Analysis on current status and influencing factors of risk screening for obstructive sleep apnea among power plant employees in Taishan City

Abstract

Abstract: Objective To understand the current status of screening of obstructive sleep apnea（OSA） risk among power plant employees in Taishan City,analyze the influencing factors of its increased risk,and explore the changes and significance of blood indicators related to OSA in non-diagnosed populations,aiming to provide a theoretical basis for promoting subsequent research on disease prevention. Methods Convenience sampling was used to select 242 employees from a power plant in Taishan City who underwent physical examination in August 2023. STOP-Bang questionnaire was used to screen them for obstructive sleep apnea,and they were divided into low-risk group（STOP-Bang score <3 points） and high-risk group（STOP-Bang score ≥3 points）. The baseline data and blood indexes of the two groups were compared,and the influencing factors of OSA risk degree were analyzed by Poisson regression. Results There were 113 high-risk patients with OSA,with a high-risk rate of 46.7%. Poisson regression results showed that male（RR=6.56,95%CI：2.546-16.901）,aged 40-<60 years（RR=1.713,95%CI：1.270-2.311）,aged ≥60 years（RR=2.230,95%CI：1.197-4.155）,diagnosed with OSA related diseases（RR=1.493,95%CI：1.137-1.960）,triglycerides（RR=1.596, 95%CI：1.224-2.081）,total cholesterol（RR=1.066,95%CI：1.020-1.115）,low-density lipoprotein（RR=5.287,95%CI：2.330-11.997）,uric acid（RR=1.002,95%CI：1.000-1.003）,blood glucose（RR=1.050,95%CI：1.023-1.079）,glycated hemoglobin（RR=1.085, 95%CI：1.034-1.138） were independent risk factors for OSA,while high-density lipoprotein（RR=0.750,95%CI：0.632-0.889） was independent protective factor. Conclusion The high risk rate of OSA among employees in the power plant is relatively high,and the high risk rate contrasts sharply with the low diagnostic rate. It is suggested that medical institutions at all levels should pay attention to the popularization of OSA. According to the analysis results,it is suggested that the employees of the power plant should pay attention to their own blood lipid,blood glucose and uric acid levels,and they should actively undergo screening and diagnosis of OSA,if there is a significant increase,especially for elderly males and those with a history of OSA related diseases.

Key words: Obstructive sleep apnea, Disease risk, Screening, Current situation, Analysis of influencing factors

CLC Number:

WU Ao, XIE Hongzhen, DUAN Xinyu, FAN Xiaoqi, WANG Jianjing, REN Lifang. Analysis on current status and influencing factors of risk screening for obstructive sleep apnea among power plant employees in Taishan City. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1197-1202.

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