• Aucun résultat trouvé

Æ T=Æh¶=¸F®ì¶=sV«¶=

N/A
N/A
Protected

Academic year: 2022

Partager "Æ T=Æh¶=¸F®ì¶=sV«¶="

Copied!
13
0
0

Texte intégral

(1)

Æ T=Æh¶=¸F®ì¶=sV«¶=

¬Èfn¶=Î[[þ Ê¢>ªf¶=ÍnÑ>¢(1

Êq>£¶=Ð>¿i(2

L=bɗ×=b…?(3 4

Íq؄=

6

­>n³Ji=Íi=eb¶=ÅdÂKªbÃJi=

A Ð=e Àº90

àq ç¿

e=f¯¶=¥>

É¿Éìj·«¶=

èQÇIÆ I>Ã

¼Ã

\Æfì™=ÁǾ>¯¶=Ð=gC

ç¿[àqÁ?Î[·¢Í[i=eb¶=SÑ>[J¾K[¶aÆ*T=Æh[¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=¹ÇU e>n[J¾>EÍ[ªf£º¼ÃÈb[¶e=f[¯¶=¥>

(ÍÉM=eǶ=z=fºÙ=

e>nJ¾>E×

ÍÈb£™=z=fºÙ=

* Æ ÁǾ>¯·¶ÍUÆfì™=ͧÉr¶=η¢ÍÉF¶>§¶=K¯ª=Æ

¿[³¶Æ

¼Ã Î[·¢=Ç[«·J]=

ÍɯÉFìJ¶=ÍÉU>¿¶=

* ª

@Ie>

Ï Á?Í¿É£¶=¬r¾ ÁǾ>¯¶=

°ÉFìJ·¶hÂ>

(

‘CÍQ>V·¶ð=fŸ¾ æ­>²Ëa>º¼¢aaÇQÆ

Ð>n¾Ý

ÍÉJVJ¶=ÍÉ¿F¶=

* Æ e=f[¯¶=¥>¿[qÀ[ºÍÈeÖF¶=͢ǻ=>ÃEKQf]¶=L>ÉqÇJ¶=¼Â?Àº 6

¶=

ÁǾ>[¯¶>EÍ[É£»J=Í[É¢ÇJ

( ¶=e=b[qCÆ(L>[qÇV«¶=e=f[®CÎ[·¢¸[»£IÍ[É¿{ÆÍ[Òɸɳn[IÆ(Í[É¿£™=L>[Â=ÆL=e=gÇ[¶=E°Éj¿J¶=Æ XÑ=Ç[·

Æ=

Ji [ I=f É

°ÉFìJ·¶L>ÉR

*

Attitudes and opinions of Palestinian decision-makers about premarital examination law Abstract We explored the attitudes and opinions of 90 Palestinian decision-makers about the draft law on premarital examination. The findings revealed that decision-makers were aware of the spread of genetic diseases but not infectious diseases. The majority agreed on the draft law;

however, they differed on the mode of its application. Half believed that the law is not ready yet for application due to insufficient financial support to establish the needed infrastructure. The most significant recommendations made by the decision-makers were to: enhance community awareness of the law, ensure proper coordination among the concerned ministries and institutions, and establish a national organization to work on endorsement of the tests and issuance of the appropriate application strategies and regulations.

½=e(ìj·ª›ÍVr¶=ίJ·ºÆ7lb¯¶=(lb¯¶=Í£º>Q(ͺ>£¶=ÍVr¶=ÍÉ·²

Ϳ΍

nsharif@med.alquds.edu6ʾÆf[J³¶Ý=bȶ=(¬Èfn¶=Îþ

½ØJi×=

: 10 / 10 / 2005

¹ÇF¯¶= ˬ : 11 / 2 / 2006

Nuha El Sharif. Faculty of Public Health, Al-Quds University, Jerusalem, and Health Forum in Palestine, Ramallah.

Ayshea Rifai. Faculty of Public Health, Al-Quds University, Jerusalem.

Sana’a Assi. The Palestinian Initiative for the Promotion of Global Dialogue and Democracy (miftah), Ramallah.

Amjad Al Hmidat. Faculty of Public Health, Al-Quds University, Jerusalem.

Attitudes and opinions of Palestinian decision-makers about premarital examination law

ABSTRACT We explored the attitudes and opinions of 90 Palestinian decision-makers about the draft law on premarital examination. The findings revealed that decision-makers were aware of the spread of genetic diseases but not infectious diseases. The majority agreed on the draft law; however, they differed on the mode of its application. Half believed that the law is not ready yet for application due to insufficient financial support to establish the needed infrastructure. The most significant recommendations made by the decision-makers were to: enhance community awareness of the law, ensure proper coordina-- tion among the concerned ministries and institutions, and establish a national organization to work on endorsement of the tests and issuance of the appropriate application strategies and regulations.

Attitudes et opinions des décisionnaires palestiniens à l’égard de la loi concernant l’examen prénuptial

RÉSUMÉ Nous avons examiné les attitudes et les opinions de 90 décisionnaires palestiniens à l’égard du projet de loi concernant l’examen prénuptial. Il ressort que les décisionnaires sont conscients de la progression des maladies génétiques mais pas de celle des maladies infectieuses. La majorité d’entre eux approuvent le projet de loi ; toutefois, ils divergent sur les modalités d’application. La moitié d’entre eux pensent que la loi ne peut pas encore être appliquée en raison de l’insuffisance du soutien financier pour la mise en place de l’infrastructure nécessaire. Les recommandations les plus importantes faites par les décisionnaires sont les suivantes : mieux informer la communauté au sujet de cette loi, veiller à une bonne coordination entre les ministères et les établissements concernés, et mettre en place un organisme national chargé des questions relatives à l’approbation des tests et la promulgation des règlements et procédures d’application appropriés.

(2)

™=

ͺëb¯

Í[ÉM=eǶ=z=fºÙ>[EK[»JÂ=¶=L>i=eb¶=Lab£I (

Í[ɯ·„=HÇ[É£¶=Æ (

z=f[ºÙ=Æ ÍÈåbá£à»[[¶=

À{Ç[¶=›Ìfn[J¿™=

ÊEf£¶=

( z=fºÙ=ÅdÂͪf£ºG£rÈ´¶c¤ºÆ(¹Æb¶=ÅdÂÀºN³¶=›>ÿºbƒ=ÆÍÈ>®Ç¶=±f{Æ

>ÂfrUÆ

1] ) 4

*[

Ù=ÍFj¾¥>«Ie=L>i=eb¶=ÅdÂÀºbÈb£¶=LfÞ?b®Æ Í[ÉV¿J™=ÆÌbÑ>j[¶=Í[ÉM=eǶ=z=f[º

Á=Ç[·¢ [U×b[¯·ª(

ÁÆf]AÆ

5]

Ê·R¿™=½b¶=f¯ªzfºÁ?[

% ÍÉ·R¿™=>ɻɾÙ=

$(

œiÇJ™=fVF¶=½af¯ªÆ

%

>É»ÉiØN¶=

$ s[¯¾zfºÆ(

¼Èh[¾C

%G6PD

¹Ç«¶=>ɻɾ@EλjÈ>ºÆ?

$(

L=cz=fºÙ=fN²?ÀºÊÂ

= ð=e>n[J¾=bU=Ƕ=‚

œ[iÆÙ=±fn[¶=Í[¯ì¿º›

*T=Æh[¶=¸[F®ì¶=sV«¶=ÆÌe>nJi×=Á? [6]ÁÆf]AÆbÉ=bF¢bQÆ(ÍÉEf£¶=frºÍÈeÇ֛Ïf]?Íi=ea›Æ ͯÈfì¶=Ê Îí·áNà»[¶=

Í[ÉEf£¶=fr[ºÍ[ÈeÇ֛Ìfn[J¿™=Í[ÉM=eǶ=z=f[ºÙ=À[ºb[Èb£¶=À[ºÆbƒ=ÆÍÈ>®Ç·¶ÍFi>¿™=Æ

( ì¶=sV«¶=ÆÌe>nJi×=¹=hI×´¶c¤ºÆ($!86)Íɶ>¢ÍFj¿EHe>®Ù=T=Æge>nJ¾=GFjE>»çÉi×Æ T=Æh[¶=¸F®

(T=Æh¶=¸F®ì¶=sV«¶=¹ÇUð>Vu=Æð>¾Ç¾>®¤vIÍÉEf£¶=¹Æb¶=¼Ÿ£ºÁDª(ð>vÈ?Æ*ð>Èe>ÉJ]=ð=fº?

¸[qÙ=ÁC¤º

?Æ(ÁǾ>¯¶=ÌǯEÍÈe>FQCÁdzIÁ?T=Æh¶=¸F®>ºL>qÇVª›

×Á Ê[f¶=T=Æh¶=b¯¢Ëf‹

Î[·¢¹Çr[ƒ=ÁÆb[E

ì¶=sV«·¶T=Æh¶=br¯EF{>„=ز¥Çv]KFNIͯÉMÆ (

j[™=Í[ÃR·¶>ûɷjIÆ Ö

b[¯£¶=Î[·¢Íªfn[™=Æ?ͶÆ

*Í[ÉEf£¶=ͳ·»™=Àº¸²ÄÉ·¢áKç[NU (T=Æh¶=¸F®sV«¶=ÆÌe>nJi×=°ÉFìJ¶ðÍ»Ÿ¾?ÍÉEf£¶=¹Æb¶=x£EáKç¿ßib¯ª ÍÈaÇ£j¶=

7]

([

fVF¶=ͳ·šÆ ÀÈ

8]

([

ÁaeÙ=›>[º?(Ëe>[ÉJ]=¸³nEÍÉEf£¶=¹Æb¶=Àº>Â¦Æ (

b[¯ª Í[ºÇ³ƒ=Lf[®?

