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目的探讨职业危害因素接触者积极参加体检的基本情况及其影响其积极参加体检的影响因素,为有关部门制定改善职业病危害现状的政策及措施提供科学根据。方法选取成都市某职业病医院组织的体检参与个体366人,依照其是否积极参加体检分组,进行基本的统计分析描述,并利用多变量非条件logistic回归模型探索影响其积极体检的相关因素。结果其中体检积极参与者比例为87.70%;城市积极体检参与者比例(90.88%)高于农村(78.26%);不同文化水平下,以本科及以上学历积极参加体检比例最高,为96.47%,初中及以下最低,为80.00%。影响因素分析发现:医保类型、单位性质及单位是否有专人管理均会影响职业危害因素接触者积极参加体检。结论职业危害因素接触者积极参加体检与城乡环境,参与者自身文化程度与单位环境、医保等因素有关,提高职业危害因素接触者积极参加体验,需要国家、单位、相关部门以及个人的共同努力。
Objective To explore the basic situation of contacts of occupational hazards and their influence on the physical examination, and provide scientific basis for the relevant departments to formulate policies and measures to improve the current situation of occupational diseases. Methods A total of 366 physical examination participants were selected from an occupational hospital in Chengdu. According to whether they actively participated in the physical examination, basic statistical analysis and description were conducted. Multivariate non-conditional logistic regression models were used to explore the factors influencing their active physical examination. Results The proportion of active participants in physical examinations was 87.70%. The percentage of active urban physical examination participants was 90.88% higher than that in rural areas (78.26%). Under different literacy levels, the highest proportion of students with bachelor’s degree or above was 96.47% And the lowest below, is 80.00%. Analysis of influencing factors found that the type of health insurance, the nature of the unit and whether there is any staff management in the unit will affect occupational hazards and actively participate in the medical examination. CONCLUSIONS Occupational hazards are actively involved in physical examination and urban and rural environment. Participants’ own educational level is related to unit environment and health insurance. Occupation hazards are increased. Contact persons actively participate in the experience, which requires the joint efforts of countries, organizations, relevant departments and individuals.