| Summary: | 碩士 === 國立臺灣大學 === 職業醫學與工業衛生研究所 === 102 === Gastroesophageal reflux disorders have become an important problem in the recent years. Modern lifestyle, habits, old age and obesity are known contributors to this problem. However, the contribution of work-related factors has been unclear. This study aims to examine work-related factors of erosive esophagitis (EE) as diagnosed by endoscopy.
The study subjects are people currently employed, and go through a regular physical examination including upper gastrointestinal panendoscopy in a health examination center of northern Taiwan. Consecutive recruitment is done. Erosive esophagitis was diagnosed based on the Los Angeles classification by endoscopy.
A total of 636 currently employed participants undergo panendoscopy and complete the questionnaire satisfactorily and included for the final statistical analysis. Among the participants, 144 (23%) are found to have EE. Work-related factors significantly associated with EE are having meals while working (aOR=2.27, CI=1.18-4.54), taking afternoon nap at the desk (aOR=4.07, CI=2.40-6.97), long sitting time at work (aOR=2.67, CI=1.45-5.07), and active job content group by Job Content Questionnaire (aOR=2.49, CI=1.35-4.64) after adjusting for traditional risk factors of male gender, older age, high body mass index, ever smoking, and exercise habit.
We conclude that work-related factors cannot be ignored when managing gastroesophageal reflux disorders in currently employed people.
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