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职业紧张对不同职业人群抑郁症状的影响

A Cross Sectional Study on Occupational Stress and Depressive Symptoms among Employees with Different Occupation

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【作者】 吴金贵唐传喜庄祖嘉卢国良钮春瑾

【Author】 WU Jin-gui,TANG Chuan-xi,ZHUANG Zu-jia,LU Guo-liang,NIU Chun-jin(Changning District Center for Disease Control and Prevention,Shanghai 200051,China)

【机构】 上海市长宁区疾病预防控制中心

【摘要】 [目的]探讨职业紧张对不同职业人群抑郁症状的影响。[方法]采用横断面研究方法,调查上海市某区职业人群2 458名,年龄为20~63岁。工作紧张评估采用中文工作内容问卷(C-JCQ)与中文工作付出-回报(C-ERI)问卷,同时调查社会人口特征与个体生活行为因素,抑郁症状使用流行病学研究抑郁量表(CES-D)。采用多因素非条件logistic回归分析社会人口特征与职业紧张因素对抑郁症状的影响。[结果]抑郁评估均分为(16.1±7.2)分,抑郁症状阳性率为44.0%。社会人口与行为特征因素中,职务、受教育程度、工作时间、吸烟与抑郁症状有统计学关联。职业紧张评估变量中,高工作紧张、低工作控制、低社会支持、高工作付出-回报不平衡、高内在驱动是抑郁症状的危险因素。[结论]社会人口特征与职业紧张因素均可能增加职业人群抑郁症状的风险。

【Abstract】 [Objective] To explore the relation between occupational stress and symptoms of depression in different occupational population.[Methods] This cross-sectional study included 2 458 working population,aging 20-63,in a district of Shanghai.The Chinese version of Karasek’s Job Content Questionnaire(C-JCQ) and the Chinese version of Siegrist’s Effort-Reward Imbalance Questionnaire(C-ERI) were used to measure job strain,and the Chinese version of Center for Epidemiological Survey Depression Scale(CES-D) was used to assess depressive symptoms.Sociodemographic characteristics and individual life behaviors were also investigated.Logistic regression analysis was used to determine the associations between depressive symptoms and occupational stress factors.[Results] The average CES-D score reached 16.1±7.2 and the prevalence of depressive symptoms was 44.0% of the occupational population enrolled.Education level,job position,working time,and smoking were related with depressive symptoms.High job strain,low job control,low social support,high over-commitment,and high effort-reward imbalance were risk factors for depressive symptoms.[Conclusion] Demographic characteristics and work stressors could increase the risk of developing depressive symptoms among working populations.

【基金】 上海市长宁区卫生局科研基金项目(编号:2007307001)
  • 【文献出处】 环境与职业医学 ,Journal of Environmental & Occupational Medicine , 编辑部邮箱 ,2012年01期
  • 【分类号】R131
  • 【被引频次】33
  • 【下载频次】502
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