Khoảng trống giữa nhu cầu và sử dụng dịch vụ khám sức khỏe tiền hôn nhân

Do lufet lao dOng nfen tudi lao (JOng nam Id 60 tu6i

nhiiu han 5 tu6i so vdi nu 55 tu6i. Vi th i cQng c6 su

khic bifet vfe tuii ddi bj DNN d 2 gidi, nam Id 32 tuii

cao han nO- 31 tudi. C6 su- khdc bifet v i tu6i ddi giua

cdc nhdm ngdnh nghi. Nhir (Jd phdn tich o- trfen, vi c6

s6 luang ddng Id nu- (86,9%) nfen tu6i ddi bj DNN

ngdnh Da gidy Id 31 ndm

Khi NLO ngdnh Da gidy Idm vifec 1 ndm trong mfei

tru-dng dn thi ty Ife DNN tdng Ifen 1,1 lin, vdi p<0,001

Tudi ddi bi ONN ngdnh Da gidy Id 31 ndm. V l tudi

ddi cua tdng aidi vdi phuang sai cd sy khdc bifet nfen

dung phfep kiem phi tham s6 Krusal-Kwallis. Tudi ddi

NLD nd ngdnh Da gidy Id 41 ndm. Tudi ddi NLD nam

Id 32 ndm

k£t luan

Qua kiim tra thinh lyc 1800 NLO dang Idm vifec

trong ngdnh nghi Da gidy cd tilng dn cao >85dBA

cho thiy ty Ife DNN Id thip 1,5%; nhu vdy 66 NLD

trong mdi trudng tilng dn cao vuat mdc mdi cd 1 bj

DNN. Khi NLO Idm vifec tdng thfem 1 ndm thi nguy ca

bi DNN tdng Ifen 1,1 lin.

Mdc dfe d nhifem tilng dn vu-pl khd cao d ngdnh

Da gidy cd ty Ife sd diim dn vd cudng dd vuat muc Id

(13,3% - 91dBA). Qua kiim tra thinh lyc 1800 NLO

dang Idm vifec trong ngdnh nghi Da gidy cd tilng dn

cao >85dBA cho thiy, ty Ife ONN Id 1,5%; nhu vdy cd

66 NLD d mdi trudng tilng dn cao vuat muc thi cd 1

bj DNN. Khi NLO Idm vifec tdng thfem 1 ndm thi nguy

cab( DNN tdng Ifen 1,1 lin.

TAl LIEU THAM KHAO

1. Nguyln Ddng Qudc Chan, Nguyen Hdu Khoi, Bui

Dei Ljch (2005), “ Odnh gia sa b0 tinh hinh bfenh DNN

trfin dja bdn TP.HCM", Hdi nghj khoa hpc ky thufet lin

thd 22, Tap chi y hoc TP.HCM, tap 9, sd 1, 2005, tr.

139-142.

2. Nguyln Dang Quoc Chan va cdng sy (2009), Tinh

hinh DNN t$i mQt s6 nha mdy, xi nghi$p cd tieng 6n cao

(>85dBA) t$i TP.HCM - Bi$n phdp phdng ngira, d l tai

c4p Thdnh phd do Sd Khoa hQC cdng nghfe ky theo

quyet djnh so 104/QD-SKHCN ngay 24/3/2009, tr 49-87

3. Phgm Khanh Hoa (1995), ’Phong chong dilc vd

nghenh ngang" Npi San Tai Mui Hong so chuy&n de, Hdi

Tai Mui Hong Vifet Nam,Ha Npi, thang 5, tr. 48.

4. Ofeng Xuan Hung (2000), Khao sdt DNN 6 NLD

mot so nha mdy d$t tai TPHCM, nghien cuu sdn xuSt

nut tai chong on bao v$ thinh luc cho NLD, Lufen dn Tiin

si Y hpc, DH Y Duac TP.HCM, tr 34 -36, tr. 110 - 113, tr.

126- 129.

5. Ngo Ngpc Lien (1983), "Bang tinh tdn thu’ang ca

the trong giam dinh cJiec nghe nghifep”, Tdp san gidm

djnh Y khoa 11/1983, tr. 51-57.

6. Ngd Ngpc Lien (2001), “Anh hudng tieng dn den

thinh lyc ngudi lao dpng nganh giao thdng", Noi san Tai

Mui Hong, 4/2001, tr. 3-8.

7. Ngd Ngpc Lien (2001), Thinh hoc ung dung, NXB

Y Hpc, tr. 9-231.

8. Nguyen Thj Tcan (1992),’ Tim hieu thinh lyc cua

cdng nhan nha may xi mdng Bim Son”, Tdp san y hoc lao

dong, tr 57-58.

9. Le Trung, Nguyen thj Toan (2004), ChSn dodn

b$nh DNN, Vifen Y Hpc Lao Ddng vd Vfe Sinh Mdi

Trudng, Bp Y Tl, tr. 2-40.

10. Trung Tam Bap vfe sdc khoe lao ddng & mdi

trudng TP.HCM (2006), Bdo cdo tdng ket hoat ddng, tr.

3-6.

11. Vifen Y Hpc Lao Dpng vd Vfe Sinh Mdi Trudng

(2003), Hai muvi mot BNN dux/c bdo hiim. NXB Y hpc,

tr. 124-142.

12. Marques FP, da Costa EA (2006), “Exposure to

occupational noise: otoacoustic emissions test

alterations’ , Rev Bras Otorrinolaringol, May-Jun, 72(3),

pp. 362-6.

13. Marshall L, Lapsley Miller JA, Heller LM (2001),

“Distortion-Product Otoacoustic Emissions as a

Screening Tool for Noise-Induced Hearing Loss", Noise

Health, 3(12), pp. 43-60.

14. Noise-induced hearing loss’ J Acoust Soc Am,

Jul. 120(1), pp. 280-96.

KHOANG TRONG GIUTA NHU CAU VA SUT DUNG MCH VU

KHAM SUnC KHOE TIEN HON NH&N

t 6m t A t

Nghiin cuv nhdm m6 td s i/ khdc b iit giua nhu

ciu vd thi/c trang khdm sue khde tidn h6n nhdn.

Phuong phdp: Kdt hyp nghiin cuv djnh luring vd

nghiin cuu djnh tinh. Ket qud: Nhu c iu khdm sue

khde tidn hdn nhdn trong nhdm phy nir nghiin cuv Id

khd cao (76,5% vd 86,5%) tmng khi 66 chi c6 8,3%

nhQng phy nu trong sd dd di khdm sue khde tru’d/e

khi cutiri. NhQng ly do dux/c dira ra nhiim gidi thich

cho khodng trdng Idn ndy Id vi$c thidu thdng tin vd

djch vtj chdm sdc sue khde tidn hdn nhdn, s i/ chu

quan vd cdc vin dd size khde vd s i/ e ng$i khi dd c$p

NGUYiN TH! THUY HANH - Trudng Dai hqc Y Hd N$i

ddn vdn dd ndy giua cdp nam nu thanh n iin sdp

thdnh vq chdng...

TCrkhda: nhu cdu, khdm sue khde tidn hdn nhdn.

SUMMARY

THE GAP BETWEEN NEED AND USING THE

SERVICES OF PRE-MARITAL HEALTH EXAMINATION

The study aims to describe the difference between

premarital health examination need and reality.

Methods: Combine qualitative study and quantitative

study. Results: Health examination need in the group

of studied women is high (76.5% and 86.5%)

wheareas there is only 8.3% of them have premarital

Y HOC THVC HANH (905) - S6 2/2014 89