Prevalence of overweight and obesity among nurses in Scotland: A cross-sectional study using the Scottish Health Survey
Prevalence of overweight and obesity among nurses in Scotland: A cross-sectional study using the Scottish Health Survey
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DOI：
10.1016/j.ijnurstu.2015.10.015
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发表时间：
2016-01-01
影响因子：
8.1
通讯作者：
Atherton, Iain M.
中科院分区：
文献类型：
--
作者：
Kyle, Richard G.;Neall, Rosie A.;Atherton, Iain M.
背景：超重和肥胖的流行率日益增加，这是一种全球性流行病。作为国际医疗保健系统中最大的职业群体，护士处于促进健康以应对这一流行病的最前沿。然而，护士自己的健康行为是众所周知的影响程度，他们从事健康促进和公众的信心提供的建议。因此，估计护士超重和肥胖的患病率是很重要的。然而，到目前为止，患病率的估计是基于非代表性的样本和国际上没有研究比较超重和肥胖的患病率护士与其他医疗保健专业人员使用的representativeddata.Objectives：估计超重和肥胖的患病率护士在苏格兰，并比较其他医疗保健专业人员和那些在非健康相关的职业工作。设计：利用五轮年度汇总的全国代表性样本进行的横断面研究（2008-2012）的苏格兰健康调查。设置：苏格兰。参与者：13，483名17-65岁的成年人，表明他们在过去4周内工作过，分为四个职业组：护士（n = 411）、其他医疗保健专业人员（n = 320）、不合格护理人员（n = 685）和从事非健康相关职业的个人（n = 12，067）。主要结果测量：超重和肥胖的患病率，定义为体重指数>= 25.0。计算每个职业组的超重和肥胖患病率估计值及其95%置信区间（CI）。然后建立逻辑回归模型，比较护士与其他职业类别相比超重或肥胖与不超重或肥胖的几率。结果：69.1%（95%CI 64.6，73.6）的苏格兰护士超重或肥胖。护士超重和肥胖的患病率高于其他医疗保健专业人员（51.3%，CI 45.8，56.7），不合格的护理人员（68.5%，CI 65.0，72.0）和非健康相关职业（68.9%，CI 68.1，69.7）。根据社会人口学组成调整的逻辑回归模型表明，与护士相比，其他医疗保健专业人员超重或肥胖的几率在统计学上显着降低（比值比[OR] 0.45，CI 0.33，0.61）和非健康相关职业结论：苏格兰护士超重和肥胖的患病率很高，并且显著高于其他医疗保健专业人员和非健康相关职业。超重和肥胖的高患病率对护士自身的健康有潜在的危害，也影响了护士健康促进作用的有效发挥。因此，迫切需要采取干预措施，以解决苏格兰护士队伍中的超重和肥胖问题。(C)2015爱思唯尔有限公司版权所有。
Background: Increasing prevalence of overweight and obesity represents a global pandemic. As the largest occupational group in international healthcare systems nurses are at the forefront of health promotion to address this pandemic. However, nurses own health behaviours are known to influence the extent to which they engage in health promotion and the public's confidence in advice offered. Estimating the prevalence of overweight and obesity among nurses is therefore important. However, to date, prevalence estimates have been based on non-representative samples and internationally no studies have compared prevalence of overweight and obesity among nurses to other healthcare professionals using representative data.Objectives: To estimate overweight and obesity prevalence among nurses in Scotland, and compare to other healthcare professionals and those working in non-heath related occupations.Design: Cross-sectional study using a nationally representative sample of five aggregated annual rounds (2008-2012) of the Scottish Health Survey.Setting: Scotland.Participants: 13,483 adults aged 17-65 indicating they had worked in the past 4 weeks, classified in four occupational groups: nurses (n = 411), other healthcare professionals (n = 320), unqualified care staff (n = 685), and individuals employed in non-health related occupations (n = 12,067).Main outcome measures: Prevalence of overweight and obesity defined as Body Mass Index >= 25.0.Methods: Estimates of overweight and obesity prevalence in each occupational group were calculated with 95% confidence intervals (CI). A logistic regression model was then built to compare the odds of being overweight or obese with not being overweight or obese for nurses in comparison to the other occupational categories. Data were analysed using SAS 9.1.3.Results: 69.1%(95% CI 64.6, 73.6) of Scottish nurses were overweight or obese. Prevalence of overweight and obesity was higher in nurses than other healthcare professionals (51.3%, CI 45.8, 56.7), unqualified care staff (68.5%, CI 65.0, 72.0) and those in non-health related occupations (68.9%, CI 68.1, 69.7). A logistic regression model adjusted for sociodemographic composition indicated that, compared to nurses, the odds of being overweight or obese was statistically significantly lower for other healthcare professionals (Odds Ratio [OR] 0.45, CI 0.33, 0.61) and those in non-health related occupations (OR 0.78, CI 0.62, 0.97).Conclusions: Prevalence of overweight and obesity among Scottish nurses is worryingly high, and significantly higher than those in other healthcare professionals and non-health related occupations. High prevalence of overweight and obesity potentially harms nurses' own health and hampers the effectiveness of nurses' health promotion role. Interventions are therefore urgently required to address overweight and obesity among the Scottish nursing workforce. (C) 2015 Elsevier Ltd. All rights reserved.