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研究生:曾嵩智
研究生(外文):Sung-Chih Tseng
論文名稱:外籍勞工腸道寄生蟲感染率與相關因素探討
論文名稱(外文):Attack Rate and Associated Factors of Intestinal Parasites Infection Among Foreign Workers
指導教授:周碧瑟周碧瑟引用關係
指導教授(外文):Pesus Chou
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:63
中文關鍵詞:外籍勞工腸道寄生蟲感染
外文關鍵詞:foreign workerintestinal parasites infection
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背景
近年來,由於臺灣經濟結構改變、人力需求增加、工作價值觀念改變等因素之影響,導致就業市場基層人力缺乏。台灣自多年前開始引進外國籍工人來臺工作,從菲律賓、泰國、印尼、越南等國家大量引進勞工。相關法令規定,外籍工人至台灣工作需接受體格檢查。而根據台灣疾病管制局 (CDC)統計資料顯示,來台的外籍人士所接受的體格檢查中,以「腸內寄生蟲檢查」這一項不合格之比例最高。
目的
了解來台工作後的外籍勞工其腸道寄生蟲感染狀況及相關影響因子分析。
材料與方法
資料收集是回溯自2006年1月至2007年12月到桃園壢新醫院接受體格檢查的外籍勞工之檢查報告。選取曾經在壢新醫院接受過入境及定期體檢的個案,針對定期體檢的寄生蟲檢查結果加以分析。
結果
共收集9,363名個案,其中男性4,415人(47.2%)、女性4,948人(52.8%)。其中2,018人(21.6%)來自印尼、2,741人(29.3%)來自菲律賓、3,067人(32.8%)來自泰國、1,537人(16.4%)來自越南。定期體檢糞便檢查異常為611人(6.5%)。就性別異常分析男性4.7%、女性8.2%;年齡別異常率以小於25歲族群較高(8.1%);就體位而言糞便檢查異常以過重體位最低(5.6%);就國籍別分析異常率依次為印尼206人(10.2 %)、越南109人(9.1 %)、菲律賓159人(5.8 %)、泰國137人(4.5 %)。入境體檢時糞便檢查異常者再感染率為17.5%。再經過邏輯斯迴歸分析後發現定期體檢糞便寄生蟲檢查結果異常與性別、年齡、國別、體位及入境體檢糞便異常有關。
結論
研究顯示來台工作後之外籍勞工腸道寄生蟲盛行率女性較男性高,小於25歲族群較高,印尼籍勞工腸道寄生蟲盛行率較他國為高及入境時體檢糞便異常者較無異常者高。由於腸道寄生蟲多經由糞口傳染,且外籍勞工其生活圈會與本國人重疊,對於如何避免境外寄生蟲引入臺灣、落實檢疫工作是目前重要的課題之一。
Background
In order to meet the pressing human resource needs of employers, Taiwan hire thousands of foreign workers to help address skill and labour shortages every years. Most of the foreign workers are come from Philippine, Thailand, Indonesia and Vietnam. By the health policy, all foreign workers must complete a health examination before hiring in Taiwan. According to the statistic data from Centers for Disease Control, Taiwan;the highest abnormal health examination result was intestinal parasites infection.

Object
This study is focus on the analysis of intestinal parasites infection and associated factors of the Southeast Asia foreign workers who had work in Taiwan, base on our health examination data.

Matterial and Methods
We collected the health examination data of foreign worker who received examination in Lishin hospital , Taiwan from 2006 Jan to 2007 Dec. We included the Southeast Asia foreign workers who had received immigrate and regular health exam in Lishin hospital.

Results
We collected 9,363 foreign workers in this study. There were 4,415(47.2%) men, and 4,948(52.8%) women. There were 2,018(21.4%) persons from Indonesia, 2,741 (29.3%) from Philippine, 3,067(32.8%) from Thailand and 1,537(16.4%) from. Vietnam The abnormal stool examination rate of regular health exam is 6.5%(611 persons). According to sex, the prevalence rate in male is 4.7%, female 8.2%. The age specified prevalence rate in group younger than 25 years old is the highest.(6.5%). The overweight group has lower abnormal rate(5.6%). According to the country, the prevalence rate in Indonesia is 10.2%(206), 9.1%(109) in Vietnam, 5.8%(159) in Philippine and 4.5%(137) in Thailand. The worker who had abnormal stool data in immigrate health exam has higher abnormal rate(17.5%) in regular health exam. After multiple logistic regression analysis, we found The abnormal stool examination rate of regular health exam is associated with gender, age, nation, BMI, and stool exam data in immigrate health exam.

