研究目的:薄膜液晶顯示器(TFT-LCD)製造業勞動者工作者大多必須進行四班二輪的輪班工作,可能因此產生精神健康的危害。我們進行一項橫斷面研究,描述該產業員工之精神健康的情形,嘗試發現其危險因子。 研究方法:配合某薄膜液晶顯示器製造公司的員工身心健康促進活動,利用自填式問卷,收集個案的基本人口學資料、工作與輪班狀況,以及精神健康狀態的資料,進行分析。 研究結果:總計發出9458份問卷,其中有5520份問卷(58.2%)被回收且完整填寫可供分析。精神健康量表出現陽性反應的個案數為1553位,占所有參與研究個案的28.1%。女性、單身、年紀輕、教育程度較低及公司年資較短為輪班工作者的特徵。在校正之後,女性(勝算比2.00;95%信賴區間1.67-2.39)、非單身(勝算比1.28;95%信賴區間1.09-1.50)、曾經結婚但目前單身(勝算比1.93;95%信賴區間1.03-3.61)及公司年資滿一年以上者(勝算比1.51;95%信賴區間1.33-1.71)與精神健康狀況不良有顯著相關。隨著年齡增加,員工出現陽性個案的機會呈些微下降的趨勢(勝算比0.98;95%信賴區間0.96-1.00)。基層員工較少機會出現陽性個案(勝算比0.59;95%信賴區間0.43-0.82)。男性個案的高學歷與長工作年資,女性個案的長工作年資與精神健康量表出現陽性反應的機會呈顯著相關。女性個案參與輪班工作具有些微增加精神健康量表出現陽性反應的機會,而較長換班間隔的員工出現精神健康量表陽性反應的機會比較小。 結論:女性、非單身或曾經結婚而目前單身者、管理階級以及工作年資在一年以上者為精神健康狀況不良的獨立相關因子。年齡對精神健康狀況不良具有邊緣相關效果。男女性別間精神健康狀況不良的相關因子有所差異。相關因子間是否存有因果關係,有待進一步追蹤研究釐清。
Objective: The objective of this study is to sketch the mental health condition of the employees of the thin film transistor liquid crystal display (TFT-LCD) industry in Taiwan. Methods: A cross sectional study was conducted in a TFT-LCD manufacturing industry. Data about the demographic characters, working conditions and mental health status were collected by self-administered questionnaires. Results: After 9458 questionnaires were delivered, 5520 (58.2%) were completed and analyzed. Shift workers were mostly female, single, younger, and with lower educational level and shorter duration of employment. The positive rate of CHQ-12 (cutting point 3/4) in this study is 28.1%. After adjusting for other factors, female gender (odds ratio [OR] 2.00, 95% confidence interval [CI] 1.67-2.39), married (OR 1.28, 95%CI 1.09-1.50), ever married but single now (OR 1.93, 95%CI 1.03-3.61), and the duration of current employment more than 1 year (OR 1.51, 95%CI 1.33-1.71) had significant associations with poor mental health condition. The risk of mental problems decreased with age (OR 0.98, 95%CI 0.96-1.00), and the employees of the entry level had less risk of mental problems (odds ratio 0.59, 95% CI 0.43-0.82). Male employees with higher educational level and longer history of employment, female employees with longer history of employment had increased risk of poor mental health condition. Female employees with shift work had marginal increased risk of poor mental health; however, longer interval of schedule shift had some protective effect of mental health hazard. Conclusion: Female gender, non-single or ever married single, rulers, and longer history of employment were independent factors of poor mental health condition. Gender differences between risk factors were also noted.