| 蔡长伟,杨波,范云喆,余彬,董舒,付瑶,冯传腾,曾红莲,贾鹏,杨淑娟.职业人群工作环境噪声感知与心血管疾病、抑郁症状及其共病的关联[J].Chinese journal of Epidemiology,2024,45(3):417-424 |
| 职业人群工作环境噪声感知与心血管疾病、抑郁症状及其共病的关联 |
| Association between work environment noise perception and cardiovascular diseases, depressive symptoms, and their comorbidity in occupational population |
| Received:July 15, 2023 |
| DOI：10.3760/cma.j.cn112338-20230715-00009 |
| KeyWord: 噪声感知 心血管疾病 抑郁症 身心疾病 工作环境 |
| English Key Word: Noise perception Cardiovascular disease Depressive disorder Physical and mental illnesses Work environment |
| FundProject:国家重点研发计划（2023YFC3604702）；国家自然科学基金（42271433）；四川省重点研发项目（2023YFS0251）；武汉大学人民医院交叉创新人才项目（JCRCYG-2022-003）；武汉大学学院国际化发展重点专项支持计划（WHU-GJZDZX-PT07） |
| Author Name | Affiliation | E-mail | | Cai Changwei | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China | | | Yang Bo | Affiliated Hospital of Chengdu University, Chengdu 610081, China | | | Fan Yunzhe | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China | | | Yu Bin | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
Institute for Disaster Management and Reconstruction, Sichuan University-the Hong Kong Polytechnic University, Chengdu 610207, China | | | Dong Shu | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China | | | Fu Yao | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China | | | Feng Chuanteng | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
Institute for Disaster Management and Reconstruction, Sichuan University-the Hong Kong Polytechnic University, Chengdu 610207, China | | | Zeng Honglian | Affiliated Hospital of Chengdu University, Chengdu 610081, China | | | Jia Peng | School of Resource and Environmental Sciences, Wuhan University, Wuhan 430072, China
School of Public Health, Wuhan University, Wuhan 430071, China
International Institute of Spatial Lifecourse Health, Wuhan University, Wuhan 430072, China | jiapengff@hotmail.com | | Yang Shujuan | West China School of Public Health/The Fourth Hospital of West China, Sichuan University, Chengdu 610041, China
Affiliated Hospital of Chengdu University, Chengdu 610081, China
International Institute of Spatial Lifecourse Health, Wuhan University, Wuhan 430072, China | rekiny@126.com |
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| Abstract: |
| 目的 分析职业人群的工作环境噪声感知与心血管疾病（CVD）、抑郁症状及其共病的关系，为身心疾病的防控提供科学依据。方法 采用横断面调查研究设计，来自2021年10-12月四川省、贵州省28个地级市和重庆市33个区（县）中国铁路成都局集团有限公司的西南职业人群队列基线数据，通过问卷调查获取工作环境噪声感知、抑郁症状和CVD史等情况，并采用潜在剖面分析模型确定噪声感知类型，采用多分类logistic回归分析探讨不同噪声感知类型与CVD、抑郁症状及其共病的关系。结果 共纳入30 509名研究对象，年龄为（36.6±10.5）岁，82.0%为男性。工作环境噪声直接感受、心理影响、听力/睡眠影响程度的增加均会升高单纯CVD、单纯抑郁症状及其共病的患病风险。采用潜在剖面分析，将噪声感知分为低、中、高和极高水平。与低水平噪声感知相比，噪声感知水平越高，与单纯CVD、单纯抑郁症状和CVD合并抑郁症状的关联越强，其中极高水平噪声感知与低水平相比，单纯CVD、单纯抑郁症状、CVD合并抑郁症状人群的患病风险分别增加了2.14（95%CI：1.73~2.65）倍、8.80（95%CI：7.91~9.78）倍、17.02（95%CI：12.78~22.66）倍。结论 不同噪声感知类型与CVD和抑郁症状有关，对CVD合并抑郁症状危害更大。应降低职业人群工作环境噪声强度，减少患身心疾病的风险。 |
| English Abstract: |
| Objective To explore the association between occupational noise perception and cardiovascular disease (CVD), depression symptoms, as well as their comorbidity in occupational population and provide evidence for the prevention and control of physical and mental illnesses. Methods A cross-sectional survey design was adopted, based on baseline data in population in 28 prefectures in Sichuan Province and Guizhou Province, and 33 districts (counties) in Chongqing municipality from Southwest Occupational Population Cohort from China Railway Chengdu Group Co., Ltd. during October to December 2021. A questionnaire survey was conducted to collect information about noise perception, depressive symptoms, and the history of CVD. Latent profile analysis model was used to determine identify noise perception type, and multinomial logistic regression analysis was conducted to explore the relationship between different occupational noise perception types and CVD, depression symptoms and their comorbidity. Results A total of 30 509 participants were included, the mean age was (36.6±10.5) years, and men accounted for 82.0%. The direct perception of occupational noise, psychological effects and hearing/sleep impact of occupational noise increased the risk for CVD, depressive symptoms, and their comorbidity. By using latent profile analysis, occupational noise perception was classified into four levels: low, medium, high, and very high. As the level of noise perception increased, the association with CVD, depressive symptoms, and their comorbidity increased. In fact, very high level occupational noise perception were found to increase the risk for CVD, depressive symptoms, and their comorbidity by 2.14 (95%CI: 1.73-2.65) times, 8.80 (95%CI: 7.91-9.78) times, and 17.02 (95%CI: 12.78-22.66) times respectively compared with low-level occupational noise perception.Conclusions Different types of occupational noise perception are associated with CVD and depression symptom, especially in the form of CVD complicated with depression symptom. Furthermore, the intensity of occupational noise in the work environment should be reduced to lower the risk for physical and mental health. |
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