环境与职业医学2025，Vol.42Issue(1)：89-94,6.DOI:10.11836/JEOM24299
长时间远洋航行人员功能性胃肠病患病现状及相关因素
Prevalence and related factors of functional gastrointestinal diseases among long distance voyagers
摘要
Abstract
[Background]Functional gastrointestinal diseases(FGIDs)are the most common digestive system disorders that seriously endanger the health of affected individuals. [Objective]To understand the prevalence of FGIDs in long-term ocean voyagers and analyze their influencing factors,in order to provide a scientific basis for formulating FGIDs prevention strategies. [Methods]Using cluster sampling method,a cross-sectional survey was conducted among the long distance voyagers of a company in Qingdao within one week after the completion of the voyage in September 2023.The survey used a general information questionnaire to collect de-mographic data and lifestyle habits,and the Rome Ⅳ Diagnostic Questionnaire for Adults to di-agnose FGIDs.The included research subjects were divided into a FGIDs group and a non FGIDs group.Anxiety,depression,sleep,and stress were evaluated using the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Pittsburgh Sleep Quality Index(PSQI),and Chinese Per-ceived Stress Scale(CPSS).The potential influencing factors of FGIDs were analyzed by logistic re-gression. [Results]A total of 968 subjects were included in the study,and 111 cases suffered from FGIDs,with a prevalence of 11.5％(111/968).There were statistically significant differences(P＜0.05)between the two groups in terms of age,education level,marital status,years of work,annual family income,smoking,drinking,operating post,cumulative number of sea voyages,noise exposure frequency,binge eating frequency,allergy history,anxiety,depression,sleep quality,stress,and daily water intake.The results of logistic regression showed that higher level of education(OR=1.890,95％CI:1.208,2.959),binge eating frequency(OR=2.214,95％CI:1.412,3.474),history of allergies(OR=2.143,95％CI:1.229,3.737),anxiety(OR=1.800,95％CI:1.111,2.916),high psychological stress(OR=1.983,95％CI:1.114,3.530),and being married(OR=1.868,95％CI:1.202,2.905)were positively correlated with FGIDs(P＜0.05).Good sleep quality(OR=0.326,95％CI:0.201,0.552)was negatively correlated with FGIDs(P＜0.05). [Conclusion]Factors such as education level,marital status,allergy history,binge eating frequency,sleep quality,anxiety,and psychological stress may be influencing factors for FGIDs.Early assessment and screening of these influencing factors and targeted preventive measures should be taken to reduce the prevalence of FGIDs among sea voyage staff and alleviate gastrointestinal symptoms.关键词
功能性胃肠病/长远航/焦虑/抑郁/睡眠质量/影响因素Key words
functional gastrointestinal disease/long distance voyage/anxiety/depression/sleep quality/influencing factor分类
预防医学引用本文复制引用
甘雪洋,宋杰,高远..长时间远洋航行人员功能性胃肠病患病现状及相关因素[J].环境与职业医学,2025,42(1):89-94,6.基金项目
军队护理创新与培育专项项目(2021HL070) （2021HL070）
军事理论自研项目(LB2023A06-C025) （LB2023A06-C025）
