]职业与健康, 2024, 40(14): 1984-1989.

LU Yuzhen, ZHANG Wei, YUE Shuling, DONG Bin, ZHANG Xiaosong, GE Jieming. Analysis on participation rate and influencing factors of occupational health examination for community residents in Tangshan City. [J]OCCUPATION AND HEALTH, 2024, 40(14): 1984-1989.

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