Fengqiong Chen, Liang Wang, Jin Wang, Meiling Liu, Shiwei Cao, Yunxuan Huang, Huaxin Deng, Mengliang Ye
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引用次数: 0
摘要
目的：探讨消防员骨骼肌疾病（SMD）、职业压力（OS）和抑郁症状（DS）之间的关系。材料与方法：对重庆市消防队员进行横断面调查。采用SPSS 26.0进行描述性统计和相关分析。利用AMOS 24.0建立SMD与DS之间的结构方程模型。并对OS的中介作用进行了评价。结果：SMD对DS （β = 0.25, p < 0.001）和OS （β = 0.39, p < 0.001）有正向预测作用，控制SMD后OS对DS有正向预测作用（β = 0.39, p < 0.001）。此外，OS在DS和SMD之间有部分间接影响（间接影响= 0.209,95% CI: 0.093-0.372, p < 0.001）。结论：职业压力对消防员的自杀倾向和自杀倾向有部分间接影响。骨骼肌疾病不仅可以直接影响DS，还可以通过影响OS间接影响DS。本研究结果对今后消防员职业健康的研究具有重要意义和贡献。国际医学与环境卫生杂志，2015;38(1)。
Mediating effect of occupational stress between skeletal muscle disorders and depressive symptoms in firefighters: a Structural Equation Modeling approach.
Objectives: The purpose of this study was to explore the relationship between skeletal muscle disorders (SMD), occupational stress (OS) and depressive symptoms (DS) among firefighters.
Material and methods: A cross-sectional survey was conducted among firefighters in Chongqing, China. Descriptive statistic and correlation analyses were performed by using SPSS 26.0. AMOS 24.0 was used to construct the structural equation modeling between SMD and DS. The mediating effect of OS was also evaluated.
Results: The results demonstrate that SMD can predict DS (β = 0.25, p < 0.001) and OS (β = 0.39, p < 0.001) positively, OS positively predicted DS (β = 0.39, p < 0.001) after controlling for SMD. Additionally, OS has a partial indirect effect between DS and SMD (indirect effects = 0.209, 95% CI: 0.093-0.372, p < 0.001).
Conclusions: Occupational stress has a partial indirect effect between SMD and DS among firefighters. Skeletal muscle disorders could affect DS not only directly, but also indirectly, by affecting OS. These findings may be of great significance and contribution to the future research of firefighters' occupational health. Int J Occup Med Environ Health. 2025;38(1):18-29.
期刊介绍：
The Journal is dedicated to present the contemporary research in occupational and environmental health from all over the world. It publishes works concerning: occupational and environmental: medicine, epidemiology, hygiene and toxicology; work physiology and ergonomics, musculoskeletal problems; psychosocial factors at work, work-related mental problems, aging, work ability and return to work; working hours, shift work; reproductive factors and endocrine disruptors; radiation, ionizing and non-ionizing health effects; agricultural hazards; work safety and injury and occupational health service; climate change and its effects on health; omics, genetics and epigenetics in occupational and environmental health; health effects of exposure to nanoparticles and nanotechnology products; human biomarkers in occupational and environmental health, intervention studies, clinical sciences’ achievements with potential to improve occupational and environmental health.
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