外出打工者肺结核病危险因素分析  

Analysis on risk factors of pulmonary tuberculosis among farmers of out-migrating for work

作　　者：王国杰[1] Adrian Sleigh Sukhan Jackson 刘禧礼[1] 

机构地区：[1]河南省疾病预防控制中心结核病控制所,郑州450003 [2]澳大利亚国立大学流行病学与人群健康国家中心 [3]澳大利亚昆土兰大学经济学院

出　　处：《中国公共卫生》2006年第2期211-212,共2页Chinese Journal of Public Health

基　　金：联合国开发计划署/世界银行/世界卫生组织热带病研究培训特别规化署(A10166);河南省科技发展计划国际科技合作项目(034664004)

摘　　要：目的 分析外出打工者肺结核病危险因素。方法 采用病例对照研究，选取51名近3年具有外出打工史的25～60岁的涂阳肺结核病人为病例组，同时从病例住所左右邻居中选取57名年龄在25～60岁之间、近3年有外出打工史的健康人作对照；制定统一的调查表进行入户调查；采用非条件Logistic回归进行分析。结果单因素分析显示，有统计学意义（P〈0．05）的因素有工作场所条件不舒适、每天工作时间较长（〉8h）、每周无休息日、不能按时吃饭，以及婚姻史中的单身、不良嗜好中的吸烟2个因素。其OR值分别为4．80，4．56。3．96。3．94，4．53，2．72；多因索分析进入模型的因素（P〈0．05）有工作场所条件不舒适、每天工作时间较长（〉8h）、每周无休息日以及婚姻史中的单身，其OR值分别为3．82．4．45，3．30，5．61。结论工作场所条件不舒适、每天工作时间超过8h、每周没有休息日是外出打工者肺结核病的危险因素；改善打工者的工作环境、维护打工者的合法休息时间，有助于保障外出打工者的身体健康及结核病疫情的控制。Objective TO study risk factors of pulmonary tuberculosis（TB）among farmers who out-migrated for work. Methods A case control study method was conducted;51 new smear positive pulmonary TB patients, who had out-migrated for work during the last 3 years, in the age-group 25-60, notified and registered by four county＇s anti-TB institutions in Henan from October 2002-March 2004, were selected as cases;at the same time, 57 healthy persons in the same age-group with the case, who had also out migrated for work in the past 3 years, were selected as controls from right and left neighbors of the cases, Each interview was carried out with a unifoumly designed questionnaire in the home of the surveyed subjects; models of the univariate and multivariate logistic regressions were used for statistics analysis. Results The results of univariate analysis showed four factors of out-migrating for work were significantly associated with TB（ P〈0.05 ）i. e. poor workplace condition, long work hours a day, no rest day each week and not taking meals at regular time. Two other factors were also risks for TB, marital status（single）and positive smoking history. Multivariate analysis by logistic regression showed that after adjusting for effects of each of the other determinants in the model, poor workplace conditions, long work hours a day, no rest day each week and single marital status, all remained significantly associated with TB（ P〈0.05 ）, with Odds Ratios equal to 3.82, 4.45, 3.30 and 5.61, respectively. Conclusion Poor workplace conditions, long work hours（ 〉 8 hours/day） and not having a rest day each week are all work-related risk factors of pulmonary TB among rural adults out-migrating for work. It will do good to the health of farmers of out-migrating for work and TB control in Henan to improve the work environment and safeguard the legal rest time of farmers of out-migrating for work.

关 键 词：结核病 流行病学 外出打工 危险因素 

分 类 号：R521[医药卫生—内科学]