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目的:了解京郊地区温室大棚农业人员自觉健康状况并探讨其影响因素，为改善和促进温室农业人员职业健康相关策略的制定提供科学依据。方法:于2018年6月至2019年12月，依据京郊地区主要温室大棚农业区县生产特色和规模，分层随机抽取从事温室182名温室大棚农业人员作为研究对象，进行一般情况、职业情况和自觉健康状况调查，统计分析自觉健康状况的相关影响因素。结果:京郊温室大棚农业人员自觉健康问题检出率为51.6%（94/182），其中肌肉骨骼系统疾病和神经系统疾病自觉问题检出率较高，分别为29.1%（53/182）和21.4%（39/182）；温室大棚农业人员自觉健康状况在不同户籍、性别、婚姻状况、工龄、混配或喷洒农药、工作场所饮食抽烟行为等变量组间的差异均有统计学意义（n P<0.05）；性别、混配或喷洒农药、工作场所饮食吸烟等因素均对温室大棚农业人员自觉健康问题的发生风险产生明显影响（n P<0.05）；混配或喷洒农药、工作场所饮食吸烟是温室大棚农业人员自觉健康问题发生的危险因素（n OR=1.055、2.524，95%n CI：0.503~2.210、1.107~5.755）；男性是温室大棚农业人员自觉健康问题发生的保护因素（n OR=0.447，95%n CI：0.234~0.852）。n 结论:从源头上减少农药使用，降低其暴露机会，加强职业健康教育，促进良好卫生习惯养成和提高其防护意识，对于保护京郊温室大棚农业人员的职业健康具有重要意义。“,”Objective:To explore the self-conscious health status and related influencing factors of greenhouse agricultural workers in Beijing suburb, so as to provide scientific basis for developing strategies to improve and promote the occupational health conditions of those workers.Methods:According to the production characteristics and scale of the main agricultural districts or counties in the suburb of Beijing, 182 agricultural production personnel were randomly selected to investigate the general situation, occupational situation and self-conscious health status during June 2018 to December 2019. The relevant factors which may affect the self-conscious health conditions were also analyzed by statistical methods.Results:The detection or reported rate of self-conscious health problems was 51.6% (94/182) , among which 29.1% (53/182) workers reported musculoskeletal disorder diseases and 21.4% (39/182) workers reported nervous system diseases. And the self-conscious health status of greenhouse agricultural workers were statistically different in household registration, gender, marital status, working years, mixing or spraying pesticides, smoking or eating in the greenhouse (n P<0.05) . Moreover, gender, mixing or spraying pesticide, eating and smoking behavior in the workplace all had an impact on the risk of self-conscious health status of greenhouse agricultural workers (n P< 0.05) . Specifically, male is the protective factor to reduce the occurrence of self-conscious symptoms of greenhouse agricultural workers (n OR=0.447, 95%n CI: 0.234~0.852) , while mixing or spraying pesticides and smoking or eating behaviors in the workplace are the risk factors (n OR=1.055, 2.524; 95%n CI: 0.503~2.210, 1.107~5.755) .n Conclusion:Reducing pesticide use from the source thus minimize related exposure opportunities, strengthening occupational health education thus foster good hygienic habits and improve individual protection consciousness are of great significance for the health protection of greenhouse agricultural workers in Beijing suburb.