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首页> 外文期刊>Journal of occupational health >Work-related factors associated with visiting a doctor for a medical diagnosis after a worksite screening for diabetes mellitus in Japanese male employees.
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Work-related factors associated with visiting a doctor for a medical diagnosis after a worksite screening for diabetes mellitus in Japanese male employees.

机译：与在日本男性员工糖尿病患者筛选后访问医生的工作相关因素。

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摘要

This paper aims to investigate the work-related factors that affect whether Japanese male employees will seek a medical diagnosis after being screened for diabetes mellitus. Participants in this study received a questionnaire two months after receiving the results of their physical checkup. The analysis focused on 213 regular employees of small and medium-sized companies who were aged 35-64 and who had tested positive for diabetes in a screening. Only 42% of the subjects visited a doctor for medical diagnosis during an average follow-up period of 47.5 d. Cox's proportional hazard regression was used to analyze the length of time between the employees' receipt of the results and their first visit to a doctor's office. The employees who could comfortably take a day off, compared to those who found it difficult to do so, were more likely to visit a doctor (hazard ratio (HR) 1.94; 95% confidence interval (CI) 0.85, 4.42; p for trend 0.05). In addition, employees with a high level of psychological job control, compared to those with low level of job control, were more likely to visit a doctor (HR 1.80; 95%CI 0.94, 3.45; p for trend 0.08). Employees who worked the longest (61 h per week or more) were less likely to visit a doctor than those working from 41 to 60 h weekly (HR 0.41; 95%CI 0.17, 0.98). The findings suggest that a flexible work schedule, autonomy at work, and no excessive working hours tend to improve the chance of visiting a doctor after screening for diabetes mellitus.
机译：本文旨在调查影响日本男性员工是否会在筛选糖尿病后寻求医疗诊断的工作相关因素。本研究中的参与者在收到物理检查结果后两个月内收到问卷。分析专注于213名中小型公司的常规员工，年龄在35-64岁的中小型公司，并在筛查中测试了糖尿病阳性。在平均随访期间，只有42％的受试者在47.5天的平均随访期间访问了医学诊断。 Cox的比例危险回归用于分析员工收到结果之间的时间长度及其第一次访问医生办公室。与那些发现难以这样做的人相比，可以舒适地休息一天的员工更有可能访问医生（危险比（HR）1.94; 95％置信区间（CI）0.85,4.42; P用于趋势0.05）。此外，与工作控制水平低的人相比，员工具有高水平的心理工作控制，更有可能访问医生（HR 1.80; 95％CI 0.94,3.45; P趋势0.08）。工作最长（每周61小时或更多）的员工不太可能访问医生，而不是每周工作到41至60小时（HR 0.41; 95％CI 0.17,0.98）。调查结果表明，工作时间表，工作中的自主权，而且没有过度的工作时间往往会在筛选糖尿病筛选后访问医生的机会。

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