Abstract: Background　In 2019，besides a physical examination，a risk assessment of common chronic diseases was carried out for the occupational population mainly aged 18-70 from a functional community in a district of Beijing. The high-risk results of common chronic diseases in representative medical and teaching professionals were compared. Objective　To examine the chronic disease risk in teaching professionals according to age，gender and occupation，and that in medical professionals according to age，gender，occupation and hospital level. Methods　Participants were 4 916 community-dwelling teaching and medical professionals from a district of Beijing who underwent a physical examination during January to December 2019. Data were collected via a health questionnaire survey，reviewing the physical examination，and laboratory examinations，and were analyzed for evaluating the 3-5-year risks of metabolic syndrome，hypertension，diabetes，stroke，and coronary heart disease. Results　Among the 4 916 samples，the 3-5-year risks of 5 chronic non-communicable diseases were predicted to increase fluctuatedly with age. Men had higher rate of having high risks of metabolic syndrome，coronary heart disease，diabetes，and stroke than women（P<0.05）. Occupation-based analysis found that medical professionals had higher rate of having a high risk of metabolic syndrome than teaching professionals（P<0.05）. Hospital level-based analysis revealed that medical professionals from community hospitals had higher rate of having a high risk of metabolic syndrome than those from grade A tertiary hospitals （P<0.05）. Compared to female teaching professionals，male teaching professionals had higher rate of having a high risk of metabolic syndrome，coronary heart disease，diabetes，or stroke（P<0.05），and a similar rate of having a high risk of hypertension. And similar status was found between male and female medical professionals. In addition，male teaching professionals had a higher rate of having a high risk of hypertension than male medical professionals（P<0.05）. Female medical professionals had a higher rate of having a high risk of metabolic syndrome than female teaching professionals（P<0.05）. Conclusion　The 3-5-year risks of these 5 chronic non-communicable diseases were predicted to increase fluctuatedly with age. And the risks were significantly related to gender. A priority should be given to the risk of metabolic syndrome in medical professionals.

Key words: Medical staff, Faculty, Chronic disease, Risk assessment

摘要： 背景　2019年为北京市某区功能社区职业人群进行健康体检的同时进行常见慢性病的风险评估，其主要人群为18~70岁的劳动力人口。选取具有代表性的医护人员和教职工人群进行常见慢性病的风险评估和对比。目的　分析不同职业人群慢性病风险与年龄、性别、职业、医院级别的关系。方法　于2019年1—12月，选取北京市某区参与体检的4 916例教职工和医护人员为研究对象，基于健康问卷、体格检查、实验室检查等健康信息，对代谢综合征、高血压、糖尿病、脑卒中、冠心病未来3~5年的发病风险进行评估。结果　随着年龄的增加，代谢综合征、高血压、冠心病、脑卒中、糖尿病的评估风险值呈波动上升趋势。男性代谢综合征、冠心病、脑卒中、糖尿病高风险率高于女性，差异有统计学意义（P<0.05）；医护人员代谢综合征高风险率高于教职工，差异有统计学意义（P<0.05）；社区卫生服务中心医护人员代谢综合征高风险率高于三级甲等医护人员，差异有统计学意义（P<0.05）。对于教职工群体，男性代谢综合征、冠心病、脑卒中、糖尿病高风险率高于女性，差异有统计学意义（P<0.05）；对于医护人员群体，男性代谢综合征、冠心病、脑卒中、糖尿病高风险率高于女性，差异有统计学意义（P<0.05）。对于男性，教职工高血压高风险率高于医护人员，差异有统计学意义（P<0.05）；对于女性，医护人员代谢综合征高风险率高于教职工，差异有统计学意义（P<0.05）。结论　随着年龄的增加，代谢综合征、高血压、冠心病、脑卒中、糖尿病的评估风险值呈波动上升趋势。代谢综合征、高血压、糖尿病、脑卒中、冠心病未来3~5年发病风险与性别存在明显相关性；医护人员需要更多地关注代谢综合征的发病风险。

关键词: 医护人员, 教职工, 慢性病, 风险评估