Study On The Relationship Between Occupational Stress And Metabolic Syndrome In Steel Workers

Objective:To explore the relationship between occupational stress and metabolic syndrome(MS)and its components in steel workers,so as to provide scientific basis for the prevention and treatment of metabolic syndrome in steel workers.Methods:Using descriptive epidemiological research methods,1491 steel workers in a steel company who were examined in an occupational health inspection institution from April 2018 to April 2019 were selected as the research object,and a health questionnaire and job content questionnaire(JCQ)were issued for Status survey.Inclusion criteria: to enter the steel production enterprise for 1 year and above,aged18-60 years.No serious organic,mental illness,and questionnaire information is complete.Collect and organize relevant data to discuss the effects of gender,age,ethnicity,tobacco and alcohol history,shifts,length of service,exposure to high temperature and types of noise,different life and eating habits on metabolic syndrome,study occupational stress and its various modules and MS and MS The relationship between various components.Epidata was used to input data,and SPSS 20.0 software was used for statistical analysis.Trend chi-square analysis of the relationship between different ages,years of service,income,etc.and the prevalence of MS.In order to avoid the bias of results caused by confounding factors,multi-factor unconditional logistic regression analysis was used to analyze occupational stress and steel workers MS and MS' component relationship.Result:1.Factors influencing the MS of steel workers:(1)The prevalence of MS among steel workers in different age,gender,education level,marital status,family history of hypertension,family history of diabetes,family history of hyperlipidemia,hyperuricemia,etc,the difference is statistically significant(P< 0.05);It is not found that the per capita monthly income of ethnic groups and families is related to the MS of steel workers;(2)Through the chi-square test,the prevalence of MS among steel workers increases with age(P<0.05),and decreases with the increase of educational level and monthly income per family(P<0.05);2.Relationship between occupational stress and MS:(1)Occupational stress and job autonomy are related to MS.The prevalence of MS in occupationally stressed steel workers is higher than that in non-occupational steel workers,and the difference was statistically significant(c2 = 7.985,P<0.05);The prevalence of MS in steel workers with low work autonomy is higher than that in steel workers with high work autonomy,the difference was statistically significant(c2= 4.346,P<0.05);no work requirements and social support were found to be related to the MS of steel workers;(2)A stratified analysis of age showed that among steel workers under 45 years old,occupational stressors had a higher MS risk than non-occupational stressors(P<0.05),which was 32.7%;among steel workers over 45 years old,occupational stressors,There was no statistically significant difference between MS and non-occupational stressors in MS risk(P>0.05).A stratified analysis of gender revealed that among male steel workers,occupational stressors had a higher MS risk than non-occupational stressors(P<0.05),which was 43.1%;among female steel workers,occupational stressers had a higher MS risk Non-professional stressors(P<0.05),24.1%.The stratified analysis of smoking and alcohol consumption results showed that among smoking steel workers,occupational stressors had a higher risk of MS than non-occupational stress groups(P<0.05),which was 43.9%.Among non-smoking steel workers,occupational stressors MS The risk of illness is higher than that of non-occupational stressors(P<0.05),which is 31.1%;among drinking steel workers,the risk of MS of occupational stressors is higher than that of non-occupational stressors,but the difference is not statistically significant(P>0.05);Among non-drinking steel workers,the occupational stressors had a higher MS risk than non-occupational stressors(P<0.05),which was 36.4%.According to the stratified analysis of working years,among steel workers with working years ? 20 years,the risk of MS in occupational stressers is higher than that of non-occupational stressors(P<0.05),which is 41.2%;among steel workers with working years<20years,occupations The prevalence of MS in patients with stress is higher than that in non-professional stressers(P<0.05),which is 33.7%.A hierarchical analysis of exposure to high temperature hazards revealed that among steel workers exposed to high temperature hazards,the risk of MS disease among occupational stressors was52.8% higher than that of non-occupational stressors(P<0.05);among steel workers not exposed to high temperature hazards,The risk of MS in occupational stressors was higher than that in non-occupational stressors,but the difference was not statistically significant(P>0.05).A hierarchical analysis of whether to work shifts.As a result,among steel workers who work shifts,the MS risk of occupational stressors is higher than that of non-occupational stressors(P<0.05),which is 37.5%;There was no statistically significant difference in MS risk among occupational stressors(P>0.05).3.The relationship between occupational stress and various dimensions and MS components:(1)After adjusting for mixed factors such as age and gender,multi-factor Logistic regression analysis found that occupational stress was the influencing factor for steel workers [OR(95%CI)] was 1.463(1.093-1.960).No job requirements,job autonomy,and social support were found to be related to MS.(2)Occupational stress and social support have an effect on blood pressure and fasting blood glucose of steel workers(P<0.05).Occupational stress ratio is positively correlated with blood pressure and fasting blood glucose(?>0).(3)Among the different combinations of MS components,the prevalence of the three component abnormalities is the highest,accounting for 79.9% of the total number of MS.Occupational stress steel workers are mainly affected by the combination of central obesity + fasting plasma glucose + high TG,Which is 18.7%.Conclusion:1.Occupational stress is a dangerous factor for steel workers 'MS.No influence of social support,job autonomy,and work requirements on steel workers' MS has been found.2.Occupational stress and social support have an impact on the blood pressure and fasting blood glucose of steel workers,and with the increase of occupational stress,blood pressure tends to increase.3.Among the professionally stressed steel workers,it is most meaningful to control the combination of central obesity + fasting plasma glucose + high TG.