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目的调查分析影响秦皇岛地区农民工结核发病的危险因素,为制定区域结核病控制的行为干预措施提供依据。方法以秦皇岛地区2006-2007年结核病控制项目中登记发现的农民工中的240名结核病人为病例组,采用1:1配比的病例对照研究方法,进行回顾性调查分析其发病危险因素。结果1、病例与对照两组在性别、年龄、文化差异无统计学意义(P>0.05);2、农民工的生活压力、精神压力对结核病的发病有影响,病例组与对照组差异有显著统计学意义(P<0.01);3、对病例组和对照组进行家庭人口、个人收入、家庭收入及在居住地收入比较,显示病例组与对照组差异有统计学意义(P<0.05)。结论生活压力、精神压力、社会经济状况等因素亦是本地区农民工结核发病的危险因素。通过对农民工采取多种因素防治措施,可以有效地预防和控制流动人口结核病的发生。
Objective To investigate and analyze the risk factors that affect the incidence of TB among migrant workers in Qinhuangdao and provide the basis for the formulation of behavioral interventions for TB control in the region. Methods A total of 240 TB patients among the migrant workers registered in the TB program of Qinhuangdao in 2006-2007 were selected as the case group. The case-control study was conducted with a 1: 1 ratio, and the risk factors were analyzed retrospectively. There was no significant difference in gender, age and culture between the two groups (P> 0.05). (2) The living pressure and mental stress of migrant workers had an impact on the incidence of tuberculosis. There was significant difference between the cases and the control group Statistical significance (P <0.01) .3. The comparison of family population, personal income, family income and living place in case group and control group showed that the difference between the case group and the control group was statistically significant (P <0.05). Conclusion The factors of life pressure, mental stress, socioeconomic status and other factors are also risk factors for tuberculosis in rural areas. By adopting a variety of factors to prevent and control migrant workers, we can effectively prevent and control the occurrence of tuberculosis among floating population.