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Peer-reviewedCC BYFrontiers in public health

Four-year trends in health findings among hospital staff an ecological time-series study 2022-2025.

  • Dan Zhang1
  • Rong Xing2
  • Yuanling Wu3
  • Junyan Zhang4
  • Zhigan Lv5
  • Fang Wang5
  • Ruiying Wang1,6
  • Fang Gao2
6 affiliations
  1. 1Department of Human Resources, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  2. 2Department of Preventive Healthcare, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  3. 3Department of Clinical Laboratory, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  4. 4Department of Clinical Epidemiology and Evidence-Based Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  5. 5Health Management Center, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  6. 6Department of Pulmonary and Critical Care Medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
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Abstract

Background

Annual health examinations provide an opportunity to monitor major health findings among hospital staff. This study described examination uptake, sex-specific differences, and four-year trends in major health findings using institutional annual health examination reports.Methods

An ecological time-series study was conducted using aggregated annual health examination reports from 2022 to 2025. Examination uptake, age composition, sex-specific differences, and temporal trends in major health findings were evaluated using annual institutional summary data. Annual sex differences were assessed using chi-square or Fisher's exact tests. Temporal trends across the four examination cycles were evaluated using the Cochran-Armitage trend test.Results

A total of 14,077 annual examination records were included. Examination uptake remained above 90% across all four examination cycles, with female staff consistently showing higher uptake than male staff (all p < 0.001). Dental and Periodontal Diseases remained the most frequently detected health finding, whereas Dyslipidemia, Thyroid Nodules, and Overweight or Obesity were also commonly detected. Significant temporal changes were observed across all major health findings (all p ≤ 0.02). Marked sex-specific differences were identified, with metabolic abnormalities more common in male staff and thyroid-related abnormalities more common in female staff. The prevalence of Breast Nodules among examined female staff increased significantly across the four examination cycles (p < 0.001).Conclusion

Major health findings remained common among hospital staff over the four-year study period, with significant temporal changes and clear sex-specific differences. These findings support targeted health monitoring and preventive management in hospital settings.

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Cite

BibTeXRIS
BibTeX
@article{zhang2026fouryear,
  title = {{Four-year trends in health findings among hospital staff an ecological time-series study 2022-2025.}},
  author = {Dan Zhang and Rong Xing and Yuanling Wu and Junyan Zhang and Zhigan Lv and Fang Wang and Ruiying Wang and Fang Gao},
  journal = {Frontiers in public health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1890585},
  url = {https://europepmc.org/article/MED/42909124},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Four-year trends in health findings among hospital staff an ecological time-series study 2022-2025.
AU  - Dan Zhang
AU  - Rong Xing
AU  - Yuanling Wu
AU  - Junyan Zhang
AU  - Zhigan Lv
AU  - Fang Wang
AU  - Ruiying Wang
AU  - Fang Gao
PY  - 2026
DA  - 2026/10/07
JO  - Frontiers in public health
DO  - 10.3389/fpubh.2026.1890585
UR  - https://europepmc.org/article/MED/42909124
AB  - Background  Annual health examinations provide an opportunity to monitor major health findings among hospital staff. This study described examination uptake, sex-specific differences, and four-year trends in major health findings using institutional annual health examination reports.Methods  An ecological time-series study was conducted using aggregated annual health examination reports from 2022 to 2025. Examination uptake, age composition, sex-specific differences, and temporal trends in major health findings were evaluated using annual institutional summary data. Annual sex differences were assessed using chi-square or Fisher's exact tests. Temporal trends across the four examination cycles were evaluated using the Cochran-Armitage trend test.Results  A total of 14,077 annual examination records were included. Examination uptake remained above 90% across all four examination cycles, with female staff consistently showing higher uptake than male staff (all p < 0.001). Dental and Periodontal Diseases remained the most frequently detected health finding, whereas Dyslipidemia, Thyroid Nodules, and Overweight or Obesity were also commonly detected. Significant temporal changes were observed across all major health findings (all p ≤ 0.02). Marked sex-specific differences were identified, with metabolic abnormalities more common in male staff and thyroid-related abnormalities more common in female staff. The prevalence of Breast Nodules among examined female staff increased significantly across the four examination cycles (p < 0.001).Conclusion  Major health findings remained common among hospital staff over the four-year study period, with significant temporal changes and clear sex-specific differences. These findings support targeted health monitoring and preventive management in hospital settings.
SN  - 2296-2565
ER  -