上海某社区家政人员职业卫生习惯及幽门螺杆菌感染现况调查

Current status of occupational hygiene habits and Helicobacter pylori infection of domestic service personnel in a Shanghai community

抽取76名社区家政服务人员为调查组，76名雇主为对照组，进行问卷调查和碳14-尿素呼气试验（14C—UBT）检测有无幽门螺杆菌（印）感染。从业年限〉3年占65％（50例），驻家服务占45％（34例），服务2户以上钟点工占49％（37例）。与服务家庭共同就餐比例占84％（64例）。两组间卫生习惯及却感染知晓率差异无统计学意义（P〉0．05）。家政服务人员坳感染率50％（38例），雇主感染率38％（29例）（x2=2．162，P=1．141），二者却感染一致率62％（Kappa=0．237）。社区家政服务人员存在通过职业行为在家庭内和家庭间传播却的高风险，对现患者应尽早采取根除治疗，规范从业管理。

To explore the current status of occupational hygiene habits and Helicobacter pylori （Hp） infection of domestic service personnel in a Shanghai community and propose the community control measures. A total of 76 domestic service personnel and employers were selected into the investigation and control groups. And they answered questionnaire and received 14C-urea breath test. The career duration of 65% domestic service personnel were over 3 years. Home-based services accounted for 45%. The number of 49% part-time service accounted for two or more. And 84% of them dined together with service families. The difference of occupational hygiene habits and awareness of Hp infection had no statistical significance （P 〉0.05 ）. The rate of Hp infection of domestic service personnel was 50% vs. 38% for control group （ X2 = 2. 162, P = 1. 141 ）. Their consistent rate was 6.2% （ Kappa = 0. 237 ）. A high risk of Hp infection spread within or between the families is correlated with the professional behaviors of domestic service personnel. Eradication therapy for an existing patient should be started as early as possible and occupational practices standardized.