Health Status Of Intellectual With High Professional Title In Chongqing And Countermeasures

Objective: Study the health condition and disease risk factors of the intellectuals with high professional title, offer effective protecting policies and suggestion, for improving the health status of intellectuals with high professional in Chongqing.PARTⅠhealth condition of the intellectuals with high professional title and its trendsMethods: Used the prevalence study,and collected data by the means of cluster sampling. Persons with high professional title in Chongqing from 67 units received physical examination twice in 2004 and 2006. we Analysised and comparised the result of the physical examination then explored the trend.The routine checking department involved include: the department of internal medicine(blood pressure, heart and lung auscultation, abdominal palpation, nerve reflex) , surgery(check the skin, lymph nodes, limbs, spine, anus, hernia) ,E NT department ,department of stomatology and gynecology, and the routine items include: biochernistrv , X-ray , electrocardiogram, uhrasound et a1。Result: 1.There were 1100 persons with high professional title took health check including 853 males(77.55%) and 247 females(22.45%).the average age of those people was 52.80±8.08 in 2004.There were 1475 persons with high professional title took health check including1101 males(74.64%) and 374 females(26.36%) in 2006.the average age of those people was 52.95±8.30(34-83).Most of the people in 55 age group. 2. 1078 of 1100 examined persons(98% )had different degree of heath problcms. The frist three leading diseases in 2004 were hypertension (28.18%),hyperlipemia(24.55%) and fatty liver (20.00%).1468 of 1475 examined persons(99.35 %) had different degree of heath problems in 2006. The frist three leading diseases in were hyperlipemia(47.86%) , fatty liver(27.12%) and hypertension (25.36%).the prevalence of the three diseases were significantly higher than 2004, particular the growth of hyperlipemia(23.31%) . The datas about health check in 2004 and 2006 showed that, it was important to prevent and treat hyperlipemia, fatty liver and hypertension in the intellectuals with high professional title in Chongqing. 3.Datas in 2004 and 2006 showed that people belonged 55~ age group and 66~age group were easy to suffer from cataract. 4. 247 women staffs participated in gynecological examinations in 2004 and 374 in 2006.The frist three leading disease were chronic cervicities,colpitis,breast hyperplasia.PARTⅡThe Research about Risk factors of major diseases questionnaire for senior intellectuals in Chongqing Methods: (1)Survey instrument risk factors of major diseases questionnaire for senior intellectuals in Chongqing. By consulting relevant literature and knowing the source of the risk factors about health ,we designed the theoretical framework of the questionnaire.the item pool was certified by experts and focus group.After the pre-survey ,we knew The feasibility of the questionnaire by completion time and completion rate of the questionnaire. And the validity(face validity and content validity) and reliability(test-retest reliability and internal consistency) of the questionnaire were good.(2) In 2006,the survey used asimple random sampling design and 172 ones(12%) out of all persons with high professional title took part in investigation,and selected risk factors of the major disease by multiple stepwise regression method.Result: 1.Datas showed that: smokers, alcohol user nearly accounted for the half of the survey population.(43.02%,49.41%),most of the people didn't like do exercise and 65.12% person didn't change their eating habit even they had chronic health problems.92.44% people considered work intensity was heavy,only 22.67% people could have rest at the weekend and during the holiday.65.11% people had radical occupation attitude to their work,only 5 people considered work as fun. 91.86% people satisfied their working environment.81.98% people had good relationship with their colleagues.90.70% people had good relationship with their children. 95.35% people satisfied with their marriage. 56.40% people had good family function. 2. Animal oil(OR=4.662; 95%CI 1.136-19.137),radical occupation attitude(OR=10.214;95%CI 4.873-21.410) were risk factors of hyperlipemia.Age growth(OR=1.934;95%CI 1.897-1.973),animal oil(OR=4.323; 95%CI 1.091-17.126) ,mid-night supper ( OR=1.350; 95%CI 1.1449-1.850),were risk factors of fatty liver disease. Age growth (OR=2.852;95%CI1.454-6.192),smoke(OR=1.952; 95%CI 1.909-1.996),radical occupation attitude(OR=6.223; 95%CI 4.439-15.626) were risk factors of hypertension。Conclusion:1.The study indicated that the health status of intellectuals with high professional title in Chongqing was not good,it is associated with a lot of affecting factors.Taking Physical examination regularly,the measures of strengthening health education,advocating healthy behavior and living habit ,health management would be helpful for enhancing the health level of the these intellectuals.