ð>º>Ÿ¾ÍɾaeÙ=

ð=bÈbQ ʺ=h¶Ý=ì¶=sV«·¶T=Æh¶=¸F®Á>QÆh¶=ÄFQǒ¤v

9]

*[

¸³n[EÍ[ÉEf£¶=L>[£»J=b£IÆ

n£¶=Æ?(Í·ÉF¯¶=±>ì¾À»uHe>®Ù=T=Æg>Ãɪ¤Énȶ=L>£»J=Àº½>¢

¤[ºÆ(Ìb[U=Ƕ=Ìf[iÙ=ÆÍ[·Ñ>£¶=Æ?(Ì

àÈ´¶c ßj çÀ

=ÎJU Û Í[ÉM=eǶ=z=fºÙ=ÅdÂÀºbÈb£¶=ÀºÍÈ>®Ç·¶XÈfqÁǾ>®Á (

´[·I>»çÉ[i×Æ T=ÆgÀ[¢Í[>¿¶=

He>®Ù=

* ª(=d¶

D

^™=ÆÍÉFì¶=L>qÇV«¶=ÍÉÂ>ºbÈb€Æ\Çuƽb¢Á J

T=Æh[¶=¸[F®Í[È (

>[ÃRÑ>J¾Í[–fIÍ[ɫɲÆ

( eÇrE¤QfÈ

T=Æh¶=η¢ºb¯»·¶abŒÆ‹ÁǾ>®Æ?¤ÈfnIaÇQƽb¢›Í·N»J™=ÍɾǾ>¯¶=ÌÇR«¶=‘CÏf]@EÆ?Ì

ÍÉM=eǶ=z=fºÙ=ÀºÍÈ>®Ç·¶ÍEÇ·ì™=L=Ð=fQÝ=ÆL>qÇV«¶=

ÍÈåbá£à»[¶=Æ

*

Æ (ìj·ª›

È ÊM=eǶ=¤E>ì¶=L=cz=fºÙ=ÀºbÈb£¶=fnJ¿

( å„=L>ÂÇnJ¶=¸Nº ï·

n[I[¶=Í[ɯ

ÍFj[¾¸³

!14.3

b[ɶ=Ǚ=L>[ɪÆʶ>–CÀº

10]

([

>É»É[iØN¶=Æ

%

$!3.4 11]

f[»¢[EÍÉ£»j[¶=L>[®>¢Ý=Æ([

)10

Í¿[i24

%

$!4.1

( *[13Æ12]$!20.1%ÍÉ·¯£¶=L>®>¢Ý=Æ($!10%ÍÈfrF¶=Æ($!8.8%Íɯ쿶=)ÍÉ£»j¶=Æ($!7.8%Íɯ쿶=Æ ª(ÍÈÇ¿j¶=ÍVr¶=Ìe=gÆfÈe>¯IGjUÆ D

Ù=Á z=fº

= ÍÈåbá£à»[¶

çFjJI G E

¹a>[£È>[ºÌ>ªÇ

7 -

!8

L>[ɪǶ=ab[¢À[º

ÊÑ>EǶ=bF³¶=H>ÃJ¶=z=fº?¸NºËÇ¿j¶=

œ»¿¶=Àº ÊE%%

$$

ÍFj[¿Efn[J¿ÈËd[¶=

!3.4

( ÊÑ>[EǶ=b[F³¶=H>[ÃJ¶=Æ

À[º *Í»j¾100,000/1.25ÍFj¿EgbÈÝ=zfºlƪÆ(!0.3ÍFj¿EfnJ¿ÈËd¶=$$Êi%%œ»¿¶=

¯J¶=Le>m?b®Æ fÈe>

‘C ð>Éj¿QͶǯ¿™=z=fºÙ=Á?

õìºbÈ=hI›

½>£¶=Ê«ª(af 2000

LgfE ÌbÈbQͶ>U4116

( ([10]ð>ÈÇ¿[iÍ»j[¾100000+Í[¶>U504¹b[£’Ë?(Ìb[ÈbQÍ[¶>U18865‘C2003½>£¶=›K£«Ie=Æ

>[¿ÂÀ[ºÆ

À[º¸²GjJ²=

Ìe>n[Ji×=

T=Æh[¶=¸[F®s[V«¶=Æ ÏÇr[®Í[É»Â?

Í[ÉFì¶=Í[ÉU>¿¶=À[º (

Æ ÍÉ¢fn[¶=

( Í[É¢>»JQ×=Æ

( *z=fºÙ=ÅdÂÀºÍºa>¯¶=¹>ÉQÙ=ÍÈ>»ƒ(Íɾ>j¾Ý=Æ

Æ

½>£¶=›

(2000

ͺ>£¶=ÍVr¶=ÁǾ>®¥Æfnº\f{

ʾ>N¶=Ä·rª›À»vIËd¶=(ìj·ª›

s[V«¶=ÁǾ>[®

Íɶ>J¶=ͧÉr¶>ET=Æh¶=b¯¢¸F®ì¶=

6

·¶ì¶=sV«¶=b£E×Cb¯£¶=°ÉMÇI½b¢Î·¢¸»£ÈÆ

QÆh[¶=Ç·]Àºb²@J

2004½>[£·¶Ê¾>[N¶=ÀÈfnIfÃm›ÁǾ>¯¶==dÂη¢Í¯ª=Ǚ=K“b®Æ*>»Ã·j¾ÍVqÆÌ>ÉUη¢fMÖÈÁ?À³•>š

* ªD(ÁǾ>¯¶=GjUÆ

Í[¯·£J™=ÍÉ·ÉÂ@J¶=ÆÍÉQØ£¶=ÆÍÉrÉ^nJ¶=ÆÍÉÑ>®Ç¶=L>ºb„=ªÇIÍÉ¿Éìj·«¶=ÍVr¶=Ìe=gÆη¢Á

ÍVrE

¸«ì¶=ƽ ( ÀºÆ

>ÿ»u jº Ö Åd[Â_Èe>[IÎ[JUÀ[³¶Æ(T=Æh[¶=b[¯¢¸[F®ì¶=sV«¶=ÁǾ>®°ÉFìIÍɶÆ

J¶=XÑ=Ç·¶=Æ?L>qÇV«¶=¥Ç¿¶bÈb€Ë?ÍVr¶=Ìe=gÆÀºebrÈÍi=eb¶=

¿ Æ?ÍÈdÉ«

L>ɶÛ=

>[®>ÃE°FìÉi¶=

¾

ÁÇ *T=Æh¶=b¯¢¸F®ì¶=sV«¶=

(3)

Eastern Mediterranean Health Journal, Vol. 12, No. 6, 2006 875

Ïf]?ÍÉU>¾ÀºÆ (

v[¯¶=Ê[u>®Á=Ç[ÈaÀ[º¼É[»£Ieb[qb¯ª

½>[£¶=›Ì>

%2000 7 - 2 - 1421 ѧϫ

$˰

¼²>[=¤[É»‚

ÍÉ¢fn¶=

(

‡sVªÐ=fQDEÄQ=Ægb¯¢¸F®¸Qf¶=G{>„=½=h¶DE J

>É»É[iØN¶=zf[™Ä·—½b¢Àºb²@J·¶b»J£ºË

( ›ÁÛ=¸»£¶=Ëf‹Æ*ĺb¢Æ?b¯£¶=½>“ݝfn²¸M>šsVªÐ=fQDEÄJEÇ쇽h·ªàJÄ(b²@IáÁÆC Êu>®Á=ÇÈa

= ôÁ>MsV«²gbÈÝ=sVªÍª>uCη¢Ì>v¯¶

µ>J«¶=zf™==dÂÀºT=ÆgÙ=ÍÈ>»ƒ\>³¿¶=b¯¢¸F®ÅÕ=fQCHÇ·ìº

% Ì>v¯¶=Êu>®

)

*$2005

ÍÉ£–ÀºÆÌ>v¯¶=Êu>®ÀºaeÆ>ºGjUÆ

>É»ÉiØN¶=ÎufºÐ>®bq?

( ªD x«Š=b®>É»ÉiØN·¶·º>ƒ=ab¢Á

ÍFj¿Ee=f¯¶==dÂGFjE )20

!25

[£Ee?b[£E Í Ä[¯ÉFìIÀ[º½=Ç[¢?

* T=Ægfn[J¿ÈÆ He>[®Ù=

ìj[·ª›Í[ɶ>¢ÍFj[¿E

!%

$48.3

%

$(13

² ÍÉEf£¶=¹Æb¶=Àº>§

% )20

$!88 14]

*[

Í[É»ÂÙÉìj[·«¶=Ê[£»J=Ê¢Ç[¶=À[¢>º?

s[VǦ=

T=Æh¶=¸F®ì¶=

( b¯·ª KÈfQ?

›Íi=ea C

½>£¶=›ÍÉ¿Éìj·«¶=L>£º>‚=ÏbU η¢2003

ÍF¶>{ÆG¶>{200

FIÆ(

*[15]ÄJÉ»Â?ÆsV«¶==dÂÍ£ÉF춭>²µ=eaCÁÆaÀ³¶(T=Æh¶=¸F®ì¶=sV«¶=À¢=Ç£ÍF·ì¶=Àº!98Á? [àq[ET=Æh[¶=¸[F®ì¶=sV«¶=ÆÌe>nJi×=ÍÉ»Â?ÆÍÉÂ>º›Íɪf£™=ÍÉU>¿¶=OÉUÀºÆ ç¿

>[£¶=›e=f[¯¶=¥>

ª(ÊEf£¶=

D àqKªbÃJi=¶=P>}Ù=ab¢Á ç¿

¥>

Íi=eb¶e=f¯¶=

A s[V«¶=ÆÌe>n[Ji×=¥Ç[uǺÅ>[¼Ã«®=ǺƼÃÑ=e

ð=bQÍ·É·®ÊÂT=Æh¶=¸F®ì¶=

ñÍi=eaLbQÆÍÉEf£¶=frºÍÈeÇÖʫª(

r[¯¾µ>¿ÂÁ?

