Healthcare use for communicable diseases among migrant workers in comparison with Thai workers
Healthcare use for communicable diseases among migrant workers in comparison with Thai workers
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DOI：
10.2486/indhealth.2016-0107
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发表时间：
2017-01-01
影响因子：
2
通讯作者：
Morita, Ayako
中科院分区：
文献类型：
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作者：
Rakprasit, Jutarat;Nakamura, Keiko;Morita, Ayako
本研究调查了 2011 年泰国移民工人与泰国工人在传染病方面的医疗保健使用情况。 14 种传染病（18 岁至 59 岁之间的 803,817 例病例）的相对风险 (RR) 是使用全国医院数据库国家流行病学监测系统计算的。就移民工人而言，71.0%是缅甸人，17.3%是柬埔寨人。移徙工人的结核病（TB）（男性，RR=1.41；女性，RR=2.33）、性传播感染（STI）（男性，RR=2.39；女性，RR=1.64）和疟疾（男性，RR=8.31；女性，RR=11.45）的相对RR显着较高。腹泻（男性，RR=0.39；女性，RR=0.28）、食物中毒（男性，RR=0.33；女性，RR=0.24）、登革热（男性，RR=0.82；女性，RR=0.68）等疾病的相对RR显着较低。按职业划分，结核病和性传播感染的发病率在劳动者中较高，但在农民中较低。农民中疟疾的RR（男性，RR=18.26，女性，RR=25.49）高于劳动者（男性，RR=10.04；女性，RR=13.93）。研究表明，移民工人患结核病、性传播感染和疟疾的风险较高，但腹泻、食物中毒、登革热等疾病的风险较低。虽然流动人口健康支持计划促进了妇幼健康，但仍需进一步加强传染病预防以满足流动人口的需求。
This study examines healthcare use in 2011 for communicable diseases among migrant workers compared with Thai workers in Thailand. The relative risks (RRs) of 14 communicable diseases (803,817 cases between ages 18 and 59) were calculated using the National Epidemiological Surveillance System, a nationwide hospital database. Regarding the migrant workers, 71.0% were Burmese and 17.3% were Cambodians. Significantly high comparative RRs for migrant workers were found for tuberculosis (TB) (male, RR=1.41; female, RR=2.33), sexually transmitted infections (STIs) (male, RR=2.39; female, RR=1.64), and malaria (male, RR=8.31; female, RR=11.45). Significantly low comparative RRs for migrant workers were found for diarrhea (male, RR=0.39; female, RR= 0.28), food poisoning (male, RR= 0.33; female, RR=0.24), dengue (male, RR=0.82; female, RR= 0.68), and others. By occupation, RRs for TB and STIs were high among laborers but low among farmers. RRs for malaria among farmers (male, RR=18.26, female, RR=25.49) was higher than among laborers (male, RR=10.04; female, RR=13.93). The study indicated a higher risk of TB, STIs, and malaria for migrant workers, but a lower risk of diarrhea, food poisoning, dengue, and others. Although general health support program for migrants have promoted maternal and child health, prevention of communicable diseases should be further strengthened to meet the needs of migrants.