【摘要】 目的 探究轮班对地铁职工健康相关生命质量的影响，为提高该职业人群的健康素养提供科学依据。方法 2019年对武汉市地铁集团职工进行研究，使用调查问卷收集人口学特征和职业史等信息。用生活质量评价量表(the Mos 36-item Short Form Health Survey, SF-36)测定其健康相关生命质量；按照性别分层，采用单因素和多因素Logistic回归模型分析轮班对该职业人群量表各维度得分的影响。结果 9 960名职工中有68.6%从事轮班工作。不同性别、工种、被动吸烟状况、锻炼习惯、睡眠状况、个人疾病史亚组人群的SF-36量表得分有显著差异(P<0.05)。与不轮班者相比，不同轮班制职工的一般健康状况、健康变化和社会功能等维度得分为差的风险均较高。并且随着轮班年限的增加，轮班者在身体机能、生理职能、一般健康状况、健康变化、精力、社会功能和精神健康维度得分为差的风险呈现为先升高再趋于平缓甚至下降的趋势。在男职工中，轮班制影响其SF-36量表各维度得分，但在女职工中未见此影响。结论 轮班工作可能是影响地铁职工健康相关生命质量的重要危险因素之一，尤以男职工为甚。更多还原

【Abstract】 Objective To investigate impacts of shift work on the health-related quality of life among metro staff, and provide scientific basis for improving the health literacy of life of them.Methods A total of 9 960 participants were the employees of a certain Metro Group Co., Ltd. in Wuhan of China. The questionnaires were used to collect information about demographic characteristics, occupational history and so on. Health-related quality of life was measured using the Mos 36-item Short Form Health Survey. Univariate and multivariate Logistic regression models were used to identify the associations between shift work and each domain of the SF-36 before and after gender stratification.Results Among 9 960 employees, 68.6% were engaged in shift work. Among the subgroups of sex, occupation, passive smoking, physical activity, sleep quality and personal history of diseases, there were statistical significances of the physical and mental component scores of the SF-36(P<0.05). Multivariate Logistic regression analysis revealed that compared with the day shift staff, those with variable types of work shifts had a higher risk of low scores of general health status, health transition and social functioning.Compared with the day shift staff, the risk of low scores of physical functioning, role-physical, general health, health transition, vitality, social functioning and mental health presented a trend of fluctuation with the increase of shift work duration. Among male staff, the type of shift work was associated with each domain of the SF-36, but not in female staff.Conclusion Shift work may be one of the most significant risk factors for health-related quality of life among metro staff, especially for male staff.更多还原