ð>

[ɪf£º ð>

F[² ð=

¥>¿[q[E

X·ìr[[™=Î[[¿£ºÆÍ[[ÉÂ>ºÀ[[¢(¼Ã¿[[ºÁÇ[[»·£J™=Î[[JUÆ(e=f[[¯¶=

T=Æh[[¶=¸[[F®[[ì¶=s[[V«¶=ÆÌe>n[[Ji×=

16]

*[

Ie=(´¶d¶

@

>¿È Ð=fQC

×ÍÉ¢ØìJ[i=Í[i=ea

­>n[³Ji A

[àqL>[ÃQÇIÆÐ=e ç¿

É¿Éìj[·«¶=e=f[¯¶=¥>

ÁǾ>[®Ð=gC

ìj·ª›Ä¯ÉFìIËÇ¿™=T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

*

Íi=eb·¶½>£¶=­b=

­>n³Ji=‘CÍi=eb¶=­bÃI A

É¿Éìj·«¶=e=f¯¶=¥>¿qL>ÃQÇIÆÐ=e

i×=ÁǾ>®Ð=gC [ì¶=s[V«¶=ÆÌe>n[J

Àº(T=Æh¶=¸F®

? Í»Â>j™=¸Q Í[ÉM=eǶ=z=f[ºÙ=ÀºÍÉÑ>®Ç¶=L>i>Éj¶>Eͯ·£J™=>È>v¯¶=¼¢aÆÍF®=fº›

ÍÈåbá£à»[[¶=Æ

( L>ÉRÉI=f[Ji×=bÈb€Æ

Í[®Ø£¶=L=c>È>v[¯¶=¹Ç[U­>[«J¶×=Æb[ÉÈ@J¶=bn[ƒX[ˆÙ=Sÿ[¶=fÈÇ[ìJ¶Í[ºÐغfN²Ù=

² ÌfÂ>Ÿ

He>®Ù=T=Æg (

ÏÇJj[ºÎ[·¢Æ(Í[ÃQÀ[ºÉìj[·«¶=ÊÑ>v[¯¶=ÆÊ£ÈfnJ¶=ÆÊi>Éj¶=ÏÇJj™=η¢´¶cÆ

¸ÈÇì¶=Ær¯¶=bºÙ=η¢Ïf]?ÍÃQÀºÍ»¢=b¶=ÆÍɪ>¯N¶=ÆÍɻɷ£J¶=ÆÍÉVr¶=L>ji֙=

*

Íq>„=­=bÂÙ=

[àqÍÈ=eaÆL>ÃQÇIÆͪf£ºÏbº­>n³Ji=

ç¿

É¿Éìj[·«¶=e=f[¯¶=¥>

 z=fºÙ>[E Í[ÉM=eǶ=

à»[[¶=Æ ÍÈåbá£

À[¢Í[>¿¶=

Æ(T=Æh¶=

Ä[E>ɦÀ[¢Í[>¿¶=Í[Èa>™=ÆÍ[É¢>»JQ×=ÆÍÉj«¿¶=Ð>F¢Ù=Àºbƒ=ÆÍÈ>®Ç¶=›ÁǾ>¯¶=eÆa (

¼ÃJ¢>[¿®Ïb[ºÆ

ÄJɶ>£«E

ìj·ª›ÍU>J™=L>ɾ>³ºÝ=À»u

* ð>vÈ?Æ Ìe>n[Ji×=Ð=gCe=f[¯¶=¥>¿[qL>ÃQÇIƽ>™CÏbº­>n³Ji=

·¶T=Æh¶=¸F®ì¶=sV«¶=Æ

¶=ÆbV ÍÈb£™=ÆÍÉM=eǶ=z=fºÙ=ÀºÍÈ>®Ç

*

Íi=eb¶=ÍÉRÿº

É«qǶ=ÆÍɪ>n³Ji×=ÍÉRÿ™=½=b^Ji>EÍi=eb¶=ÅdÂK“

Í

¶=ÆÊ»³¶=(>ÃɢǾسE ʫɳ

(

› λj[È>ºT>ÃJ¾=

ͪf£™=Îr¯IÍ·UfºË?(‘ÆÙ=Í·Uf™=›ÍÉÑ=Çn£¶=¦ÌaÇr¯™=Í¿É£¶>E Ð=eÛ=Æ

×=½Çë™ÄQÇJ¶=Æ Ìe>nJi

sV«¶=Æ

T=Æh[¶=¸F®ì¶=

* Í[ɾ>N¶=Í[·Uf™=›Í[ÈeÖF¶=Í[¢Ç»=Í[É¿¯I½=b^J[i=Æ 7

ÁǾ>[¯¶f[m>F™=[¦bn[ƒ=Í[·UfºË?

T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

( z=f[ºÙ=À[ºÍ[È>®Ç¶=›>[ÂeÆaÆtÇ[V«¶=ÍÉÂ>’¬Èf£J¶=°Èf{À¢´¶cÆ

ÍÉ¢>»JQ×=ÆÍÉj«¿¶=ÆÍÉM=eǶ=

*

(4)

Ö

Íi=eb¶=eÇ

X·ìrº¬Èf£I

àq ç¿

e=f¯¶=¥>

[ßi›Êj[ÉÑeeÆa¼[ÁdzÉ[iÀÈd¶=t>^mÙ>E ëÀ

k[·=Ð>v[¢@²e=f[¯¶=

Æ?(Ê£ÈfnJ¶=

ÆįÉFìI›

Äufª Ð=egǶ>²L>ji֙=›

(

¼ÃÑزÆÆ (

b™=Æ Èf ÀÈ ÍVr[¶=Ìe=gƛº>£¶=

( Ìe=gÆÆ?

=¦eÆb¶=ËÆc´Ò¶Æ?Æ?(Í£Èfn¶=Æ­>®ÆÙ=

Íɺdzƒ=¦L>ji֙=ÀºbÈb£¶=›fm>F™

( Æ Í[q>~

>[ÿºÍ[»¢=b¶=

L>ji֙=›Ä¯ÉFìIÍ®>¢CÆ?e=f¯¶=°ÉFìI¤ªb¶

( Íɮǯƒ=L>ji֙>² (

Æ [¦ÍÉVr¶=L>ji֙=ÆÍÉ¿Èb¶=ÆÍÉÑ>v¯¶=

Ê¢>[»JQ×=M@J¶=L=cL>ji֙=ÆÍÈÇj¿¶=L>ji֙=Æ(L>£º>‚=ÆÍɺdzƒ=

*

¹>[–C¼J[ÈÆ À[ºe=f[¯¶=¥>¿[q

ʾ>N¶=ÏÇJj™=

b»² Èf Ë le=b™=

(

¶=Æ

· Í·¢>«¶=ÍÉF£n¶=Á>R (

(Ïf[¯¶=›Í[É·=k¶>[=ÆËa=Ç[¿¶=Ð>v[¢?Æ Æ

(Áb[™=

Æ

>[¾a>¯J¢×´[¶cÆ(fÑ>n[£¶=Æ\Ø[qÝ=¹>[QeÀ[ºÐ>[ÃQǶ=ÆL>»É^™=

Á?

M@[J¶=Í[·Ufº›ÁdzÉ[iÐ×Ö[ÂeÆa

Ê£»J=

( ßiÍ·Ufº›kÉ¶Æ ëÀ

=ÁǾ>®

Æ?ÅfÈf“Æ?T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×

ÄÉ·¢Êji֙=¤E>ì¶=Ð>«uC

* (r[r^J™=Æe=f[¯¶=H>V[q?ÀºÌ>¯J¿ºÍÈeÖE͢ǻ…ÀºK¾Ç³Jª(Íɾ>N¶=Í·Uf™=>º?

À[ºÀÈÇ¢b[’Í[·N»J™=Æ

ʺdzƒ=¥>쯶=

( Â=Æ [ ÊÑ>v¯¶=g>

(

·=Æ [

£ÈfnJ¶=k [Ê

( 쯶=Æ [ ʺdzƒ=¦¥>

(

£º>‚=Æ [ L>

* K[[·çN“b®Æ [¿É£¶=

[Í !74Á?Æ(e=f¯¶=fÈf“η¢ÁÇ·»£ÉiÀÈd¶=e=f¯¶=¥>¿qÀº¼ÂÊ£ÈfnJ¶=k·=Ð>v¢?Àº!26 E[

L>Â=Àº¼Â

η¢¸»£Ji¶=

ÄÉ·¢Êji֙=¤E>ì¶=Ð>«uC ßib¿¢ÁǾ>¯¶=°ÉFìIƼ¢aÆ

ë¿Ä

*

L>ºÇ·£™=¤–Ì=a?

‘ÆÙ=Í·Uf™=›L>ºÇ·£™=¤–

½=b^Ji>E

=

¾>FJi Í

»»rº Í ð>rÉr]

P>[}Ù=À[º¥Ç[¿¶==d[ÍF[i>¿ºÌ=a@[²

( ÍɫɲÆT=Æh¶=À¢Í>¿¶=ÍÉM=eǶ=z=fºÙ=¹ÇUÍɪf£™=L>ºÇ·£™=Æ(ÍÉI=d¶=L>ºÇ·£™=η¢Á>ÉFJi×=ÏÇJU=Æ ÍÈ>®Ç¶=

ÅeÆaÆÁǾ>¯¶=ljÄQÇJ¶=Æ(>ÿº

>™=ÆÍÉ¢>»JQ×=ÆÍÉj«¿¶=Ð>F¢Ù=Àºbƒ=›

½b[¢À[¢Í>¿¶=ÍÉVr¶=¸²>n™=ÆÍÈa

ÄJɶ>£ªÆÁǾ>¯¶=s¿E¼ÃJ¢>¿®ÏbºÆ(He>®Ù=T=ÆhEÄJ®Ø¢ÆįÉFìI

*

>º?

› Íɾ>N¶=Í·Uf™=

( Ì>[¯J¿ºÍ[ÈeÖEÍ[¢Ç»…¤[ºT=Æh[¶=¸[F®[ì¶=sV«¶=ÆÌe>nJi×=ÁǾ>®Ín®>¿ºK“b¯ª

% t>^m?10

$(

ʺÇ[³ƒ=¥>[쯶=À[º·NšK·

% Ìe=gƸ[É²Æ ÍVr[¶=

(

œÉ[ì^J¶=ÆO[VF¶=fÈb[ºÆ

$(

g>[Â=Æ

ÊÑ>v¯¶=

% Ì>v¯¶=Êu>®

$(

L>£º>‚=Æʺdzƒ=¦¥>쯶=Àº·NšÆ(Ê£ÈfnJ¶=k·=Æ

*

Íi=eb·¶°ÉFìJ¶=ÍÉ¿¯I

FJi×=¹>»£Ji=¸F®

Á>É L>[Ò«¶=À[ºj[¿‚=À[ºÌ„=ËÆcÀºÍɾ>η¢>Ãuf£E>ÃJEfRJE>¿»®(Ê·£ª¸³nE

Ø¢?ͪbÃJj™=

Å*

Ji×=fÈÇìJ¶¼ÃI>U=®>Ed]Ù=b®Æ Á>ÉF

>[ÂeÇÖÍ[£ÉF{ÆÍ[i=eb¶=­=b[Â?¤º>ÿº½ÐØI>ºÆ

*Í[i=eb¶=¥Ç[uǺÍ[É»Â?ÆÍÉÂ>ºÆÍÉ«·]>ÃɪLf²cÌfrJ‡ÍÉVÉuÇIͶ>ieη¢ËÇJ€Íºge121¤ÈgÇJE>¿»®¼M Í[[NU>F¶=Í[[Â=Æ(>[[ÃI=eºÆ (

»Ñ>[[¯¶=Æ Ç O[[VF¶=Î[[·¢Á (

²e>n[[™=Í[[É»Â?Æ

¥>[[QeCÍ[[ɶA‘Cͪ>[[uÝ>EÆ(Í[[i=eb¶=›Í

FJi×=

Á>É FJi×=ÀºÍVu=ÆÍ^j¾Æ(

Á>É

* lb¯¶=ÆÍÉEf§¶=Í«v¶=›Æ (

ð>É«I>¹>rI×=

¸F®Í®Ø£¶=ËÆct>^mÙ>E

FJi×=¹>ieCb£EÆ?

