山东省和辽宁省监狱服刑人员结核病防治服务及其影响因素研究

发布时间：2018-02-27 01:29

本文关键词： 监狱结核病病犯结核病防治服务影响因素　出处：《山东大学》2006年硕士论文　论文类型：学位论文

【摘要】：我国是全球22个结核病高负担国家之一。2000年调查显示，我国有结核病病人451万，，结核病病人总数居世界第二位。与一般人群相比较，监狱系统结核病疫情更为严重。长期以来，我国监狱系统结核病一直是危害服刑者身体健康的主要疾病。据2002年9月至2003年3月进行的全国监狱系统结核病防治工作调研报告显示，我国监狱系统有活动性肺结核19171例，患病率高达1251/10万，为全国平均水平的3.4倍。近年来，国际上越来越多的研究者开始对监狱系统结核病疫情以及卫生服务利用情况进行研究。不同国家监狱服刑人员卫生服务利用情况特点不一。就我国而言，目前未见对监狱系统结核病服刑人员卫生服务利用及影响因素方面的研究。为此，我们在世界卫生组织的资助下，对山东、辽宁两省部分监狱在押的255名结核病病犯进行了卫生服务利用及影响因素方面的调查研究，旨在了解山东省与辽宁省监狱结核病防治服务现状，评价结核病防治服务的影响因素，探索符合监狱系统实际的结核病防治策略，为有关部门制定政策提供合理建议。本研究采用个案研究的方法，在山东省选择三所监狱(其中，两所普通监狱，一所医疗监狱，即专门为病犯提供医疗服务的监狱)，在辽宁省选择一所监狱进行调查和分析。根据监狱结核病患病情况以及监狱的性质，在山东选择了患病率相对高的潍坊监狱、山东省监狱与新康监狱(医疗监狱)进行调查；在辽宁选择了铁岭监狱(医疗监狱)进行调查。资料主要来源于文献检索、机构调查、肺结核病犯问卷调查和关键人物访谈。
[Abstract]:China is one of the 22 countries with high TB burden in the world. In 2000, the survey showed that there are 4.51 million TB patients in China, and the total number of TB patients ranks second in the world. Compared with the general population, the tuberculosis epidemic in prison system is more serious for a long time. Tuberculosis in the prison system in China has always been a major disease endangering the health of prisoners. According to the report of the National investigation on Tuberculosis Control in the Prison system from September 2002 to March 2003, there are 19171 cases of active tuberculosis in the prison system of our country. The prevalence rate reached 1251/10, 000, 3.4 times the national average. In recent years, more and more international researchers have begun to study the situation of tuberculosis in the prison system and the utilization of health services. The characteristics of the utilization of health services for prison inmates in different countries are different. As far as our country is concerned, At present, no research has been done on the utilization of health services and the factors affecting the utilization of health services for tuberculosis inmates in the prison system. For this reason, we have, with the financial assistance of the World Health Organization, made a study on the situation in Shandong, In order to understand the present situation of tuberculosis control services in prisons of Shandong Province and Liaoning Province, 255 TB prisoners in two provinces of Liaoning Province were investigated in terms of the utilization of health services and the influencing factors. To evaluate the influencing factors of TB prevention and control service, to explore the tuberculosis prevention and control strategy in accordance with the actual situation of prison system, and to provide reasonable suggestions for relevant departments to formulate policies. This study adopts the case study method to select three prisons (two ordinary prisons, one medical prison) in Shandong Province. That is, a prison that specializes in providing medical services to sick prisoners, selected a prison in Liaoning Province for investigation and analysis. According to the prevalence of tuberculosis in prisons and the nature of the prisons, Weifang Prison, which has a relatively high prevalence rate, was selected in Shandong Province. Shandong prison and Xinkang prison (medical prison) were investigated; Tieling prison (medical prison) was selected for investigation in Liaoning Province.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R184

【引证文献】