Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study †
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design, Site and Sample
2.2. Eligibility Criteria
2.3. Data Collection and Variable Definition Procedures
2.4. Data Entry
2.5. Statistical Analyses
2.6. Ethical Aspects
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variables | n (%) | Metabolic Syndrome (n = 1111) a | ||
---|---|---|---|---|
P (%) b | PR c (CI) d | p-Value e | ||
Sex (n = 1125) | ||||
Male | 136 (12.1) | 40 (29.4) | 1.00 | |
Female | 989 (87.9) | 231 (23.7) | 0.81 (0.61–1.07) | 0.14 |
Age (n = 1125) | ||||
Up to 35 years old | 587 (52.2) | 110 (18.9) | 1.00 | |
36 years old or older | 538 (47.8) | 161 (30.2) | 1.59 (1.29–1.97) | <0.01 * |
Profession (n = 1125) | ||||
Nurse | 455 (40.4) | 80 (17.7) | 1.00 | |
Nursing Technician | 670 (59.6) | 191 (28.9) | 1.64 (1.29–2.07) | <0.01 * |
Race (n = 1098) a | ||||
Non-Black People | 246 (22.4) | 48 (19.5) | 1.00 | |
Black People | 852 (77.6) | 220 (26.3) | 1.35 (1.02–1.78) | 0.03 * |
Satisfaction with current occupation (n = 1125) | ||||
Yes | 987 (87.7) | 233 (23.9) | 1.00 | |
No | 138 (12.3) | 38 (27.7) | 1.16 (0.87–1.55) | 0.33 |
Occupation time in PHC (n = 1125) | ||||
Up to 4 years old | 555 (49.3) | 109 (19.7) | 1.00 | |
5 years old or older | 570 (50.7) | 162 (29.0) | 1.47 (1.19–1.82) | <0.01 * |
Night shift (n = 1125) | ||||
No | 894 (79.5) | 206 (23.3) | 1.00 | |
Yes | 231 (20.5) | 65 (28.6) | 1.23 (0.97–1.56) | 0.09 |
Family income (n = 1125) | ||||
Up to two minimum wages | 523 (46.5) | 141 (27.5) | 1.27 (1.03–1.56) | 0.02 * |
three or more minimum wages | 602 (53.5) | 130 (21.7) | 1.00 | |
Economic situation (n = 1125) | ||||
Satisfied | 573 (50.9) | 124 (22.1) | 1.00 | |
Dissatisfied | 552 (49.1) | 147 (26.8) | 1.21 (0.99–1.49) | 0.07 |
Work bond (n = 1125) | ||||
Stable | 866 (77) | 220 (25.8) | 1.00 | |
Precarious | 259 (23) | 51 (19.8) | 0.77 (0.58–1.01) | 0.05 * |
Submitted to work-related aggression (n = 1225) | ||||
No | 751 (66.8) | 167 (22.6) | 1.00 | |
Yes | 374 (33.2) | 104 (28.0) | 1.24 (1.01–1.53) | 0.04 * |
Rest break (n = 1125) | ||||
Yes | 672 (59.7) | 143 (21.7) | 1.00 | |
No | 453 (40.3) | 128 (28.3) | 1.30 (1.06–1.59) | 0.01 * |
Work conditions (n = 1125) | ||||
Satisfactory | 698 (62.0) | 162 (23.6) | 1.00 | |
Precarious | 427 (38.0) | 109 (25.7) | 1.09 (0.88–1.34) | 0.44 |
Variables | n (%) | Metabolic Syndrome (n = 1111) a | ||
---|---|---|---|---|
P (%) b | PRc (CI) d | p value e | ||
Quality of life (n = 1125) | ||||
Good | 836 (74.3) | 189 (22.9) | 1.00 | |
Poor | 289 (25.7) | 82 (28.4) | 1.23 (0.99–1.54) | 0.07 |
Polycystic ovary (n = 964) a | ||||
No | 807 (83.7) | 192 (24.2) | 1.00 | |
Yes | 157 (16.3) | 34 (21.7) | 0.89 (0.65–1.23) | 0.49 |
Psychiatric follow-up (n = 1111) a | ||||
No | 728 (65.5) | 169 (23.6) | 1.00 | |
Yes | 383 (34.5) | 96 (25.3) | 1.07 (0.86–1.33) | 0.53 |
Practice of physical activities (n = 1125) | ||||