Á>É FJi×=ÍÒF£JEͲe>n»·¶¼Âa=b£Ji=Àºb²@J·¶

Á>É

×ƸF®×¹>rI×=¼Jȼ·ª¥>쯶=›>º?(

ÉFJi×=¤–ƤÈgÇIb®Æ*¹ØJU×=Íi>ÉiÆÊi>Éj¶=¤uǶ=M@IGFjEð>É«I>¹>rI×=ÍEÇ£r¶¤ÈgÇJ¶=b£E L>¾>

½>£¶=Àº¹ÆÙ=ÀÈfnIƹǷÈ?ËfÃm¹Ø]

*2004

Íɾ>N¶=Í·Uf™=›

( ÍÈeÖF¶=͢ǻ=À»uÆ (

ç Ç[·¶=ÆL>[ɶÛ=ÆT=Æh¶=¸F®ì¶=sV«¶=ÁǾ>®L>ÉNÉUp>¯¾

XÑ= ¼[M(p>[¯¿·¶Í[¢Ç»=η¢Íi=eb¶=Àº‘ÆÙ=Í·Uf™=SÑ>J¾Kuf¢¼M(ÁǾ>¯¶=°ÉFìJ¶Íºgض=

¹Ø[]À[ºTÆf[„=

¥ÇuǙ==dÅÐ>¿EL>ÉqÇIÆL>Q>J¿Ji>Eͯ»£J™=fŸ¿¶=L>ÃQƹa>FIÆp>¯¿¶=Æe=ǃ=

*

(5)

Eastern Mediterranean Health Journal, Vol. 12, No. 6, 2006 877

ͯÈf{

¶=

¸É·VJ ÊÑ>rUÝ=

¹>]aC i>E>÷ɷ€ÆIfºL>¾>ÉF¶=¬ÉŸ¿IÆ

™=½=b^J ºÇ»v Í[É¢>»JQ×=½Ç[·£·¶ÍÉÑ>r[UÝ=Í

%

*$SPSS

>[¿»®Æ

>¾>ÉF¶=¤É»‚Gj¿¶=ÆL=e=f³J¶=H>jJU>E L

* L>¾>ÉF¶=K»j®b®Æ

‘C É=L>¾>ÉE Í

ÊÂÆ G[ÉIfI>[b[QÇÈ×[¶=

(k¿‚=¸º>¢¸NºXu=Æ Æ

(ͿÙ=

Æ (À³j¶=Á>³º Æ

ÐÇn¿¶=ͯ쿺 (

èf¶=L>[¾>ÉF¶=Æ(>[¦Ƹ[»£¶=¥>[ì®Æ áIßF

[çÈÇ Í

[¶= *ÍÈÆ>jJºÌeÆfv¶>EKjɶGßIèf¶=ÅdEL>ª>j™=À³¶Æ(GßIàe›>ãuÆÀ³•Ë?(Xu=ÆGÉIfI>bQÇÈ FJi×=¸É·VJ¶Æ É

Á>

(

¼Éj¯I ÄI>¾>ÉE

‘C Ê«qǶ=¹>=L>¾>ÉE (

Ê[·É·VJ¶=¹>[=L>¾>ÉEÆ

* L>[¾>ÉEK»j[®b[®Æ

Ê·É·VJ¶=¹>=

‘C Í£Ee?

×>…

L 6

1

ªf£™= .

T=Æh¶=b£EÆ?¸F®°Èf«J¶=°UÀºÄQÇJ¶=ÆÍ

*

2

ÁǾ>®ÀºÄQÇJ¶=Æͪf£™= .

·¶T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

ÍÉM=eǶ=z=fºÙ=e>nJ¾=ÀºbV

Éj¿QͶǯ¿™=Æ (ð>

He>®Ù=T=ÆhE>ÃJ®Ø¢Æ

*

3

ÁǾ>¯·¶ÍÈa>™=ÆÍÉ¢>»JQ×=L>£FJ¶=ÀºÄQÇJ¶=Æͪf£™= .

*

4

e=f¯¶=¥>¿qͪf£º .

ɢǿE ÍÉFì¶=tÇV«¶=Í Æ

=fQC½=h¶C Ñ

*

gÆ>[RJIÆ(Åb[UÎ[·¢Í[i=eb¶=¸[º=Ç¢À[º¸º>¢¸³¶Gj¿¶=H>jJU=b¯ª(Ìaǯ«™=L>¾>ÉF·¶ÍFj¿¶>E>º?

!8

ßiͶ>U›>ÂÕ=fQCG‹¶=tÇV«¶=¥Ç¿Eͯ·£J™=Í·ÒiÙ=›

ëÀ ÁǾ>¯¶=

( Æ I Í[ɪf£™=ÍÉU>¿¶>Eͯ·£J™=Í·ÒiÙ=>ÃÉ·

!5

›>º?(

Í·ÒiÙ=Ê®>E (

ÍFj¿¶=gÆ>RJI¼·ª

!3

*

´¶d¶

( [ª D d[]@I¸[É·VJ¶=›Gj[¿¶=Á

[£E L>[¾>ÉF¶=e>[FJ¢×=

>”CÆÌaǯ«™=

Ͷ>£«¶=Gj¿¶=

* >º?

Íɾ>N¶=Í·Uf™=L>¾>ÉE (

ຽ>®b¯ª ßb

ëÆ àÁ sr^JºL>ŸUغ (

ÀÈÆbJE L>[ŸUؙ=ÆL>[¯É·£J¶=ÆL>[Èf=¤[ɖ

=ÆL>E>QÝ=ÆL=e>j«Ji×=Æ (Í[ÈeÖF¶=Í[¢Ç»=L>n®>¿º¹Ø]K“¶=LØ]=b™

Æ sÉ[^·IƸ[É·€´[¶cb[£E

SÑ>J¿¶=

Æ

Jj[·‚ÍÉj[ÉÑf¶=p>[¯¿¶=eÆ>[†À»uÍi=eb¶=SÑ>J¾zf¢b£EƸF®Jj·R·¶ÍÉjÉÑf¶=e>³ªÙ=

*

¼[Mb[®Æ

͢ǻ=η¢SÑ>J¿¶=¤ÈgÇI Ð=bEÝ

L>ŸUؙ=

ÁC LbQÆ

*

Íi=eb¶=SÑ>J¾ ) Ù=k¾>

Ì=a 6 FJi×=L>FM Á>É

>îbqÆ

FJi×=L>FMÆk¾>H>jƒ>«¶?`>F¾Æf²H>jJU=

Á>É

17]

LJ¢=OÉU([

Ì=aÙ=ÍM=bƒÍ¶ÇF¯ºÍ»É¯²0.70

Íi=eb¶=Åd›ͷ»£Jj™=

* H>jUb¿¢Æ

? L×>R»·¶>«¶

(Í£EeÙ=

¼É¯¶=LgÆ>K¾>² [¶=L=e>F£¶==b¢>»Éª(0.7

ÄQÇJ¶=Æͪf£™>EK¯·£I T=Æh¶=b£EÆ?¸F®°Èf«J¶=°UÀº

0.55)

$ Kj³¢Ê¶>J¶>EÆ(

Ì=aÙ=

ɶ>¢ÏÇJjº ð>

˼

œE=f[J¶=

ÄEèbßJá£àÈËd¶=

ð>ÉÑ>rUC (

š

\>ˆ£È>

Ì=aÙ=

Íi=eb¶=SÑ>J¾ÍÉ®=brºÆ>ÿºÍ£®ÇJ™=ÍÈ>§¶=°É¯€›

*

) Íi=eb¶=Í¿É£¶Ê«qǶ=¹>=

˼

¸q?

FJi=90

Á>É àº ß£

a>

ÄÒ·ºb£E

>²(

K¾ eDzd¶=ÍFj¾

!67.8

( P>¾Ý=Æ

!32.2

Á>²Æ(

!91

Í[¿É£¶=a=f[ª?À[º

QÆhJº

 ( Æ

!1

¯·ìº

 Æ

!8

QÆhJº¦



* Àj¶>E°·£JÈ>»Éª>º?

(

¨·Eb¯ª

!78.9

Í¿É£¶=a=fª?Àº ð>º>¢40

(fN²@[ª

ÁÇ»·j™=¸³mb®Æ

%

$!94

Í¿É£¶=a=fª?Àº (

j[™=À[º=Ǿ>[²Ê®>F¶=Æ É

ÉV [



*

@n[¾b[®Æ

!62

=À[º Í[¿Èb™=›F[É

%

!57

ÆÍÉEf§¶=Í«v¶=Ælb¯¶=Í¿Èbº›

!31

Ìh[¦¥>[쮛

(

ìj[·ªTe>[]Ê®>[F¶=Æ

$ Æ

!21

Í[Èf¯¶=›

( Æ

!11

› *Åb·E›!6ÆL>»É^™=

¸»¢b¯·ª(¸»£¶=¥>쯶ÍFj¿¶>E

!43.2

ʺÇ[³ƒ=¥>[쯶=›

( Í[¾e>¯º

¤[º

!38.9

ʺÇ[³ƒ=[¦¥>[쯶=›

( ç¿àr[²ÍÉRÉI=[iC¤[®=Ǻ›!19.3Á>[²(ÍɫɞǶ=¤®=Ǚ=›¤ÈgÇJ¶=GjUÆ*t>„=¥>쯶=›!14.8Æ e=f[®¥>

(6)

% Ê£ÈfnIk·…Ð>v¢?Ë?

( Ð=egÆÆ?

( Ð=egÆÐزÆÆ?

$ Æ(

!65.1

b[º¼[ Èf Ë (Îì[iÆÆ>[É·¢Ìe=aC

ϭ 13.3

!

¼[ ¸[ßFå®À[ºHÆ>[RJ¶=ÍFj¾z>«Š×=dÂaÇ£ÈÆ(ÁǺ>†ÆÀÈa¹>Qe¼Â$!2.4%ÁÇ®>F¶=Ɛ[ɿúƐ[•Éa>²?

Ð>v[¢?

Ê£ÈfnJ¶=k·=

%

¸[q?À[ºÌa>£ºÍ¾>FJi=11

Í·[ifºÍ¾>FJ[i=31

*$

[ª(Ê[»É·£J¶=ÏÇJj[™=>[º?

