Obesity Prevalence by Occupation in Washington State, Behavioral Risk Factor Surveillance System
Obesity Prevalence by Occupation in Washington State, Behavioral Risk Factor Surveillance System
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DOI：
10.5888/pcd11.130219
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发表时间：
2014-01-01
影响因子：
5.5
通讯作者：
Fan, Z. Joyce
中科院分区：
文献类型：
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作者：
Bonauto, David K.;Lu, Dayu;Fan, Z. Joyce
根据职业估计工人肥胖的患病率和风险因素的数据通常不可用，可以告知工作场所健康计划的优先顺序。本研究的目的是估计肥胖的患病率的职业，研究的协会职业体力活动和一系列的健康行为与肥胖，并确定职业中的工人是在高风险的肥胖在华盛顿State.MethodsWe进行了描述性和多变量分析，从2003年到2009年，626名受雇于华盛顿州的受访者在奇数年使用行为风险因素监测系统。我们估计患病率和患病率比（PR）调整人口统计学，职业体力活动水平，吸烟，水果和蔬菜的消费，休闲时间体力活动（LPTA）。结果整体肥胖患病率为24.6%（95%置信区间[CI]，24.0-25.1）。防护服务工作者肥胖的可能性是健康诊断工作者的2.46倍（95%CI，1.72-3.50）。与他们的同龄人相比，食用足够量的水果和蔬菜并具有足够的LTPA的工人患肥胖症的可能性显著降低（分别为PR = 0.91; 95%CI，0.86-0.97和PR = 0.63; 95%CI，0.60-0.67）。体力要求的职业体力活动的工人有一个较低的PR肥胖（PR = 0.83; 95%CI，0.78-0.88）比那些非体力要求的职业体力activity.ConclusionObesity患病率和健康危险行为的职业差异很大。雇主、政策制定者和健康促进从业者可以利用我们的研究结果来确定工作场所肥胖预防和健康行为促进计划的目标和优先顺序。
IntroductionData that estimate the prevalence of and risk factors for worker obesity by occupation are generally unavailable and could inform the prioritization of workplace wellness programs. The aims of this study were to estimate the prevalence of obesity by occupation, examine the association of occupational physical activity and a range of health behaviors with obesity, and identify occupations in which workers are at high risk of obesity in Washington State.MethodsWe conducted descriptive and multivariable analyses among 37,626 employed Washington State respondents using the Behavioral Risk Factor Surveillance System in odd numbered years, from 2003 through 2009. We estimated prevalence and prevalence ratios (PRs) by occupational groups adjusting for demographics, occupational physical activity level, smoking, fruit and vegetable consumption, and leisure-time physical activity (LPTA).ResultsOverall obesity prevalence was 24.6% (95% confidence interval [CI], 24.0-25.1). Workers in protective services were 2.46 (95% CI, 1.72-3.50) times as likely to be obese as workers in health diagnosing occupations. Compared with their counterparts, workers who consumed adequate amounts of fruits and vegetables and had adequate LTPA were significantly less likely to be obese (PR = 0.91; 95% CI, 0.86-0.97 and PR = 0.63; 95% CI, 0.60-0.67, respectively). Workers with physically demanding occupational physical activity had a lower PR of obesity (PR = 0.83; 95% CI, 0.78-0.88) than those with nonphysically demanding occupational physical activity.ConclusionObesity prevalence and health risk behaviors vary substantially by occupation. Employers, policy makers, and health promotion practitioners can use our results to target and prioritize workplace obesity prevention and health behavior promotion programs.