高科技產業員工食用檳榔之相關因子分析

Southern Taiwan high-tech industry staff betel quid chewing risk factors

黃毓凌(Yu Ling Huang) ； 黃建元(Chien-Yuan Huang) ； 李明昕(Ming Hsin Lee)

《中華職業醫學雜誌》 25卷2期 (2018/04) Pp. 71-81

摘要

背景：2003年世界衛生組織(WHO)之國際癌症研究中心(IARC)已將不含菸草的檳榔嚼塊列為第一類致癌危險物質。儘管如此, 根據統計顯示至2013年為止，台灣食用檳榔人口的增加雖然有稍有趨緩，然而根據2014年癌症統計顯示男性口腔癌發生率每年約為7000人，死亡率每年約2500人，目前已成為男性十大癌症發生率及死亡率的第四名。本篇研究目的嘗試探討高科技員工食用檳榔的相關因子，以作為早期發現和介入的參考。目的：台灣成年人嚼食檳榔的盛行率為5.8%，而成年男性的盛行率達10.9%，女性為0.8%。過去研究很少探討高科技產業員工食用檳榔之盛行率，故本研究希望探討高科技產業員工食用檳榔之盛行率及相關因子分析。方法：採橫斷式研究，於2015年09月到11月期間，以南部某科學園區員工為研究對象進行自填式問卷調查。問卷內容包含人口學資料，生活型態，台灣人憂鬱症量表(Taiwanese Depression Scale, TDS)，工作特質量表(Job Content Questionnaire, JCQ)，職場疲勞量表(Occupational Burnout Inventory)，匹茲堡睡眠量表，並以邏輯式迴歸(Logistic Regression)進行分析。結果：本研究對象之食用檳榔盛行率為5.3%，分析發現，教育程度為高中以下Adjusted Odds Ratio(AOR)=2.88, 95% Confidence interval(95% CI)=1.43-5.81)，有吸菸習慣(AOR=8.51, 95% CI=3.66-19.78)以及有輕度(AOR=3.17, 95% CI=1.53-6.55)到重度(AOR=4.67, 95% CI=1.68-12.08)睡眠障礙的員工會有較高的機率食用檳榔。結論：高科技園區員工食用檳榔之危險因子為教育程度較低、吸菸及睡眠障礙，可提供職場做相關之風險評估，早期介入以提升員工健康。

關鍵字

檳榔 ； 吸菸 ； 睡眠障礙 ； 高科技員工

並列摘要

Background: A tobacco free betel quid has been a WHO IARC-classified Group 1 carcinogen since 2003. Anyhow, the Taiwan betel quid chewer rate slightly declined in the 2013 statistics; the oral cancer incidence and mortality was annually around 7000 males and 2500 persons in the 2014 statistics, respectively. Consequently, the incidence and mortality rank fourth in the top 10 in men currently. Thence, to be early detection- and intervention-adverted, the study aimed at the risk factors in the high-tech industry betel quid chewers. Aim: The Taiwan adult betel quid chewing prevalence is 5.8%; the prevalence, 10.9% in men and 0.8% in women.; the studies in the high-tech industry staff prevalence were scant. Accordingly, our study searched the prevalence and risk factors. Methods: Our cross-sectional study logistic regression data between September and November 2015 by the southern Taiwan science park self-administrated questionnaires amassed the: target population; lifestyle; Taiwanese Depression Scale (TDS); Job Content Questionnaire (JCQ); Occupational Burnout Inventory (OBI); Pittsburgh Sleep Quality Index (PSQI); self-reported smoking and drinking habits. Results: In the study 955 betel quid chewers, the prevalence was 5.3%. The factors were the: education level below high school (adjusted odds ratio (AOR) 2.88; 95% confidence interval (CI) 1.43-5.81); smoking habits (AOR 8.51; 95% CI 3.66-19.78), mild insomnia (AOR 3.17; 95% CI 1.53-6.55); severe insomnia (AOR 4.67; 95% CI 1.68-12.08). Resultantly, high-tech staff with the said factors had the higher betel quid chewing rate. Conclusion: The staff betel quid chewing habit was high school graduates-, smoking-, and somnipathy- associated. Therefore, the risk factors for early intervention-improved staff health can be cited if the related factors are appraised.

並列關鍵字

Betel quid ； smoking ； sleep insomnia ； high-tech staff