D Á

!71.9

[¿É¢À[º

Í !48.6Á?Æ(lÇÈeǶ>³F¶=Ìa>ÃmÍ·—Àº¼Â!28.1Æ>É·¢L=a>ÃmÁÇ·»ŒÍi=eb¶=

Ïb[UC›=Çr[rÀ[š¼Â

Á?Æ(ÍÉFì¶=Æ?ÍÉVr¶=L×>=

!12.2

¶ Í£Èfn¶=Æ?ÁǾ>¯¶=›sr¼ÃÈb

*

Íi=eb¶=Í¿É£¶Ê·É·VJ¶=¹>=

6

£™=

­e>

¬®=Ǚ=ÆL=b¯J£™=Æ

Ê·É·VJ¶=¹>=

¹ÆÙ=

6 ÄQÇJ¶=Æͪf£™=

¢ T=Æh¶=b£EÆ?¸F®°Èf«J¶=°UÀ

¹Æb‚=GjU

%

$1

b¯J¢=b¯ª

!35.6

Àº a=fª?

QÆh¶=E°Èf«J¶=KFQÆ?ÍÈÆ>»j¶=L>¾>Èb¶=Á?Í¿É£¶=

GFjE !88.7%ÍÈbᣠ[໶=z=fºÙ=bU@ET=Æh¶=¸F®>»ÂbU?ÍE>qÝs]Ù>EÆ(z=fºÙ=ÀºÍ¿É£º¥=Ǿ?

°[ª=ǺÆ?°[ª=Ǻ

ð=bQ

$

>ÃÉ·ÈÆ(

z=fºÙ=

ÍÉM=eǶ=

%

!67

ð=bQ°ª=ǺÆ?°ª=Ǻ

$ å]G[É¢aÇQƼM(

ï·

T=Æh[¶=b[£EÊ[¯

%

!62

Æ?°[ª=Ǻ

ð=bQ°ª=Ǻ

*$

Ê·É·VJ¶=¹>=

ʾ>N¶=

6 ªf£™=

ÄQÇJ¶=ÆÍ

¢ ÁǾ>®À T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

Íɪf£™=ÍÉU>¿¶=Àº

%

‚=

¹Æb

$=2

b¯J¢

ÁDze>n™=

Á?

ÍFj[¿Eìj[·ª›fnJ¿IÍÉM=eǶ=z=fºÙ=

!76.4

Æ Í[·¯J¿™=

ÍFj¿Eð>Éj¿Q

!28.1

Æ(

? ÅdÂe>nJ¾=ÀºÍÈ>®Ç¶=Ƹɷ¯J·¶Ä¾ z=fºÙ=

À¢Ê¢Ç¶=fn¾

= sV«¶=ÆÌe>nJi×

ì¶= *Í«·J^™=¸ª>=›Äßm>¯¾ÆߥÇuǙ=ÁÇÉ£ÈfnJ¶=ÆÁÇÉ¿Èb¶=¤»J=Ìa>®Êë¿FJE´¶cÆT=Æh¶=¸F®

b®Æ

°ª=Æ

!88.2

=η¢

aÆT=Æh¶=b¯¢¸F®ì¶=sV«¶=ÁǾ>¯¶ÍUÆfì™=ͧÉr¶

¼[¢

!96.6

=¸[É£«I Ìe>n[Ji×

T=Æh¶=¸F®ì¶=sV«¶=Æ

œEeη¢°ª=ÆÆ(ìj·ª›ÁǾ>¯¶=

Ìa>ÃnET=Æh¶=

ÍÉF{

T=Æh·¶ºb¯J™=bU=Á=KFNI

>ÉF{°Ñ×

%

$!85.4

*

¹Æb‚=

) 1

z=fºÙ=¸—Æ?ÍE>qÝ=GFjEF{>„=ET=Æh¶=b£EÆ?¸F®°Èf«J¶=ÍɯU?:(

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆ

$!%

L=e>F£¶=

°ª=Ǻ

°ª=Ǻ =bQ Ë?e×ʶ

ze>£º ze>£º

ÌbnE

E°Èf«J¶=°Œ

»ÂbU?b¿¢¬nJ²?=cCQÆh¶=

> .T=Æh¶=b£Eʯ·]GÉ¢

17.2 44.8

12.6 20.7

4.6

Œ ÍE>qÝ r^m SÈÆhI ½b¢ °

>»ÂbU?

¸F®*½b¶=œ§uÆ?Ëf³j¶=¸NºÀºhºzf’T=Æh¶=

3.4

14.9 5.7

54.0 21.8

ÍE>qÝ r^m SÈÆhI ½b¢ °Œ

>»ÂbU?

¸F® Ìfì„=ÍÈb£™=z=fºÙ=bU@ET=Æh¶=

Æ?gbÈÝ>²

ÁÇ¿‚=Æ?t¶=ƽ=d‚=Æ?ËÇÑf¶=¸j¶=

*

62.9 25.8

3.4 4.5

3.4

Œ ¸»ƒ r^m SÈÆhI ½b¢ °

·² É

>»Ã

¸F® *ÊM=eÆzf’>»ÃJE>qCÆ?ÍÉM=eÆÍõ·„T=Æh¶=

31.8 35.2

8.0 20.5

4.5

% Ê£ÈfnIk·…Ð>v¢?Ë?

( Ð=egÆÆ?

( Ð=egÆÐزÆÆ?

$ Æ(

!65.1

b[º¼[ Èf Ë (Îì[iÆÆ>[É·¢Ìe=aC

ϭ 13.3

!

¼[ ¸[ßFå®À[ºHÆ>[RJ¶=ÍFj¾z>«Š×=dÂaÇ£ÈÆ(ÁǺ>†ÆÀÈa¹>Qe¼Â$!2.4%ÁÇ®>F¶=Ɛ[ɿúƐ[•Éa>²?

Ð>v[¢?

Ê£ÈfnJ¶=k·=

%

¸[q?À[ºÌa>£ºÍ¾>FJi=11

Í·[ifºÍ¾>FJ[i=31

*$

[ª(Ê[»É·£J¶=ÏÇJj[™=>[º?

D Á

!71.9

[¿É¢À[º

Í !48.6Á?Æ(lÇÈeǶ>³F¶=Ìa>ÃmÍ·—Àº¼Â!28.1Æ>É·¢L=a>ÃmÁÇ·»ŒÍi=eb¶=

Ïb[UC›=Çr[rÀ[š¼Â

Á?Æ(ÍÉFì¶=Æ?ÍÉVr¶=L×>=

!12.2

¶ Í£Èfn¶=Æ?ÁǾ>¯¶=›sr¼ÃÈb

*

Íi=eb¶=Í¿É£¶Ê·É·VJ¶=¹>=

6

£™=

­e>

¬®=Ǚ=ÆL=b¯J£™=Æ

Ê·É·VJ¶=¹>=

¹ÆÙ=

6 ÄQÇJ¶=Æͪf£™=

¢ T=Æh¶=b£EÆ?¸F®°Èf«J¶=°UÀ

¹Æb‚=GjU

%

$1

b¯J¢=b¯ª

!35.6

Àº a=fª?

QÆh¶=E°Èf«J¶=KFQÆ?ÍÈÆ>»j¶=L>¾>Èb¶=Á?Í¿É£¶=

GFjE !88.7%ÍÈbᣠ[໶=z=fºÙ=bU@ET=Æh¶=¸F®>»ÂbU?ÍE>qÝs]Ù>EÆ(z=fºÙ=ÀºÍ¿É£º¥=Ǿ?

°[ª=ǺÆ?°[ª=Ǻ

ð=bQ

$

>ÃÉ·ÈÆ(

z=fºÙ=

ÍÉM=eǶ=

%

!67

ð=bQ°ª=ǺÆ?°ª=Ǻ

$ å]G[É¢aÇQƼM(

ï·

T=Æh[¶=b[£EÊ[¯

%

!62

Æ?°[ª=Ǻ

ð=bQ°ª=Ǻ

*$

Ê·É·VJ¶=¹>=

ʾ>N¶=

6 ªf£™=

ÄQÇJ¶=ÆÍ

¢ ÁǾ>®À T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

Íɪf£™=ÍÉU>¿¶=Àº

%

‚=

¹Æb

$=2

b¯J¢

ÁDze>n™=

Á?

ÍFj[¿Eìj[·ª›fnJ¿IÍÉM=eǶ=z=fºÙ=

!76.4

Æ Í[·¯J¿™=

ÍFj¿Eð>Éj¿Q

!28.1

Æ(

? ÅdÂe>nJ¾=ÀºÍÈ>®Ç¶=Ƹɷ¯J·¶Ä¾ z=fºÙ=

À¢Ê¢Ç¶=fn¾

= sV«¶=ÆÌe>nJi×

ì¶= *Í«·J^™=¸ª>=›Äßm>¯¾ÆߥÇuǙ=ÁÇÉ£ÈfnJ¶=ÆÁÇÉ¿Èb¶=¤»J=Ìa>®Êë¿FJE´¶cÆT=Æh¶=¸F®

b®Æ

°ª=Æ

!88.2

=η¢

aÆT=Æh¶=b¯¢¸F®ì¶=sV«¶=ÁǾ>¯¶ÍUÆfì™=ͧÉr¶

¼[¢

!96.6

=¸[É£«I Ìe>n[Ji×

T=Æh¶=¸F®ì¶=sV«¶=Æ

œEeη¢°ª=ÆÆ(ìj·ª›ÁǾ>¯¶=

Ìa>ÃnET=Æh¶=

ÍÉF{

T=Æh·¶ºb¯J™=bU=Á=KFNI

>ÉF{°Ñ×

%

$!85.4

*

¹Æb‚=

) 1

z=fºÙ=¸—Æ?ÍE>qÝ=GFjEF{>„=ET=Æh¶=b£EÆ?¸F®°Èf«J¶=ÍɯU?:(

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆ

$!%

L=e>F£¶=

°ª=Ǻ

°ª=Ǻ =bQ Ë?e×ʶ

ze>£º ze>£º

ÌbnE

E°Èf«J¶=°Œ

»ÂbU?b¿¢¬nJ²?=cCQÆh¶=

> .T=Æh¶=b£Eʯ·]GÉ¢

17.2 44.8

12.6 20.7

4.6

Œ ÍE>qÝ r^m SÈÆhI ½b¢ °

>»ÂbU?

¸F®*½b¶=œ§uÆ?Ëf³j¶=¸NºÀºhºzf’T=Æh¶=

3.4

14.9 5.7

54.0 21.8

ÍE>qÝ r^m SÈÆhI ½b¢ °Œ

>»ÂbU?

