外籍勞工與本國勞工健檢肝功能指數異常之比較分析

Approach the Results of Liver Function Impairment Among Different Country Labors

林聖章(Sheng-Chang Lin) ； 葉慶輝(Chlng-Hui Yeh) ； 葉淑娟(Shu-Chuan Yeh)

《中華職業醫學雜誌》 10卷4期 (2003/10) Pp. 245-258

摘要

目的：目前在台外籍勞工人數約有30多萬名。這些外籍勞工主要來自東南亞地區，其定期健康檢查報告，由疾病管制局網站公布資料，可知主要的異常項目為寄生蟲感染，而B型肝炎異常比例並不高。在各國勞工生活越來越密切及東南亞與台灣皆是肝炎流行地區的情境下，本研究乃針對不同國籍勞工其SGPT肝功能異常指數做分析探討，以提供僱主及勞工對健康更進一步的認知。
研究方法：本研究為一實證性橫斷研究，研究對象為至國軍左營醫院體檢之本國及外籍勞工。樣本共收集了2602位本國及外籍勞工。外籍勞工健檢部分，除了規定應做的檢查項目外，另外檢測其SGPT肝功能指數，並對不同國籍勞工其SGPT肝功能異常指數做統計分析探討。
研究結果與建議：在2602位本國及外籍勞工中，肝功能指數異常比例以台灣最高，在變異數分析與卡分分析皆達統計顯著性。若將本國勞工有感染B、C型肝炎者移除，共餘2280位(或僅移除B型肝炎個案，共餘2309位) ，再對其做統計分析，肝功能指數異常比例依舊以台灣最高，且在變異數分析與卡分分析皆達統計顯著性，但此時台灣與菲律賓無統計差異。這結果顯示的意義，是否代表台灣因生活條件佳，非病毒性肝功能異常(如脂肪肝)比例增加，值得更進一步分析研究，並提醒國人應注意日常的飲食與生活保健。

關鍵字

健康檢查 ； 肝功能異常

並列摘要

Object: Nowadays there are over 300 thousand foreign workers working in Taiwan, and most of them come from Southeast Asia. According to the analysis of regular foreign workers’ health examination reports from CDC website, the major abnormal item is parasite infection while the hepatitis 8 infection rate is rare. Taiwan and Southeast Asia are both prevalent area of hepatitis. Due to the close contact of different country labors, this research focuses on analyzing the cases of abnormal liver function index (SGPT) among different country labors, and the object could offer labors and employers further insight into health.
Research Method: The study was an experimental cross-section study. All the health examination reports came from Armed Forces Tsoying Hospital, and we collected 2602 cases for this research. Except the ordinary examination items of foreign labors, we also tested their SGPT. After that, we did the statistic analysis of SGPT index among different country labors.
Research Result and Suggestion: Among 2602 labors, the ratio of abnormal liver function is higher in Taiwan than in other countries, and it achieves the statistic significance in ANOVA and Chi-square analysis. If we remove the hepatitis Band C cases of Taiwanese labors or remove the hepatitis 8 cases only, the statistic result would be the same. However, the exception is found when we compared the ratio in Taiwan with that in Philippine. The result may imply that the comfortable living style in Taiwan keeps the non-virus liver function impairment increasing. Therefore, it’s worthwhile to do further study about the underlying impact on our labors’ health, and then we can remind labors and employers in Taiwan that they should concern about their food and health in daily life.

並列關鍵字

Health examination ； Liver function impairment