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[哥伦比亚波帕扬非正规工人的交流障碍患病率及相关风险因素]

[Communicative disorder prevalence and associated risk factors regarding informal workers in Popayan, Colombia].

作者信息

Palacios-Pérez Aura T, Sierra-Torres Carlos H

机构信息

Departamento de Fonoaudiología, Facultad Ciencias de la Salud, Universidad del Cauca, Popayán, Colombia,

Departamento de Ciencias Fisiológicas, Facultad Ciencias de la Salud, Universidad del Cauca, Popayán, Colombia,

出版信息

Rev Salud Publica (Bogota). 2014 Jul-Aug;16(4):572-84.

Abstract

OBJECTIVE

Determining the prevalence of alterations in informal workers’ audition, respiratory and vocal functions and their association with certain risk factors in Popayan, Colombia.

METHODS

This was a descriptive, cross-sectional study of 186 informal workers (i.e. people selling things in the street). After signing an informed consent form, an interview was held to obtain data regarding sociodemographic and communicative variables. The workers were then evaluated using tests for tone audiometry, respiratory function and Wilson's voice profile. SPSS (v.19.0) was used for statistical analysis.

RESULTS

Being older than 30 years of age (OR 5.84: 2.85-12.00 95%CI), having a poor educational level (2.81: 1.22-6.44 95%CI) and low socioeconomic status (4.54:1.89-10.91 95%CI) and prolonged working hours (2.64: 1.27-5.06 95%CI) were associated with auditive function disorders. Respiratory function disorders were associated with being female (1.83; 1.00-3.34 95%CI) and having prolonged working hours (2.04: 1.11-3.74 95%CI). Regarding vocal function, being over 30 years-old (3.36: 1.33-3.51 95%CI) and having a low educational level (3.67; 1.05-12.76 95%CI) were risk factors. Communicative factors related to auditive, respiratory and voice disorder were ear pain, hypertrophic tonsils, trauma, gastro-esophageal reflux, frequent cough, strong emotions and screaming.

CONCLUSIONS

It is evident that alterations in informal workers'’ communicative system are associated with certain sociodemographic and communicative risk factors. This information provides a baseline for improving healthcare promotion and disease prevention strategies aimed at this population.

摘要

目的

确定哥伦比亚波帕扬非正规工人听觉、呼吸和发声功能改变的患病率及其与某些风险因素的关联。

方法

这是一项对186名非正规工人(即街头小贩)进行的描述性横断面研究。在签署知情同意书后,进行访谈以获取有关社会人口统计学和交流变量的数据。然后使用纯音听力测试、呼吸功能测试和威尔逊嗓音剖面图对这些工人进行评估。采用SPSS(v.19.0)进行统计分析。

结果

年龄超过30岁(比值比5.84:2.85 - 12.00,95%置信区间)、教育水平低(2.81:1.22 - 6.44,95%置信区间)、社会经济地位低(4.54:1.89 - 10.91,95%置信区间)以及工作时间延长(2.64:1.27 - 5.06,95%置信区间)与听觉功能障碍相关。呼吸功能障碍与女性(1.83;1.00 - 3.34,95%置信区间)和工作时间延长(2.04:1.11 - 3.74,95%置信区间)相关。关于发声功能,年龄超过30岁(3.36:1.33 - 3.51,95%置信区间)和教育水平低(3.67;1.05 - 12.76,95%置信区间)是风险因素。与听觉、呼吸和嗓音障碍相关的交流因素包括耳痛、扁桃体肥大、外伤、胃食管反流、频繁咳嗽、强烈情绪和尖叫。

结论

显然,非正规工人交流系统的改变与某些社会人口统计学和交流风险因素相关。这些信息为改善针对该人群的医疗保健促进和疾病预防策略提供了基线。

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