Conclusion
This study shows the intestinal parasites infection rate in the foreign workers from Indonesia, female, younger than 25 years old, and had abnormal stool exam in immigrate health exam was higher than others. Our government should pay more attention to prevent parasite infection from Southeast Asia country.
中文摘要 7
英文摘要 9

第壹章 緒論 11
第一節 研究背景 11
第二節 研究動機 14
第三節 研究目的 14

第貳章 文獻探討 15
第一節 外籍勞工引進現況 15
第二節 外籍勞工腸道寄生蟲感染率 17
第三節 外籍勞工腸道寄生蟲之寄生蟲別 19
第四節 外籍勞工腸道寄生蟲感染之相關因子 21
第五節 外籍勞工腸道寄生蟲感染相關研究設計 23


第參章 研究材料和方法 25
第一節 研究對象 25
第二節 糞便腸道寄生蟲檢查 25
第三節 資料分析 27

第肆章 研究結果 28
第一節 基本資料分析 28
第二節 定期體檢腸道寄生蟲感染與相關因子單變項分析 29
第三節 定期體檢腸道寄生蟲感染與相關因子多變項分析 30
第四節 依據新的診斷標準進行分析 31
第五節 寄生蟲感染蟲別 32


第伍章 討論 33
第一節 入境體檢與定期體檢腸道寄生蟲盛行率比較及探討 33
第二節 相關因子比較 35
第三節 人芽囊原蟲相關探討 36
第四節 新舊診斷的比較 38
第五節 研究限制 38

第陸章 結論 39

第柒章參考文獻 40

第捌章 表 47
Table1 demography data in regular exam 47
Table2 univariable analysis of stool exam result in regular exam 48
Table3 multiple logistic regression analysis of stool exam in regular exam 49
Table4-1 parasite type cross table of immigrate exam and regular exam 50
Table4-2 relationship between parasite type and nation in regular exam 51
Table4-3 parasite type of multiple infection in regular exam 52
Table5 prevalence rate with new criteria 52
Table6 multiple logistic regression analysis of stool exam with criteria in regular exam 53
Table7 relationship between the prevalence of intestinal parasitic infections and demographic factors in immigration and regular exam 54
Table8 relationship between sex, nation and work type 55

第玖章 附件 56
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1. 2. 吳麗珠, 王仁德, 林文斐, 郭旭崧. 外籍勞工健康檢查制度回顧與展望. 疫情報導 2005;21(8):569-586。
2. 2. 吳麗珠, 王仁德, 林文斐, 郭旭崧. 外籍勞工健康檢查制度回顧與展望. 疫情報導 2005;21(8):569-586。
3. 9. 林益卿、楊佩玉、洪錫慶、王家慶、張慧如、楊舒斐、黃妍綸(1998)。1997 年彰化秀傳紀念醫院受檢外籍勞工腸內寄生蟲感染調查研究。秀傳醫學雜誌,1(1),35-41。
4. 9. 林益卿、楊佩玉、洪錫慶、王家慶、張慧如、楊舒斐、黃妍綸(1998)。1997 年彰化秀傳紀念醫院受檢外籍勞工腸內寄生蟲感染調查研究。秀傳醫學雜誌,1(1),35-41。
5. 14. 章門煌、林玲媛、徐慧貞(2007)。外籍勞工寄生蟲感染的調查。北市醫學雜誌,4(9),808-813。
6. 14. 章門煌、林玲媛、徐慧貞(2007)。外籍勞工寄生蟲感染的調查。北市醫學雜誌,4(9),808-813。
7. 31. 黃尹虹、辛致煒(2000)。人芽囊原蟲-一種長期被忽略的腸道寄生蟲。中華公共衛生雜誌,19(4),250-260。
8. 31. 黃尹虹、辛致煒(2000)。人芽囊原蟲-一種長期被忽略的腸道寄生蟲。中華公共衛生雜誌,19(4),250-260。
9. 33. 胡念之、林育正、黃建賢、陳仲達(2007)。不容忽視的人芽囊原蟲感染症。基層醫學,22(9),324-326。
10. 33. 胡念之、林育正、黃建賢、陳仲達(2007)。不容忽視的人芽囊原蟲感染症。基層醫學,22(9),324-326。