中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2015年
3期
176-180
,共5页
张宜平%王巧梅%刘民%沈海屏%马旭%张曼%叶汉风%孙丽洲%刘欣燕
張宜平%王巧梅%劉民%瀋海屏%馬旭%張曼%葉漢風%孫麗洲%劉訢燕
장의평%왕교매%류민%침해병%마욱%장만%협한풍%손려주%류흔연
男性健康%孕前保健%卫生调查
男性健康%孕前保健%衛生調查
남성건강%잉전보건%위생조사
Men's Health%Preconception care%Health surveys
目的 评估中国21 ~49岁男性孕前健康风险暴露状况,分析2010至2012年男性孕前健康风险暴露的变化情况.方法 利用“中国育龄夫妇孕前健康风险暴露评估核心指标”,对2010年1月1日至2012年12月31日参加“国家免费孕前优生健康检查项目”的31个省、市、自治区220个试点县的21 ~49岁男性2 030 083人进行孕前风险暴露评估.评估的风险包括行为风险、传染病风险和遗传风险等3类与子代健康密切相关的风险.分析男性孕前风险状况及其变化情况.结果 2010至2012年31省、市、自治区21~49岁男性吸烟率为31.19%(622 837/1 997 051),中位吸烟量为10支/d,每日吸烟量随年龄增加而增大;饮酒率为31.81%(634 556/1 994 925),中位饮酒量随年龄的增加而增大;有出生缺陷患病史、家族近亲结婚史、遗传病家族史者分别占0.12% (2 344/1 994 324)、0.20%(4043/1 997 707)和0.94%(18 736/2000005);有乙型肝炎病史、性病史者分别占0.67%(13 317/1 988 904)和0.05%(912/1 988 904);孕前乙型肝炎表面抗原阳性检出率、梅毒螺旋体初筛异常的检出率分别为6.32%(124 274/1 965 821)和0.37%(7 169/1 947 021);3类风险中,风险暴露最高的是行为风险、最低的是遗传风险.行为风险、遗传风险、传染病风险中的性病感染风险暴露均以2012年为低,而传染病风险中的乙肝感染风险暴露以2010年为低.结论 31省、市、自治区农村21~49岁男性孕前健康状况总体良好,但存在一定行为、遗传和传染病感染风险暴露.除乙肝病毒感染风险外,2010、2011和2012年孕前健康风险暴露总体呈下降趋势.
目的 評估中國21 ~49歲男性孕前健康風險暴露狀況,分析2010至2012年男性孕前健康風險暴露的變化情況.方法 利用“中國育齡伕婦孕前健康風險暴露評估覈心指標”,對2010年1月1日至2012年12月31日參加“國傢免費孕前優生健康檢查項目”的31箇省、市、自治區220箇試點縣的21 ~49歲男性2 030 083人進行孕前風險暴露評估.評估的風險包括行為風險、傳染病風險和遺傳風險等3類與子代健康密切相關的風險.分析男性孕前風險狀況及其變化情況.結果 2010至2012年31省、市、自治區21~49歲男性吸煙率為31.19%(622 837/1 997 051),中位吸煙量為10支/d,每日吸煙量隨年齡增加而增大;飲酒率為31.81%(634 556/1 994 925),中位飲酒量隨年齡的增加而增大;有齣生缺陷患病史、傢族近親結婚史、遺傳病傢族史者分彆佔0.12% (2 344/1 994 324)、0.20%(4043/1 997 707)和0.94%(18 736/2000005);有乙型肝炎病史、性病史者分彆佔0.67%(13 317/1 988 904)和0.05%(912/1 988 904);孕前乙型肝炎錶麵抗原暘性檢齣率、梅毒螺鏇體初篩異常的檢齣率分彆為6.32%(124 274/1 965 821)和0.37%(7 169/1 947 021);3類風險中,風險暴露最高的是行為風險、最低的是遺傳風險.行為風險、遺傳風險、傳染病風險中的性病感染風險暴露均以2012年為低,而傳染病風險中的乙肝感染風險暴露以2010年為低.結論 31省、市、自治區農村21~49歲男性孕前健康狀況總體良好,但存在一定行為、遺傳和傳染病感染風險暴露.除乙肝病毒感染風險外,2010、2011和2012年孕前健康風險暴露總體呈下降趨勢.
