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目的分析北京口岸出国劳务人员梅毒检测结果,为有关部门制定有针对性的预防和控制梅毒的政策提供依据。方法选取2010—2014年北京口岸出国劳务人员为研究对象,获取其人口学资料和梅毒抗体检测数据。利用Excel 2013软件进行数据整理和数据库的建立,利用SPSS 22.0软件进行统计学分析。结果纳入分析的研究对象36 218人,梅毒抗体阳性123人,阳性率3.396‰。40~49岁组7 877人,梅毒阳性41人,阳性率5.205‰,为各年龄组中最高;18~29岁组15 945人,梅毒阳性25人,阳性率1.568‰,为各年龄组中最低。男性32 199人,梅毒阳性114人,阳性率3.540‰;女性4 015人,梅毒阳性9人,阳性率2.242‰。来自西部地区5 309人,梅毒阳性33人,阳性率6.216‰,高于东部地区(2.806‰)和中部地区(3.099‰)。多因素Logistic回归提示,与18~29岁组相比,30~39岁组、40~49岁组和50~65岁组的出国劳务人员梅毒感染危险分别是18~29岁组的3.080倍、3.496倍和3.293倍。来自西部地区的出国劳务人员梅毒感染危险是来自东部地区的2.299倍。男性出国劳务人员与女性相比梅毒感染危险差异无统计学意义(P>0.05)。结论北京口岸出国劳务人员梅毒阳性检出率较高,加强对出国劳务人员宣传教育、健康检查和提供相应的医疗服务对该人群的梅毒感染控制有益。
Objective To analyze the results of syphilis testing among laborers from overseas at Beijing Port, and to provide basis for relevant departments to make targeted policies on preventing and controlling syphilis. Methods From 2010 to 2014, the labors going abroad at Beijing Port were selected as the research object, and their demographic data and syphilis antibody test data were obtained. Using Excel 2013 software for data collation and database establishment, using SPSS 22.0 software for statistical analysis. Results 36 218 subjects were included in the analysis, and 123 were positive for syphilis antibody with a positive rate of 3.396 ‰. There were 7 877 persons in 40-49 years old group and 41 persons were positive for syphilis, the positive rate was 5.205 ‰, which was the highest in all age groups; 15 945 persons in 18-29 years old group, 25 were positive in syphilis, the positive rate was 1.568 ‰, lowest. Male 32 199 people, syphilis positive 114 people, the positive rate of 3.540 ‰; female 4 015 people, syphilis positive 9, the positive rate of 2.242 ‰. There were 5,309 people from western China with 33 positive for syphilis, the positive rate was 6.216 ‰, higher than the eastern part of China (2.806 ‰) and the middle part of China (3.099 ‰). Multivariate logistic regression analysis showed that compared with 18-29 age group, the risk of syphilis infection among workers aged 30-39, 40-49 and 50-65 years old was 3.080 times that of 18-29 years old group, 3.496 times and 3.293 times. The risk of syphilis infection among migrant workers from the western region is 2.299 times that of the eastern region. There was no significant difference in the risk of syphilis infection between male and overseas workers (P> 0.05). Conclusions The detection rate of syphilis positive among labor force staffs going abroad at Beijing Port is higher. It is beneficial to control the syphilis infection in this population by strengthening the publicity, education and health check-ups and providing corresponding medical services for labors abroad.