南部某區域醫院外籍人士體檢檢驗項目之統計結果分析

The Statistical Analysis of Physical Examination Results of Foreign Residents Conducted by a Southern Regional Hospital

張家曦(Chia-His Chang) ； 周正忠(Cheng-Chung Chou) ； 王源邦(Yuan-Pang Wang) ； 王騰宏(Teng-Hung Wang)

《安泰醫護雜誌》 16卷4期 (2010/12) Pp. 261-272

https://doi.org/10.7078/TSMHMNJN.201012.0261

摘要

根據民國98年內政部統計處統計，目前我國外籍人士有55萬人（內政部統計處），約佔台灣總人口2.6%。其需求量增多原因在於1.外籍勞工薪資低廉，2.國內女性單身主義抬頭，導致本國男性無法尋得合適婚配對象，輾轉向開發中國家尋找婚配對象，故本國國內外籍配偶人數趨於增加，3.現今許多補習班皆以國外老師全程教學來招生等因素。我國行政院衛生署疾病管制局為了預防傳染疾病感染率之上升及降低胎兒缺陷率，所以依規定外籍人士必須通過國內相關之體檢，目前外籍人士體檢的項目包括寄生蟲、X光、梅毒(Syphilis)、麻疹(Measles)、德國麻疹(Rubella)、愛滋病病毒(Human Immunodeficiency Virus)，因此本實驗室期望能藉由個案檢驗數據分析，一窺外籍人士體檢的重要性。統計數據從98年1月至99年6月止，共3622人，將此分成四類：外籍配偶（1582人）、外籍勞工（1991人）、外籍老師（23人）、小孩（26人），因外籍配偶和外籍勞工為較大群組，所以主要以此兩群組來做分析探討。檢驗結果發現3573位外配與外勞中，胸部X光異常率（疑似感染tuberculosis）0.027%，梅毒陽性率1.23%，HIV陽性率0.056%，寄生蟲陽性率15.42%，德國麻疹抗體陽性率為84.70%，麻疹抗體陽性率94.24%。由以上檢驗數據結果顯示，外籍人士體檢有其必要性。

關鍵字

寄生蟲 ； X光 ； 梅毒 ； 麻疹 ； 德國麻疹 ； 愛滋病病毒

並列摘要

According to the statistics from the Accounting Office, Ministry of Interior in 2009, there are currently 550,000 foreign residents in Taiwan and they account for approximately 2.6% of the total population. The number of foreigners has increased due to: 1. lower labor costs, 2. the rising feminine bachelorism that has resulted in shortage of suitable spousal choices causing domestic males to look to other developing countries for mates which have contributed to the rising trend of foreign spouses in the country, and 3. many supplementary schools have employed foreign teachers to attract students. To prevent the spread of infectious diseases and reduce the rate of defective newborn, the Center for Disease Control of the Department of Health, Executive Yuan have stipulated that foreigners must pass physical exams that screen for parasite, X ray, syphilis, measles, rubella, and HIV. Our lab hopes to obtain a glimpse of the importance of foreigner physical exams through data analysis of each individual. The data collection began in January of 2009 and ended June of 2010 for a total of 3622 individuals that were divided into the following four groups: foreign spouses (1582), foreign labor (1991), foreign teachers (23) and children (26). The foreign spouses and foreign labor accounted for a majority and therefore the study is based on these two groups. The exam results showed 0.027% rate for abnormal chest x-ray (suspected tuberculosis), 1.23% rate for syphilis, 0.056% rate for HIV positive, 15.42% rate for parasite positive, 84.7% immunopositive rate for rubella, and 94.24% immunopositive rate for measles. The above results could show as the necessity of physical screening in foreigners.

並列關鍵字

Parasite ； X-ray ； Syphilis ； Measles ； Rubella ； Human Immunodeficiency Virus