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景德镇市职业人群健康风险调查及卫生经济学评价研究

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目的 分析景德镇市职业人群健康风险及卫生经济学.方法 收集景德镇市2015年1月-2020年12月职业人群健康风险调查及卫生经济学评价资料,采用率、构成比和x2检验进行描述性分析景德镇市职业健康检查目标疾病检出情况、职业病危害因素企业分布、职业健康异常检出情况以及职业人群健康风险卫生经济学评价结果.结果 2015-2020年景德镇市职业健康检查目标疾病检出呈逐渐降低趋势;2015-2020年景德镇市重点职业病危害因素企业主要以煤尘、矽尘、苯、铅、噪声为主,且2018年后危害因素企业呈减少趋势,接触重点职业病危害因素的劳动者人数呈升高趋势,当年接受职业健康检查的劳动者人数呈下降趋势;2015-2020年血压、血常规、尿常规、肝功能、胸片、纯音测听检查异常率比较,差异有统计学意义(P<0.05);根据Markov疾病发展概率模型分析,景德镇市职业人群健康检查方案在当地是极具成本效果.结论 景德镇市职业人群健康状况基本良好,职业病发生率逐渐降低,加强职业健康检查,急早发现职业禁忌证人员,以避免其从事相关工作.对于疑似职业病人员,应加强职业健康监测,以保护职业人群身体健康安全.
Study on Health Risk Investigation and Health Economics Evaluation of Occupational Population in Jingdezhen City
Objective To analyze the health risk and health economics of occupational population in Jingdezhen City.Methods The data of health risk investigation and health economic evaluation of occupational population in Jingdezhen City from January 2015 to December 2020 were collected.The rate,composition ratio and x2 test were used to descriptively analyze the detection of target diseases in occupational health examination,the distribution of occupational hazard factors in enterprises,the detection of occupational health abnormalities and the health economic evaluation results of occupational population health risk in Jingdezhen City.Results From 2015 to 2020,the detection rate of target diseases in occupational health examination in Jingdezhen showed a gradual downward trend;from 2015 to 2020,the enterprises with key occupational hazard factors in Jingdezhen City were mainly coal dust,silica dust,benzene,lead and noise,and the enterprises with hazard factors showed a decreasing trend after 2018.The number of workers exposed to key occupational hazard factors showed an increasing trend,and the number of workers receiving occupational health examination in that year showed a decreasing trend.There were statistically significant differences in the abnormal rates of blood pressure,blood routine,urine routine,liver function,chest X-ray and pure tone audiometry from 2015 to 2020(P<0.05).According to the analysis of Markov disease development probability model,the health examination program of occupational population in Jingdezhen was very cost-effective in the local area.Conclusion The health status of occupational population in Jingdezhen City is basically good,and the incidence of occupational diseases is gradually decreasing.It is necessary to strengthen the occupational health examination,and find out the occupational contraindication personnel as soon as possible,so as to avoid them from engaging in related work.For suspected occupational disease personnel,occupational health monitoring should be strengthened to protect the health and safety of the occupational population.

Jingdezhen CityOccupational health risksHealth economics evaluation

张文彬、邱文军、方文文

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景德镇市疾病预防控制中心慢性病科,江西景德镇 333000

景德镇市疾病预防控制中心血吸虫病地方病科,江西景德镇 333000

景德镇市第一人民医院妇产科,江西景德镇 333000

景德镇市 职业人群健康风险 卫生经济学评价

江西省卫生健康委科技项目

202212072

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(8)
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