¸F® Ìfì„=ÍÈb£™=z=fºÙ=bU@ET=Æh¶=

Æ?gbÈÝ>²

ÁÇ¿‚=Æ?t¶=ƽ=d‚=Æ?ËÇÑf¶=¸j¶=

*

62.9 25.8

3.4 4.5

3.4

Œ ¸»ƒ r^m SÈÆhI ½b¢ °

·² É

>»Ã

¸F®*ÊM=eÆzf’>»ÃJE>qCÆ?ÍÉM=eÆÍõ·„T=Æh¶=

31.8 35.2

8.0 20.5

4.5

(7)

Eastern Mediterranean Health Journal, Vol. 12, No. 6, 2006 879

¹Æb‚=

) 2

¹ÇUÄQÇJ¶=Æͪf£™= :(

e>nJ¾=

ÆÍÉM=eǶ=ÆÍÈb£™=z=fºÙ=

ÍÉ»Â?

ÄJÉ·¢>ªÆì¶=sV«¶=

ɯÉFìIÍɶAÆ Í

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆ

$!%

L=e>F£¶=

°ª=Ǻ

=bQ

°ª=Ǻ Ë?e×

Ëb¶

ze>£º ze>£º

ÌbnE

›T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=¼Â>jJi ÆÍÉM=eǶ=z=fºÙ=ÀºbÈb£¶=e>nJ¾=s®>¿I Ͷǯ¿™=

ð>Éj¿Q

ìj·ª›

*

80.0 13.3

6.7 -

-

À¢Ê¢Ç¶=fn¾

= ì¶=sV«¶=ÆÌe>nJi×

T=Æh¶= ¸F®

e>nJ¾= Àº ÍÈ>®Ç¶=Æ ¸É·¯J·¶

z=fºÙ=

z=fºÙ=Æ?ÍÉM=eǶ=

™=

ð>Éj¿QͶǯ¿

*

88.9 11.1

- -

-

Ìa>® η¢

ßI Ê£ÈfnJ¶=Æ Èb¶= ¤»J=

ßFë¿

¥ÇuǺ Ê

›>Ãm>¯¿¶T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

Í«·J^™=¸ª>=

*

80.0 18.9

- -

-

ÏfQ?=cC×CT=Æh¶=b¯¢xªeT=Æh¶=b®>£¶°Œ

„=

=sV«¶=Á>F{>

ì¶

43.8 *

25.8 6.7

19.1 4.5

‹ àÈÁǾ>®e=bqCgÇ ï·ßh

T=Æh·¶ºb¯J™=¸²Äɪ½

×CT=Æh¶=¼JÈ×OÉ}ì¶=sV«¶=ÆÌe>nJi×>E ð>ÉF{°Ñ׾?KFNIÍÉF{Ìa>ÃmÐ>ì¢Cb£E

*

60.7 24.7

3.4 4.5

6.7

™=

¯ª=Ç Í[

Î[·¢

§Ér¶=

[ UÆfì™=Í [ Í

™ n[

¥Æf

=

¾>¯¶

[

ÁÇ

sV«¶= b£E ×C b¯£¶= °ÉMÇI ½b¢ η¢ ¸»£ÈÆ

QÆh¶=Ç·]Àºb²@J·¶ì¶=

Á?À³•>š

fMÖÈ *>»Ã·j¾ÍVqÆÌ>ÉUη¢

51.2 36.0

4.7 7.0

1.2

=m=

Ð=fQC ì¶=sV«¶

ºb¯J™=س¶

T=Æh·¶

*

53.5 34.9

2.3 7.0

2.3

gNj×

ÊM=eǶ=e>FJ]×=Ð=fQÝs^mË?e>FQC

¸E

¶=

¤ÉRnJ ÄÑ=fQCη¢

14.9 *

13.8 4.6

51.7 14.9

Ͷ>U›

ÍE>qÝ=

¸»ƒ=Æ?

b[[£ºzf[™

Ä·¯¿Èb®

Ķ>«{?Æ?ÄI>ÉU´Èfn¶

( ĺb¢Æ?T=Æh¶=e=f®µfI

Å»uÆs^n¶=ÍÈfƒ

16.1 *

23.0 3.4

37.9 19.5

› Ͷ>U ÍE>qÝ=

?

¸»ƒ=Æ

’ Ê[[M=eÆ zf[

(

µfI Å»uÆs^n¶=ÍÈfƒÄºb¢Æ?T=Æh¶=e=f®

14.0 33.7

5.8 27.9

18.6

(8)

°ª=Æ(ÁǾ>¯¶=L>ÉNÉUÍn®>¿ºb¿¢Æ

!88.4

η¢

Á?

ÁÇ[³È

=Ð=f[QC [ì¶=s[V«¶

ºb[¯J™=Ø[³¶

ð>v[È?Æ(

*ð>Èe>ÉJ]=ÊM=eǶ=e>FJ]×=Ð=fQCÁdzÈÁ?η¢$!66.6%Íi=eb¶=eÇÖ>N·M°ª=ÇÈ Í[i=eb¶=eÇ[Ö¼j[¯¾=À[³¶Æ

b[¯·ª(sV«¶=Ð=fQCb£ET=Æh¶>Ee=f¯¶=À¢¹=Öj¶=b¿¢

Ï@[Ie=

!7.4

?

=cCT=Æh[·¶ºb[¯J™=b[ÉEe=f[¯¶=µ[È×Á

àºzf™¸»ƒ=Æ?ÍE>qÝ=tÇV«¶=SÑ>J¾LfÞ?

á£

æb (

·¶¸¯¿Èb®Ëd¶=Æ ÀÈf¯

´¶cb£EÀº¹>«{Ú¶Æ?

* Í[¶>U›>º?

>ÞC x[ªeb[¯·ª(ÊM=eÆzf™¸»ƒ=Æ?ÍE>qÝ=tÇV«¶=e

!46.5

b[ÉET=Æh¶>[Ee=f[¯¶=µ[ÈÁ?Í[¿É£¶=À[ºœ[¯ª

T=Æh·¶ºb¯J™=

* Ä[ºb¢Æ?T=Æh[¶=½>[“C›ÍÉ£ÈfnJ¶=Íì·j¶=eÆaÀ¢Æ (

°[ª=Æb[¯ª

!69.6

Á?Î[·¢

b[®>£¶ÁÇ[³È

T=Æh¶=b¯¢xªe›°ƒ=T=Æh¶=

( [FÉì„=Ïf[Q?=cC×C

>

=s[V«¶=Á [ì¶

( Æ

? Á

!85.4

œ[EeÎ[·¢=Ç[¯ª=Æ T=Æh[¶=

Á?KFNIÍÉF{Ìa>ÃnE

? ð>ÉF{°Ñ×T=Æh·¶ºb¯J™=bU

*

e=f[¯¶=¤¾>qe=f®Î·¢Íɻɷ£J¶=ÍÉ«·„=M@IÍi=eab¿¢Æ

% [‚=

¹Æb

$3

L×>[=›sr[^J¶=ËÆcÁ?>¾b[QÆ(

ÍÉFì¶=ÆÍÉVr¶=

( Í£Èfn¶=Ʊǯƒ=›rr^J™=Æ?

(

»Â@Eµ=eaC¼ÃÈb¶

[ì¶=sV«¶=Ð=fQCb£Ee=f¯¶=µfI½b¢ÍÉ

bÉE

ºåbï¯à»[¶=

T=Æh¶=η¢

(

>»çÉi×Æ ÍÉM=eǶ=z=fºÙ=Ͷ>U›

* Í[M=eǶ=¾=Ç[¯EÍ[ɪf£™=ÍÉU>¿·¶L=fm֙=bU@²Æ

(25Ç[ÂÊM=eǶ=zf»·¶ðغ>Uœ¯ªÀÈb¶=Ƕ=bU?Á>²=cCÊM=eǶ=zf™>EÐ>¿EÙ=ÍE>qC¹>»JU=ÁE@!34.5H>Q?

! !45.5H>Q?´¶c¤ºÆ*¼ÃÈb¶¼·¢×!23.8Æ(¹>»JU=×Á?!15.5H>Q?Æ Ä[¾Ù¸v«º¦He>®Ù=T=ÆgÁ?

fºa×Æ?Ìa×ƹ>»JU=bÈhÈ (Îßu

ÍÉ¢>»JQ×=ÍÉU>¿¶=ÀºbÉQÄ¿³¶Æ

%

$!18.2

ëv«ÈÆ(

ï·

Ä

!33

Í¿É£¶=Àº

*

>º?

frUfŸ¿¶>[Eð>qÇr[à]Æ(Í[¿É£¶=À[º!93.2Ìe>[F£¶=ze>[¢b[¯ª(œ[¯ªHe>[®Ù>ET=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

*œ¯ªHe>®Ù=T=Æh¶ÍRÉJ¿²@n¿I×ÍÉM=eǶ=z=fºÙ=Á@EÍ¿É£¶=Àº!65.1a>¯J¢×

O¶>N¶=Ê·É·VJ¶=¹>=

6 ÄQÇJ¶=Æͪf£™=

¢ ÁǾ>¯·¶ÍÈa>™=ÆÍÉ¢>»JQ×=L>£FJ¶=À

b¯J£È

!66.6

Àº@n¿JiÍÉF·iÍÉ¢>»JQ=L>£FI×Á?

ª´¶d²Æ(T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=Ð=fQC D

Á

!66.7

tÇV«¶=ÅdÂÐ=fQCGFjEÍÈbj‚=ÍVr¶>ET=Æh¶=œEfEb¯J£I×

* Í[ÉU>¾À[º>º?

ÊVr[¶=½>[Ÿ¿¶=Í[ÈhÂ>Q

ÆÁǾ>¯¶=°ÉFìJ¶Éìj·«¶=Ëe=aÝ=Æ ÇI

= ÍÉ¿F¶=fª ÍÉi>iÙ=

%

¶=

Írr^J™=ÍÈfnF¶=ea=dz (

b[U@EÌh[Ã=L=[J^™=Æ

Pç¿àqÀº!58Á?Íi=eb¶=LbQÆb¯ª(ÁǾ>¯¶=°ÉFìJ¶ìj·ª›$tÇV«¶=Àº¥Ç¿¶==dÂÐ=fQDEÍq>„=L=b£™=

¥>

¢>¿®¼ÃÈb¶e=f¯¶=

Í ÇJE

= ÁǾ>¯¶=°ÉFìIη¢Ìea>®Írr^JºÍÈfnEea=Dzfª (

Æ

? Á

!57.5

ÇJE=ÇE>Q?

