目的探讨商务楼职员职业紧张与健康结局的关系,以期为在对楼宇职员健康促进过程中采取针对性措施提供科学依据。方法抽取上海市静安区11个商务楼,对1 033名职员进行问卷调查,问卷内容包括职员一般情况、工作要求和自主性(JDC)量表、一般心理状况(GHQ)量表和流调中心用抑郁(CES-D)量表,对职员的职业紧张,心理和生理健康状况进行调查,资料采用等级相关和非条件logistic回归方法进行统计分析。结果内部一致性分析结果显示,JDC量表、GHQ量表和CES-D量表在该次调查中有较高的信度;调查对象高职业紧张现患率为32.33%,等级相关结果显示职业紧张与GHQ、CES-D的spearman等级相关系数分别为0.18和0.24,统计检验差异有统计学意义(P<0.01)。logistic回归分析结果显示,高职业紧张所致职员的心理问题风险和抑郁倾向风险分别是低职业紧张的4.6倍(OR=4.46,95%CI=2.36～8.46)和3.38倍(OR=3.38,95%CI=2.36～4.85);logistic回归分析结果,还显示,职业紧张是高血压和冠心病的危险因素,其中工作积极型所致高血压的风险是低紧张人群的2.51倍(OR=2.51,95%CI=1.02～6.18),工作积极型所致冠心病的风险是低职业紧张人群的11.28倍之多(OR=11.28,95%CI=1.27～100.37)。结论高职业紧张不仅是导致商务楼宇职员高心理问题风险和抑郁倾向风险重要因素,也是导到高血压和冠心病的危险因素,对楼宇职员进行职业健康促进要考虑职业紧张这一隐形的危险因素,应当在个体层面和组织机构层面采取相应措施,降低职业紧张水平,从而达到提高职员身心健康的目的。 Objective To explore the relationship between occupational stress and health outcomes in commercial building staff with a view to providing a scientific basis for taking targeted measures in the health promotion of building staff. Methods A total of 11 commercial buildings in Jing’an District of Shanghai were sampled and 1033 staff members were surveyed. The questionnaire included general staff status, job requirements and autonomy (JDC) scale, general psychological status (GHQ) scale and flow control center Using the CES-D scale, occupational stress, psychological and physical health status of staff were investigated. The data were analyzed by rank-related and non-conditional logistic regression. Results The results of internal consistency analysis showed that the JDC scale, GHQ scale and CES-D scale had high reliability in this survey. The prevalence of high occupational stress in the survey subjects was 32.33%, and the grade-related results showed that occupational stress The spearman rank correlation coefficients with GHQ and CES-D were 0.18 and 0.24, respectively, and the statistic differences were statistically significant (P <0.01). The results of logistic regression analysis showed that the psychological risk and depression-prone risk of staff members due to high occupational stress were 4.6 times (OR = 4.46, 95% CI = 2.36 ~ 8.46) and 3.38 times (OR = 3.38, 95 % CI = 2.36 ~ 4.85). Logistic regression analysis also showed that occupational stress was a risk factor for hypertension and coronary heart disease. The risk of active work-induced hypertension was 2.51 times of that in low-stress people (OR = 2.51, 95% CI = 1.02 ~ 6.18). The risk of active type of coronary heart disease was 11.28 times as high as that of those with low occupational stress (OR = 11.28, 95% CI = 1.27-100.37). Conclusion High occupational stress is not only an important factor leading to high psychological risk and depression risk in commercial buildings, but also a risk factor leading to hypertension and coronary heart disease. Occupational health promotion of building staff should be considered as an invisible risk factor , Corresponding measures should be taken at the individual level and the organizational level to reduce the level of occupational stress so as to achieve the purpose of improving the physical and mental health of staff.