목적 평고중국21 ~49세남성잉전건강풍험폭로상황,분석2010지2012년남성잉전건강풍험폭로적변화정황.방법 이용“중국육령부부잉전건강풍험폭로평고핵심지표”,대2010년1월1일지2012년12월31일삼가“국가면비잉전우생건강검사항목”적31개성、시、자치구220개시점현적21 ~49세남성2 030 083인진행잉전풍험폭로평고.평고적풍험포괄행위풍험、전염병풍험화유전풍험등3류여자대건강밀절상관적풍험.분석남성잉전풍험상황급기변화정황.결과 2010지2012년31성、시、자치구21~49세남성흡연솔위31.19%(622 837/1 997 051),중위흡연량위10지/d,매일흡연량수년령증가이증대;음주솔위31.81%(634 556/1 994 925),중위음주량수년령적증가이증대;유출생결함환병사、가족근친결혼사、유전병가족사자분별점0.12% (2 344/1 994 324)、0.20%(4043/1 997 707)화0.94%(18 736/2000005);유을형간염병사、성병사자분별점0.67%(13 317/1 988 904)화0.05%(912/1 988 904);잉전을형간염표면항원양성검출솔、매독라선체초사이상적검출솔분별위6.32%(124 274/1 965 821)화0.37%(7 169/1 947 021);3류풍험중,풍험폭로최고적시행위풍험、최저적시유전풍험.행위풍험、유전풍험、전염병풍험중적성병감염풍험폭로균이2012년위저,이전염병풍험중적을간감염풍험폭로이2010년위저.결론 31성、시、자치구농촌21~49세남성잉전건강상황총체량호,단존재일정행위、유전화전염병감염풍험폭로.제을간병독감염풍험외,2010、2011화2012년잉전건강풍험폭로총체정하강추세.
Objective To assess the exposure status of preconception health risk of Chinese males aged 21-49 years in 31 provinces and analyze the changes of their exposure status during 2010-2012.Methods The " Core Indicators of Preconception Health Risk Exposure Status in Chinese reproductive couples" were used to evaluate the preconception health risk of males aged 21-49 years who participated in National Free Preconception Health Examination Project.From January 1,2010 to December 31,2012,a total of 2 030 083 males were recruited from 220 pilot counties of 31 provinces.The risks involved three aspects closely correlated with offspring health:behavioral risk,infectious risk and genetic risk.Results The overall smoking rate of Chinese rural males aged 21-49 years was 31.19% (622 837/1 997 051).They smoked a daily average of 10 cigarettes.The median number of cigarettes smoked was 10 per day and it increased with age.The overall drinking rate was 31.81% (634 556/1 994 925).Meanwhile,median alcohol consumption increased with age.The rate of males with a history of birth defect,family inbreeding and familial genetic disease accounted for 0.12% (2 344/1 994 324),0.20% (4 043/1 997 707) and 0.94% (18 736/2 000 005) respectively.The rates of males with a history of hepatitis B and sexually transmitted diseases were 0.67% (13 317/1 988 904) and 0.05% (912/1 988 904) respectively.HBsAg positive rate was 6.32% (124 274/1 965 821).And the positive screening rate of Treponema pallidum was 0.37% (7 169/1 947 021).Among three types of risks,the highest risk was behavioral risk while the lowest risk genetic risk.Behavioral risk,genetic risk and sexually transmitted diseases in infectious risk were all lowest in 2012 while HBV infection in infectious risk was lowest in 2010.Conclusion The general status of preconception health is fair for rural males aged 21-49 years in 31 provinces.However,there are still some behavior,genetic and infectious risks.The preconception health risk of rural males showed an overall declining trend during 2010-2012.