内蒙古口岸出入境人员传染病监测及健康状况分析

发布时间：2018-10-31 10:48

【摘要】：目的：对内蒙古口岸出入境人员进行传染病监测和非传染病检查,掌握口岸出入境人员中传染病和非传染病的发病情况,流行分布趋势及特征,评估出入境人员的健康状况,筛查形成口岸疾病的风险因子,为预防疾病、加强内蒙古口岸出入境人员全面健康管理提供科学依据。方法：以2009-2012年间在内蒙古国际旅行卫生保健中心进行传染病监测和健康体检的所有出入境人员作为研究对象,开展流行病学和生活状况的问卷调查,最后把所有资料进行整理归纳和统计分析。结果：内蒙古口岸2009-2012年间出入境体检总人数为37289人,主要为交通员工和劳务人员,占口岸出入境人员总数的65.02%；体检人员中以40-49岁年龄组比例最大,占总人数的48%。检出传染病3164例,总检出率为8.49%,以乙肝表面抗原(HBsAg)阳性检出率最高,为5.51%；检出非传染病14915例,总检出率为40%,以心血管系统疾病检出率最高,为20.75%。传染病和非传染病的阳性检出率分别从不同类别、不同年度、不同监测对象、不同年龄组进行比较,差异均有统计学意义(p0.001)。Logistic回归分析显示,最终进入回归方程的各变量对发生疾病影响作用从大到小排序依次为：教育程度、人员类别、饮酒量、婚姻状况、年龄组段和群体饮食。结论：内蒙古口岸以交通员工和劳务人员构成出入境人员的主体人群,所占比例大,但疾病检出率也高,而其教育程度、职业分布和饮酒的生活习惯是形成口岸疾病特点的主要因素。出入境检验检疫机关在加强对口岸传染病监测的同时,也应加强对直接威胁人体健康和旅行安全的非传染性疾病的控制,实行传染病与非传染病的“俩手齐抓”,评估口岸出入境人员疾病发生的健康危险因素,启动风险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.
【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R131

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