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內(nèi)蒙古口岸出入境人員傳染病監(jiān)測(cè)及健康狀況分析

發(fā)布時(shí)間:2018-10-31 10:48
【摘要】:目的:對(duì)內(nèi)蒙古口岸出入境人員進(jìn)行傳染病監(jiān)測(cè)和非傳染病檢查,掌握口岸出入境人員中傳染病和非傳染病的發(fā)病情況,流行分布趨勢(shì)及特征,評(píng)估出入境人員的健康狀況,篩查形成口岸疾病的風(fēng)險(xiǎn)因子,為預(yù)防疾病、加強(qiáng)內(nèi)蒙古口岸出入境人員全面健康管理提供科學(xué)依據(jù)。 方法:以2009-2012年間在內(nèi)蒙古國(guó)際旅行衛(wèi)生保健中心進(jìn)行傳染病監(jiān)測(cè)和健康體檢的所有出入境人員作為研究對(duì)象,開展流行病學(xué)和生活狀況的問卷調(diào)查,最后把所有資料進(jìn)行整理歸納和統(tǒng)計(jì)分析。 結(jié)果:內(nèi)蒙古口岸2009-2012年間出入境體檢總?cè)藬?shù)為37289人,主要為交通員工和勞務(wù)人員,占口岸出入境人員總數(shù)的65.02%;體檢人員中以40-49歲年齡組比例最大,占總?cè)藬?shù)的48%。檢出傳染病3164例,總檢出率為8.49%,以乙肝表面抗原(HBsAg)陽性檢出率最高,為5.51%;檢出非傳染病14915例,總檢出率為40%,以心血管系統(tǒng)疾病檢出率最高,為20.75%。傳染病和非傳染病的陽性檢出率分別從不同類別、不同年度、不同監(jiān)測(cè)對(duì)象、不同年齡組進(jìn)行比較,差異均有統(tǒng)計(jì)學(xué)意義(p0.001)。Logistic回歸分析顯示,最終進(jìn)入回歸方程的各變量對(duì)發(fā)生疾病影響作用從大到小排序依次為:教育程度、人員類別、飲酒量、婚姻狀況、年齡組段和群體飲食。 結(jié)論:內(nèi)蒙古口岸以交通員工和勞務(wù)人員構(gòu)成出入境人員的主體人群,所占比例大,但疾病檢出率也高,而其教育程度、職業(yè)分布和飲酒的生活習(xí)慣是形成口岸疾病特點(diǎn)的主要因素。出入境檢驗(yàn)檢疫機(jī)關(guān)在加強(qiáng)對(duì)口岸傳染病監(jiān)測(cè)的同時(shí),也應(yīng)加強(qiáng)對(duì)直接威脅人體健康和旅行安全的非傳染性疾病的控制,實(shí)行傳染病與非傳染病的“倆手齊抓”,評(píng)估口岸出入境人員疾病發(fā)生的健康危險(xiǎn)因素,啟動(dòng)風(fēng)險(xiǎn)管理和全面健康管理。
[Abstract]:Objective: to monitor and examine the infectious diseases and non-communicable diseases among the people entering and leaving the Inner Mongolia Port, to understand the incidence, the epidemic distribution and the characteristics of the infectious diseases and non-communicable diseases among the entry-exit personnel, and to assess the health status of the people entering and leaving the country. Screening the risk factors of port diseases provides scientific basis for preventing diseases and strengthening the comprehensive health management of entry-exit personnel in Inner Mongolia Port. Methods: a questionnaire survey on epidemiology and living conditions was conducted among all the entry-exit people who conducted infectious disease surveillance and health examination in Inner Mongolia International Travel Health Care Center from 2009 to 2012. Finally, all the data are summarized and statistically analyzed. Results: the total number of entry-exit physical examination in Inner Mongolia Port from 2009-2012 was 37289 persons, mainly traffic workers and labor workers, accounting for 65.02% of the total number of entry-exit people at the port. The 40-49 age group was the largest, accounting for 48% of the total. 3164 cases of infectious diseases were detected, the total detection rate was 8.49%, the positive rate of HBsAg (HBsAg) was the highest (5.51%). 14915 cases of non-communicable diseases were detected, the total detection rate was 40%, and the cardiovascular disease rate was the highest (20.75%). The positive rates of infectious diseases and non-communicable diseases were compared from different types, different years, different surveillance objects and different age groups, respectively. The difference was statistically significant (p0.001). Logistic regression analysis showed that, The order of the effects of the variables that entered the regression equation on the occurrence of the disease from big to small was as follows: educational level, personnel category, alcohol consumption, marital status, age group and group diet. Conclusion: in Inner Mongolia Port, traffic workers and labor workers constitute the main population of entry-exit personnel, which accounts for a large proportion, but the detection rate of disease is also high, and its education level. Occupational distribution and drinking habits are the main factors to form the characteristics of port disease. While strengthening the surveillance of infectious diseases at ports, the entry-exit inspection and quarantine authorities should also strengthen the control of non-communicable diseases that directly threaten human health and travel safety, and implement "two hands to grasp" infectious diseases and non-communicable diseases. To evaluate the risk factors of illness, and to initiate risk management and overall health management.
【學(xué)位授予單位】:內(nèi)蒙古大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:R131

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