臺中市2013~2014年職場致胖環境的變化探討

[[abstract]]背景 肥胖目前已成為全球各個國家需重視問題之一。肥胖除了影響個人的生活品質及心理上的負擔，甚至會造成到整個家庭與國家社會經濟損失的問題。許多研究發現，過重及肥胖與心血管疾病、癌症、代謝症候群、高血壓、高血脂等慢性疾病具有相關性，然而我國於2017年十大死因其中有包含8項與肥胖具有高度相關性，故肥胖即是現今相當重要的公共健康問題。 研究指出，不良的生活習慣以及環境是造成肥胖的重要因素之一，因此本研究回歸基礎層面，意欲從不同面向去探討臺中市職場致胖環境的變化。 目的 本研究目的分為：比較多層面的臺中市2014-2015年職場致胖環境變化。 方法 本研究進行次級資料庫分析，資料來源為臺中市政府衛生局103年與104年度「職場致胖環境評估問卷」。臺中市政府衛生局針對170家職場場域進行兩年度致胖環境調查，本研究將職場致胖環境分為8面向16個策略分析其變化。統計方法利用SPSS20.0版本進行描述性統計、雙變項分析。 結果 本研究結總樣本數為56人，其中以女性為主，教育程度以大學或專科占較高(78.6%)，在健康生活調查當中則以國中或高中職較高(62.5%)，在有無慢性疾病中以職場為例是沒有慢性疾病的比例較高（85.7%）；相反的在健康生活調查當中卻是有慢性疾病的比例較高（63.5%）。經雙變項分析本研究在臺中市103年與104年職場致胖環境變化中發現，以八大面向等面向進行探討，雖然大部份未達到統計上標準，但兩年致胖環境介入職場變化比較，仍發現民眾有基本認知觀念，但民眾還是選擇肥胖危險因子較高為主。 結論與建議 職場致胖環境的介入後，本研究結果顯示民眾對於自我的飲食習慣是有改善的趨勢，無法控制肥胖發生率等因素，若我國能持續進行以「肥胖防治評估工具」調查，累積長期的追蹤資料，建議未來的研究可利用追蹤式探討職場致胖環境相關因素，藉以增進致胖環境的改善，才能有效幫助我國解決肥胖相關性問題，也藉由本研究探討，讓國人能對自我的肥胖程度有所認知。 Background Obesity has now become one of the issues that need to be addressed by countries around the world. In addition to affecting the quality of life and psychological burden of individuals, obesity can even cause problems in the social and economic losses of the entire family and the country. Many studies have found that overweight and obesity are associated with chronic diseases such as cardiovascular disease, cancer, metabolic syndrome, hypertension, and hyperlipidemia. However, in China, eight of the top ten causes of death in 2017 are highly correlated with obesity. Obesity is a very important public health problem today. The study pointed out that bad living habits and the environment are one of the important factors that cause obesity. Therefore, this study returns to the basic level and intends to explore the changes in the fat environment of Taichung City from different perspectives. Purpose The purpose of this study is divided into: multi-faceted Taichung City, 2014-2015 workplace fattening environment changes. Method This study conducted a secondary database analysis. The source of the data was the 2014-year and 2015-year “Workplace Fat Obesity Environmental Assessment Questionnaire” of the Taichung City Government Health Bureau. The Taichung City Government Health Bureau conducted a two-year fattening environment survey for 170 workplaces. This study divided the workplace fattening environment into 8 strategies and analyzed the changes. The statistical method uses SPSS 20.0 version for descriptive statistics and dual variable analysis. Result The total number of samples in this study was 56, of which women were the mainstays, and the education level was higher in universities or colleges (78.6%). In healthy life surveys, higher in middle school or high school (62.5%), in the presence or absence In the case of chronic diseases, the proportion of patients without chronic diseases is higher (85.7%); on the contrary, the proportion of chronic diseases in healthy life surveys is higher (63.5%). Bivariate analysis This study found that in the 2014-year and 2015-year workplace fattening environment changes in Taichung City, the eight major-oriented aspects were discussed. Although most of them did not meet the statistical standards, the two-year fattening environment involved in workplace changes. In comparison, people still have basic cognitive attitudes, but the public still chooses higher risk factors for obesity. Conclusion and Suggestion After the intervention of the obesity environment in the workplace, the results of this study show that the people's eating habits have an improvement trend, and it is impossible to control the incidence of obesity. If China can continue to conduct the "obesity prevention and evaluation tool" survey, accumulate long-term tracking. According to the data, it is suggested that future research can use the tracking method to explore the factors related to the fat environment in the workplace, so as to improve the improvement of the fattening environment, in order to effectively help China solve the problem of obesity related problems, and also to explore the degree of obesity of the Chinese people through this study