= Í[ÉF{L=[J‡fª

ÍFi>¿º ( Æ

!45.9

ª>²Íɶ>ºae=ǺaÇQÆÁÇ£®ÇJÈ

°ÉFìJ·¶ÍÉ

%

‚=

¹Æb

$*4

¹Æb‚=

) 3

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆì¶=sV«¶=Ð=fQCb£Ee=f¯¶=ÍÉ»Â?Æsr^J¶=¹>…;e>¯º :(

$!%

ÍÉVq½Ç·¢

ÍÉF{Æ

±Ç¯UÍ£ÈfmÆ

½Ç·¢'ÍÉEfI'ÍÉEa?

ʕa>²?

ÍɯÉFìI½Ç·¢

=bQ°ª=ǺÆ?°ª=Ǻ E

Æ?T=Æh¶=e=f®µ

Å»uÆ s^n¶= ÍÈfƒ ĺb¢

Ͷ>U ›

ÍE>qÝ=

Ä·¯¿È b® b[[£º zf[™ ¸»ƒ= Æ?

Ķ>«{?Æ?ÄI>ÉU´Èfn¶

*

31 44

47 56

E=bQ°ª=ǺÆ?°ª=Ǻ Æ?T=Æh¶=e=f®µ

Ͷ>U › Å»uÆ s^n¶= ÍÈfƒ ĺb¢

ÍE>qÝ=

Ê[[M=eÆzf[™¸»ƒ=Æ?

35 *

33 68

78

°ª=Æ(ÁǾ>¯¶=L>ÉNÉUÍn®>¿ºb¿¢Æ

!88.4

η¢

Á?

ÁÇ[³È

=Ð=f[QC [ì¶=s[V«¶

ºb[¯J™=Ø[³¶

ð>v[È?Æ(

*ð>Èe>ÉJ]=ÊM=eǶ=e>FJ]×=Ð=fQCÁdzÈÁ?η¢$!66.6%Íi=eb¶=eÇÖ>N·M°ª=ÇÈ Í[i=eb¶=eÇ[Ö¼j[¯¾=À[³¶Æ

b[¯·ª(sV«¶=Ð=fQCb£ET=Æh¶>Ee=f¯¶=À¢¹=Öj¶=b¿¢

Ï@[Ie=

!7.4

?

=cCT=Æh[·¶ºb[¯J™=b[ÉEe=f[¯¶=µ[È×Á

àºzf™¸»ƒ=Æ?ÍE>qÝ=tÇV«¶=SÑ>J¾LfÞ?

á£æb (

·¶¸¯¿Èb®Ëd¶=Æ ÀÈf¯

´¶cb£EÀº¹>«{Ú¶Æ?

* Í[¶>U›>º?

>ÞC x[ªeb[¯·ª(ÊM=eÆzf™¸»ƒ=Æ?ÍE>qÝ=tÇV«¶=e

!46.5

b[ÉET=Æh¶>[Ee=f[¯¶=µ[ÈÁ?Í[¿É£¶=À[ºœ[¯ª

T=Æh·¶ºb¯J™=

* Ä[ºb¢Æ?T=Æh[¶=½>[“C›ÍÉ£ÈfnJ¶=Íì·j¶=eÆaÀ¢Æ (

°[ª=Æb[¯ª

!69.6

Á?Î[·¢

b[®>£¶ÁÇ[³È

T=Æh¶=b¯¢xªe›°ƒ=T=Æh¶=

( [FÉì„=Ïf[Q?=cC×C

>

=s[V«¶=Á [ì¶

( Æ

? Á

!85.4

œ[EeÎ[·¢=Ç[¯ª=Æ T=Æh[¶=

Á?KFNIÍÉF{Ìa>ÃnE

? ð>ÉF{°Ñ×T=Æh·¶ºb¯J™=bU

*

e=f[¯¶=¤¾>qe=f®Î·¢Íɻɷ£J¶=ÍÉ«·„=M@IÍi=eab¿¢Æ

% [‚=

¹Æb

$3

L×>[=›sr[^J¶=ËÆcÁ?>¾b[QÆ(

ÍÉFì¶=ÆÍÉVr¶=

( Í£Èfn¶=Ʊǯƒ=›rr^J™=Æ?

(

»Â@Eµ=eaC¼ÃÈb¶

[ì¶=sV«¶=Ð=fQCb£Ee=f¯¶=µfI½b¢ÍÉ

bÉE

ºåbï¯à»[¶=

T=Æh¶=η¢

(

>»çÉi×Æ ÍÉM=eǶ=z=fºÙ=Ͷ>U›

* Í[M=eǶ=¾=Ç[¯EÍ[ɪf£™=ÍÉU>¿·¶L=fm֙=bU@²Æ

(25Ç[ÂÊM=eǶ=zf»·¶ðغ>Uœ¯ªÀÈb¶=Ƕ=bU?Á>²=cCÊM=eǶ=zf™>EÐ>¿EÙ=ÍE>qC¹>»JU=ÁE@!34.5H>Q?

! !45.5H>Q?´¶c¤ºÆ*¼ÃÈb¶¼·¢×!23.8Æ(¹>»JU=×Á?!15.5H>Q?Æ Ä[¾Ù¸v«º¦He>®Ù=T=ÆgÁ?

fºa×Æ?Ìa×ƹ>»JU=bÈhÈ (Îßu

ÍÉ¢>»JQ×=ÍÉU>¿¶=ÀºbÉQÄ¿³¶Æ

%

$!18.2

ëv«ÈÆ(

ï·

Ä

!33

Í¿É£¶=Àº

*

>º?

frUfŸ¿¶>[Eð>qÇr[à]Æ (Í[¿É£¶=À[º!93.2Ìe>[F£¶=ze>[¢b[¯ª(œ[¯ªHe>[®Ù>ET=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=

*œ¯ªHe>®Ù=T=Æh¶ÍRÉJ¿²@n¿I×ÍÉM=eǶ=z=fºÙ=Á@EÍ¿É£¶=Àº!65.1a>¯J¢×

O¶>N¶=Ê·É·VJ¶=¹>=

6 ÄQÇJ¶=Æͪf£™=

¢ ÁǾ>¯·¶ÍÈa>™=ÆÍÉ¢>»JQ×=L>£FJ¶=À

b¯J£È

!66.6

Àº@n¿JiÍÉF·iÍÉ¢>»JQ=L>£FI×Á?

ª´¶d²Æ(T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=Ð=fQC D

Á

!66.7

tÇV«¶=ÅdÂÐ=fQCGFjEÍÈbj‚=ÍVr¶>ET=Æh¶=œEfEb¯J£I×

* Í[ÉU>¾À[º>º?

ÊVr[¶=½>[Ÿ¿¶=Í[ÈhÂ>Q

ÆÁǾ>¯¶=°ÉFìJ¶Éìj·«¶=Ëe=aÝ=Æ ÇI=

ÍÉ¿F¶=fª ÍÉi>iÙ=

%

¶=

Írr^J™=ÍÈfnF¶=ea=dz (

b[U@EÌh[Ã=L=[J^™=Æ

Pç¿àqÀº!58Á?Íi=eb¶=LbQÆb¯ª(ÁǾ>¯¶=°ÉFìJ¶ìj·ª›$tÇV«¶=Àº¥Ç¿¶==dÂÐ=fQDEÍq>„=L=b£™=

¥>

¢>¿®¼ÃÈb¶e=f¯¶=

Í ÇJE

= ÁǾ>¯¶=°ÉFìIη¢Ìea>®Írr^JºÍÈfnEea=Dzfª (

Æ

? Á

!57.5

ÇJE=ÇE>Q?

= Í[ÉF{L=[J‡fª

ÍFi>¿º ( Æ

!45.9

ª>²Íɶ>ºae=ǺaÇQÆÁÇ£®ÇJÈ

°ÉFìJ·¶ÍÉ

%

‚=

¹Æb

$*4

¹Æb‚=

) 3

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆì¶=sV«¶=Ð=fQCb£Ee=f¯¶=ÍÉ»Â?Æsr^J¶=¹>…;e>¯º :(

$!%

ÍÉVq½Ç·¢

ÍÉF{Æ

±Ç¯UÍ£ÈfmÆ

½Ç·¢'ÍÉEfI'ÍÉEa?

ʕa>²?

ÍɯÉFìI½Ç·¢

=bQ°ª=ǺÆ?°ª=Ǻ E

Æ?T=Æh¶=e=f®µ

Å»uÆ s^n¶= ÍÈfƒ ĺb¢

Ͷ>U ›

ÍE>qÝ=

Ä·¯¿È b® b[[£º zf[™ ¸»ƒ= Æ?

Ķ>«{?Æ?ÄI>ÉU´Èfn¶

*

31 44

47 56

E=bQ°ª=ǺÆ?°ª=Ǻ Æ?T=Æh¶=e=f®µ

Ͷ>U › Å»uÆ s^n¶= ÍÈfƒ ĺb¢

ÍE>qÝ=

Ê[[M=eÆzf[™¸»ƒ=Æ?

35 *

33 68

78

(9)

Eastern Mediterranean Health Journal, Vol. 12, No. 6, 2006 ÁǾ>¯¶=°ÉFìJ¶Íºgض=ìj·ª›ÍÈb¢>¯¶=ÍÉ¿F¶=fª=ÇIÀºÄQÇJ¶=Æͪf£™= :(4)¹Æb‚= 881

>ÃÉ·¢FÉ=ͯª=ǺÏÇJjºÆ

$!%

L=e>F£¶=

¼£¾

×

¼·¢=×

Í¿‚ ¸É³nI Àº

Íi=eb¶ rr^J™=

ÁǾ>¯¶=

ÍÉ¢fn¶= ÄF¾=ÇQ ¤É– Àº

įÉFìIη¢¸»£¶=¸F®L>F¯£¶=ÆbÑ=Ç«¶=ÆÍÈa>rJ®×=ÆÍÉ¢>»JQ×=ÆÍÉFì¶=Æ

96.6 *

3.4 -

ÇI=

ÈfnEea=Dzfª Í

Írr^Jº

°ÉFìJ·

58.0 19.3

22.7

ÇI=

ɪ>²Íɶ>ºae=Ǻfª

¶Í

°ÉFìJ·

45.9 22.4

31.8

ÇI=

ÍFi>¿ºÍÉF{L=J‡fª

°ÉFìJ·

57.5 20.7

21.1

¤E=f¶=Ê·É·VJ¶=¹>=

6

>ÂÕ=fQC½gض=ÍÉFì¶=tÇV«¶=ÍɢǿEe=f¯¶=¥>¿qͪf£º

=Í»Ñ>®›>ÃQ=eaC¤®ÇJ™=tÇV«¶=¹ÆbQÏÇJU=

T=Æh[¶=¸F®ì¶=sV«¶

(

¹Æb[¶=›>[ÃE¹Ç[»£™=tÇ[V«¶=

Ïf]Ù=ÍÉEf£¶=

* õ¶aÆ SÑ>J¿¶=K η¢

àqÀºÍɶ>¢ÍFj¾Á?

