职业性噪声暴露对某石油炼化企业职工抑郁症状的影响OA
Association between occupational noise exposure and depressive symptoms among employees in a petrochemical enterprise
[背景]抑郁症状已成为影响职业人群身心健康的重要因素,而石油炼化企业职工在工作中面临多种应激源. [目的]探讨职业性噪声暴露对某石油炼化企业职工抑郁症状的影响. [方法]本研究采用横断面研究设计,于 2024年 7月对海南省某石油炼化企业职工进行问卷调查,收集研究对象的基本信息,采用《流调中心用抑郁量表》(CES-D)对抑郁症状进行评估,采用中文版《匹兹堡睡眠质量指数(PSQI)量表》对睡眠质量进行评价,采用中文版《付出-回报失衡(ERI)量表》对职业紧张进行评价.采用卡方检验比较不同特征人群的抑郁症状检出率差异,并运用二元logistic回归模型分析职业性噪声暴露等因素对抑郁症状的影响. [结果]研究对象抑郁症状检出率为 42.7%.多因素分析结果显示,相较于对照组,职业性噪声低暴露组和高暴露组职工抑郁症状发生风险更高,其OR(95%CI)分别为 2.244(1.131～4.454)和 1.970(1.009～3.850);且在调整性别、年龄、工龄及其他职业暴露等多种混杂因素后,该关联依然稳定存在.此外,研究发现女性[OR(95%CI)为1.483(1.039～2.118)]、苯系物暴露[OR(95%CI)为 1.621(1.208～2.174)]、睡眠障碍[OR(95%CI)为 3.772(2.942～4.838)]及职业紧张[OR(95%CI)为2.018(1.575～2.585)]等因素也与抑郁症状检出率增高有关. [结论]该石油炼化企业职工抑郁症状检出率较高,职业性噪声暴露可能是抑郁症状的危险因素.
[Background]Depressive symptoms have become a significant factor affecting the physical and mental health of the occupational population,and workers in petroleum refining enterprises face multiple stressors in their work environment. [Objective]To explore the impact of occupational noise exposure on depressive symptoms among workers in a petroleum refining enterprise. [Methods]This cross-sectional study was conducted in July 2024 using a questionnaire survey among workers of a petroleum refining enterprise in Hainan Province.Basic information of the subjects was collected.The Center for Epidemiologic Studies Depression Scale(CES-D)was used to measure depressive symptoms,the Chinese version of the Pittsburgh Sleep Quality Index(PSQI)scale was used to assess sleep quality,and the Chinese version of the Effort-Reward Im-balance(ERI)scale was used to evaluate occupational stress.Chi-square test was employed to compare the differences in reporting depressive symptoms among populations with different characteristics.Binary logistic regression models were used to analyze the impact of occupational noise exposure and other factors on depressive symptoms. [Results]The overall positive rate of depressive symptoms in the study population was 42.7%.The results of the multifactor analysis indi-cated that compared with the control group,employees in both the low-exposure and high-exposure groups had elevated odds of de-pressive symptoms,with OR(95%CI)of 2.244(1.131,4.454)and 1.970(1.009,3.850),respectively.This association remained robust after adjusting for potential confounders,including gender,age,work tenure,and other occupational exposures.Additionally,female[OR(95%CI)=1.483(1.039,2.118)],exposure to benzene,toluene,or xylene[OR(95%CI)=1.621(1.208,2.174)],sleep disturbance[OR(95%CI)=3.772(2.942,4.838)],and occupational stress[OR(95%CI)=2.018(1.575,2.585)]were also significantly associated with higher odds of depressive symptoms. [Conclusion]The positive rate of depressive symptoms is relatively high among employees in this petrochemical enterprise,and occupa-tional noise exposure may be a risk factor for depressive symptoms.
彭建业;苏朱娜;莫瑞莲;李嘉欣;吴祺晟;范世恒;周炳贤;于德娥;张静
海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199海南医科大学公共卫生学院/热带转化医学教育部重点实验室/Heinz Mehlhorn院士工作站,海南 海口 571199
医药卫生
噪声石油抑郁症状职工职业紧张睡眠质量
noisepetroleumdepressive symptomemployeeoccupational stresssleep quality
《环境与职业医学》 2026 (2)
189-195,7
海南省自然科学基金高层次人才项目(825RC779)2024海南医科大学研究生创新科研课题项目(Qhys2024-451)海南医科大学高层次人才科研启动基金项目(XRC190011)海南医科大学本科生科研创新项目(RZ2500002186)
评论