章节

职业人群社会经济地位与因病缺勤的关联研究

摘要

目的 探讨社会经济地位与因病缺勤的关联。方法 采用分层整群抽样的方法,在选取的5类工作场所中抽取3553人进行问卷调查。根据职工过去1年内因病缺勤天数将其分为低缺勤组和高缺勤组,采用单因素分析方法描述社会经济地位、工作状况和行为生活方式与因病缺勤的相关性,并分性别计算集中指数;采用多因素Logistic回归分析方法描述社会经济地位与高缺勤率的关联,并分析工作状况和行为生活方式能否解释该关联。结果 社会经济地位与因病缺勤呈现反向的社会经济梯度联系,集中指数表明社会经济地位较低的职工倾向于高缺勤。调整社会人口学、工作状况及行为生活方式因素后,相对于高文化程度,中等及低文化程度职工高缺勤的风险OR值分别为1.41(95%CI:1.06~1.88),1.91(95%CI:1.47~2.48);相对于高职业阶层,中等及低职业阶层职工高缺勤的风险OR值分别为1.34(95%CI:0.99~1.80),1.40(95%CI:1.06~1.84)。结论 社会经济地位与因病缺勤存在反向关联,不同社会经济地位的职工存在健康不平等状况。工作状况和行为生活方式因素不能充分解释社会经济地位对因病缺勤的影响,其相关机制有待进一步研究。

作者

申洋

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职业人群社会经济地位与因病缺勤的关联研究

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