Yes | 639 (56.8) | 130 (20.6) | 1.00 | |
No | 486 (43.2) | 141 (29.3) | 1.42 (1.15–1.75) | <0.01 * |
Smoking (n = 1125) | ||||
No | 992 (88.2) | 228 (23.3) | 1.00 | |
Yes | 133 (11.8) | 43 (32.3) | 1.39 (1.06–1.82) | 0.02 * |
Consumption of alcoholic beverage (n = 1125) | ||||
No | 1083 (96.3) | 255 (23.8) | 1.00 | |
Yes | 42 (3.7) | 16 (39.0) | 1.64 (1.10–2.44) | 0.03 * |
Last medical consultation (n = 1125) | ||||
Less than 12 months | 924 (82.1) | 222 (24.3) | 1.00 | |
More than 12 months | 201 (17.9) | 49 (24.7) | 1.02 (0.78–1.33) | 0.89 |
Presence of periodontitis (n = 848) a | ||||
No | 740 (87.3) | 165 (22.6) | 1.00 | |
Yes | 108 (12.7) | 27 (25.0) | 1.11 (0.78–1.57) | 0.58 |
Acanthosis Nigerians (n = 1125) | ||||
No | 1067 (94.8) | 227 (21.6) | 1.00 | |
Yes | 58 (5.2) | 44 (75.9) | 3.52 (2.92–4.24) | <0.01 * |
Non-alcoholic fatty liver disease (n = 1073) a | ||||
No | 1040 (96.9) | 242 (23.6) | 1.00 | |
Yes | 33 (3.1) | 18 (54.5) | 2.31 (1.66–3.22) | <0.01 * |
Obstructive sleep apnea (n = 1076) a | ||||
No | 967 (89.9) | 212 (22.2) | 1.00 | |
Yes | 109 (10.1) | 50 (45.9) | 2.06 (1.63–2.61) | <0.01 * |
Insulin resistance (n = 132) a | ||||
No | 103 (78.0) | 17 (16.5) | 1.00 | |
Yes | 29 (22.0) | 17 (58.6) | 3.55 (2.09–6.04) | <0.01 * |
Burnout syndrome (n = 1121) a | ||||
No | 916 (81.7) | 192 (21.3) | 1.00 | |
Yes | 205 (18.3) | 78 (38.1) | 1.79 (1.44–2.22) | <0.01 * |
Factors Associated with MS * | PRadjusted | CI (95%) |
---|---|---|
Physical activity | 1.25 | (1.02–1.53) |
Consumption of alcoholic beverage | 1.84 | (1.22–2.77) |
Acanthosis nigricans | 3.23 | (2.65–3.92) |
Burnout syndrome | 1.45 | (1.17–1.81) |
Age | 1.37 | (1.12–1.69) |
Profession | 1.43 | (1.14–1.80) |
Area under the ROC Curve | 0.70 | |
Goodness-of-fit test ¥ | 0.62 |
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das Merces, M.C.; Santana, A.I.C.; Lua, I.; da Silva, D.A.R.; e Silva, D.d.S.; Gomes, A.M.T.; Miranda, M.C.d.M.; Barbosa, C.d.S.; Magalhães, L.B.N.C.; Coelho, J.M.F.; et al. Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study. Int. J. Environ. Res. Public Health 2019, 16, 2686. https://doi.org/10.3390/ijerph16152686
das Merces MC, Santana AIC, Lua I, da Silva DAR, e Silva DdS, Gomes AMT, Miranda MCdM, Barbosa CdS, Magalhães LBNC, Coelho JMF, et al. Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study. International Journal of Environmental Research and Public Health. 2019; 16(15):2686. https://doi.org/10.3390/ijerph16152686
Chicago/Turabian Styledas Merces, Magno Conceição, Amália Ivine Costa Santana, Iracema Lua, Dandara Almeida Reis da Silva, Douglas de Souza e Silva, Antonio Marcos Tosoli Gomes, Manuela Conceição das Merces Miranda, Caroline da Silva Barbosa, Lucélia Batista Neves Cunha Magalhães, Julita Maria Freitas Coelho, and et al. 2019. "Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study" International Journal of Environmental Research and Public Health 16, no. 15: 2686. https://doi.org/10.3390/ijerph16152686