頁籤選單縮合
| 題 名 | 2018年新竹縣執行山地原鄉結核病防治經驗分享=Prevention and Control of Tuberculosis in Rural Aboriginal Towns, Hsinchu County, 2018 |
|---|---|
| 作 者 | 林軒竹; 卓名芬; 錢君萍; 張惠紜; 周郁茹; 吳智文; 巫坤彬; | 書刊名 | 疫情報導 |
| 卷 期 | 37:21 2021.11.09[民110.11.09] |
| 頁 次 | 頁327-334 |
| 分類號 | 412.42 |
| 關鍵詞 | 消弭原鄉健康不平等計畫; 山地原鄉; 結核病防治; 主動發現; Eliminating health inequality in rural aborigine towns plan; Rural aborigine towns; TB prevention; Active case finding; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 山地原鄉現行之主動發現策略是由衛生所巡迴篩檢時提供胸部X光檢查服務,民眾若為行動不便或居住於X光巡迴車無法抵達地區者,則以結核病症狀評估搭配痰液檢測進行篩檢,然而有部分民眾仍未定期或從未參與衛生所巡迴篩檢活動。我國於2018年由5縣市8個山地鄉推行「消弭原鄉健康不平等計畫」,將主動篩檢觸角延伸至醫療及教育體系,期許助於提升山地原鄉結核病防治成效。本篇為新竹縣執行2018年「消弭原鄉健康不平等計畫」經驗分享,提供全國各山地原鄉推動結核病防治策略之參考。 運用新竹縣提供2016至2018年山地原鄉參與主動篩檢活動名單進行五峰及尖石鄉執行成果分析,五峰及尖石鄉2018年篩檢率分別為23%及13%,35歲至64歲民眾累積3年篩檢率分別為54%及41%,65歲以上民眾篩檢率分別為48%及29%。 計畫執行期間,部分民眾無意願參加衛生所及醫院辦理之主動篩檢,亦有部分民眾填寫症狀評估問卷為有結核相關症狀而經勸導仍拒絕接受檢查,顯示如何強化民眾疾病認知及增加民眾參與篩檢意願仍為山地原鄉結核病防治之首要挑戰。若能運用教育資源將疾病認知深植於民眾生活中,且分析民眾拒絕接受篩檢之實際原因,逐一克服各項阻力來源,將有助於主動篩檢成效,藉此找出潛藏之結核病個案,達成降低山地原鄉結核病發生率之終極目標。 |
| 英文摘要 | Taiwan Centers for Disease Control (Taiwan CDC) has promoted the active case finding of tuberculosis strategy for rural aboriginal towns since 1997. When the local public health centers provided routine mobile health screening services in rural aboriginal towns, residents were encouraged to receive chest X-ray examination. For residents with mobility difficulties or whose residences were unreachable by the mobile X-ray vehicles, the public health personnel would home visit, check the tuberculosis symptoms screening questionnaires and collect sputum samples for test if necessary. However, some of the residents had never or irregularly participated the mobile health screening services. To strengthen the prevention of tuberculosis in rural aboriginal towns, Taiwan CDC implemented the “Plan for eliminating health inequality in rural aboriginal towns” in eight rural aboriginal towns of five counties in 2018. The plan involved medical and educational systems into the proactive screening of tuberculosis. This article is to share the experience of implementation of the specified plan in Hsinchu County in 2018. We analyzed the data of participants in the proactive screening from 2016 to 2018 provided by Hsinchu County to evaluate the performance of the plan in Wufeng and Jianshi Townships. In Wufeng and Jianshi Townships, the screening rates in 2018 were 23% and 13% respectively. The three-year cumulative screening rates of residents aged 35–64 years were 54% and 41%, and of residents older than 65 years were 48% and 29%, respectively. During implementation of the plan, some residents were unwilling to receive the proactive screening. Some residents answered the symptoms screening questionnaire with symptoms compatible with tuberculosis, but still refused to receive tuberculosis test. The findings showed that the major challenges of tuberculosis prevention in rural aboriginal towns were how to enhance the understanding of disease and screening willingness. We recommend incorporating awareness of tuberculosis into residents’ daily life with education resources, and finding out the reasons for screening refusal, in order to improve the effectiveness of proactive screening plan in early case finding and to further decrease the incidence of tuberculosis in rural aboriginal towns. |
本系統中英文摘要資訊取自各篇刊載內容。