ç¿

Í[UÆfì™=tÇ[V«¶=Í[É»Â@EÍ[ɪ>²ÍÈ=ea¼ÃÈb¶e=f¯¶=¥>

% À[ºfN²?

$!68

Î[·¢z[£ÈÆ(

Ð=f[QC Fj[¾ÏÇ[i>Ãv[£E Í

Í·ÉÒ[u

%

*$!8

s[Vª>[º?Æ

¼Èh[¾?e>[FJ]=

G6PD (LØv£¶=eÇ»uÆ_É^™=Æ_™=eÇ»uÆ(Ê·R¿™=½b¶=f¯ªsVªÆ $( ȸǫJ¶=% Àº>[N¶=f[N^J¶=¸[º>¢>n[¾e>FJ]=Æ

¶=À¢¬n³·¶¤i>J¶=Æ eÇ¢>ç¿

haemophilia

%?

$ Æ

% H

$(

ç»r[¶=ab[§¶=z=f[º?Æ Ð>

(

>»çÉ[i×Æ Í[ÈfŸ³¶=Ìb[§¶=z=f[º?

( 19.3Î[·¢óháa[ßI>[ÿ³¶Æ(!7[[¶=LgÆ>[>[ÃJÉÂ>’µ=eaÝ=½b¢ÍFj¾Á?SÑ>J¿¶=LfÞ?b¯·ª(ÍÉ®eb¶=Ìb§¶=Æ

*!À[ib[£E>[ÃQ=eaC¤[®ÇJ™=[ì¶=s[V«¶=ͺǻv[’Éìj[·«¶=e=f[¯¶=¥>ç¿àqͪf£ºÆµ=eaCη¢SÑ>J¿¶=Åd¹bIÆ (ÁǾ>¯¶=

>»² EXuÇI

@ FJi×=ÍE>QC›L>ÃQÇJ¶=ÆÐ=eÛ=Á (Á>É

À[³IÆ¥Ç[uǙ>EÍ[ªf£ºÆÍÈ=eaη¢ÍÉ¿FºK¾>²

¢ ÍÉÑ=Çn

* Íɾ>N¶=Í·Uf™=

6

·É·€ÆÍÈeÖF¶=͢ǻ=p>¯¾SÑ>J¾

J·UfºÎ·¢ÍÈeÖF¶=͢ǻ=p>¯¾ 7

Í[i=eb¶=À[º‘ÆÙ=Í·Uf™=SÑ>J¾zf¢b£EƸF®

( Ïb[ºk[‚´[¶cÆ

àqη¢Íi=eb¶=ÅdÂSÑ>J¾M@I ç¿

e=f¯¶=¥>

( b[®Í[i=eaÀºÍ£Èfj¶=Ìa>«Ji×=Æ (áK[ßÈfQî?

Æ

¤[®ÇJ™=À[º Á?

›¼Â>j[I

¿j™=ÁǾ>¯¶=dÉ«¿J¶ÍÉi>iÙ=Çì„=XÉuÇI ÁÇ

* Í[·Uf™=SÑ>J¾zf¢¸F®Æ

‘ÆÙ=

À[º¸[³¶L>É[qÇJETÆf[„=

>Ãr^·ºÆÍÉjÉÑf¶=p>¯¿¶=eÆ>†

6 ÁǾ>®Í§Éqs>º› (T=Æh¶=¸F®ì¶=sV«¶=

À[·£È×ÍÉVr[¶=eǺÙ>[EÍ[q>„=¾=ǯ¶=Á?bÈb£¶=XuÆ?

àI×Æ>ÿ¢

ߣç»

ÍVÉVr¶=ͯÈfì¶>E¼ (

š Æ(Ê·»£¶=>ïÉFìI›f]ÖÈÆ>ÃJÉ»Â?Àº¸·¯È>

? H>ɦÁ L=Ð=f[QÝ=

ÍÉ·Ér[«J¶=

>ÿºÊ¾>£I¶=¸²>n™=¼Â?ÀºÊÂÁǾ>¯¶=s¾›ÍÉ·»£¶=Æ Ìb¢

ÍÉVr¶=¾=ǯ¶=°ÉFìJEÐbF¶=b¿¢ÍÉEf¢¹Æa

* (T=Æh¶=¸F®ÍÉFì¶=tÇV«¶=Í·iÀ»u>ÃQ=eaCG‹¶=ÍÉFì¶=tÇV«¶=¥=Ǿ?ÆÍÉÂ>ºÀ¢>º?

Î[·¢°[«I=b¯·ª

ÀºÍ¿‚¸É³nI

? j«¾Ð>ì]Ù=›¥Ç®Ç¶=½b¢ÆÍ·º>²ÆÍ»³†L>»É·£Ie=bqC¸Q

¶=

Ìb[Èb¢¹Æa>[ÿºK¾>¢

( >ÃQ=eaCGQ=Ƕ=ÍÉFì¶=tÇV«¶=bÈbVJ¶Í¯É®b¶=ÍÉ¿{Ƕ=½>®eÙ=ÆL>i=eb¶>E;>£Ji×=Æ Í[ÉFì¶=tÇV«¶=Í·iÀ»u

¶=¸F®

T=Æh

*

(10)

Æ ÁǾ>¯·¶°ÉFìJ¶=Ƹɣ«J¶=ÍɶÛÍFj¿¶>E (

b¯·ª KVuÆ?

͢ǻ=

? zf§¶>EÊ«È×Íɶ>ƒ=ÄJ§ÉrETeb™=ÁǾ>¯¶=Á

Æ(ÍÈdÉ«¿J¶=ÍÉU>¿¶=Àº

? ìj·«¶=̄=ËÆdE;>£Ji×=G‹Ä¾ ÉÉ¿

 ETÆf^·¶

B Í[ÈhÂ>QÍ[i=eaÆ(ÁǾ>[¯·¶°ÉFìIL>ɶ

ǺÆL=J‡Æea=DzÀºÊVr¶=½>Ÿ¿¶=

ÁǾ>¯¶=¸É£«JEÐbF¶=¸F®Í¾g=

*

ľ?η¢

p>¯¾Æzf¢b£E

ÌfŸ¿¶=L§I(Íi=eb¶=Àº‘ÆÙ=Í·Uf™=SÑ>J¾ (

ͪ>[uCÆ (´[¶c‘C SÑ>[J¿¶=Lb¢>[i

¸³nEp>¯¿¶=ÄÉQÇIÆ°É®b¶=bÈbVJ¶=η¢

?

°[ÉFìJ¶=L>[ɶAÇ[‰² (

ð>[uÇ¢

¿j[™=ÁǾ>[¯¶=Ín[®>¿ºÀ[¢

ÁÇ Äj[«¾

*

(Ê·=¤»J=ÍÉ¢ÇIaçf…×(ì¶=sV«¶=¥ÇuǒÍÉ¢ÇI‘CÍQ>}É¿Éìj·«¶=e=f¯¶=¥>ç¿àqÁ?͢ǻ=LbQÆÆ ÍÉjÉÑf¶=p>¯¿¶=eÆ>†Àº¸³¶L>ÉqÇJETÆf„=Æ (

>Ãr^·ºÆ 6

η¢°É·£J¶= x

Ð=eA àq ç¿

ÁǾ>®¹ÇUe=f¯¶=¥>

T=Æh¶=¸F®ì¶=sV«¶=

6 C tÇV«¶=Ð=fQDEQÆh¶=½=h¶CG‹Ä¾

Ÿ¿¶=x§E ÍÉFì¶=tÇV«¶=¥Ç¾Æ?k¿‚=À¢f (

L>qÇV«»·¶ÍɾǾ>¯¶=ÍÈfj¶=ÍÉ»Â?¹>»ÂC½b¢Æ

*

T=Æh¶=¸F®ÍÉFì¶=tÇV«¶=¥=Ǿ?bÈb€›e>FJ¢×=£E>Âd]?GQ=Ƕ=L=§J™=ÆÈ>£™= x

ÊÂ 6

°ÉFìJEÐbF¶=

ð>ɋebIÁǾ>¯¶=

ð>É·UfºÆ GjUÆ L>ÈǶÆÙ=

Ú¶

ÍÉ¿£™=z=fº (

¸²ÀºÌa>«Ji×=Æ Íɶ>J¶=Í·Uf™=°ÉFìI›Í·Ufº

( e=bqCÆ(T=Æh¶=¸F®>ºL>qÇV«¶=¿¯J¶L>ÉRÉI=f[Ji=bÈbVJEÍVr¶=Ìe=gƽǯIÁÆ?

bÈb€ÆÍÈdÉ«¿IÍVÑ×

>ÉRÉI=f[Ji=

L

°ÉFìJ¶=

( ðÌd]A ÍÉj«¿¶=ÆÍÉ¢>»JQ×=L>£FJ¶=e>FJ¢×=£E

* (Í{ÇFvºÍ¯ÈfìE°ÉFìJ¶=¼JÈÎJUÆ

ÁDª L>qÇV«¶=Ð=fQCη¢Ìea>¯¶=L=J^™=a>»J¢=ͶÆÖj™=L>Â=η¢

Í£u>]ÆÍ{ÇFvºÆÍVu=ÆÈ>£ºÀ»u

>»v¶ÍVr¶=Ìe=gÆÍF®=f™

Á SÑ>J¿¶=ÍÉ®=brºÆͻɮ

*

=d¶Æ ( Íɻɟ¿J¶=XÑ=Ç·¶=e=bqCÍVr¶=Ìe=gÆη¢GQÆ

’Íq>„=

Ê·È>

6

1

¶=ÆÍÈe>j¶=z=fºÙ=Í»Ñ>¯EÍVÑ× .

[à»

á£

ìj·ª›ÍÉM=eǶ=ÍÈb

*

2

T=Æh¶=¸F®sV«¶=GQÇI¶=z=fºÙ>EÍ»Ñ>® .

*

3

T=Æh¶=¸F®>TØ£¶=GQÇI¶=z=fºÙ=bÈb€ .

*

4

àȶ=z=fºÙ=bÈb€ .

>ÃFFjE¤¿»

C Á=f¯¶=b¯¢¹>»²

*

5

ÁǾ>¯·¶°ÉFìJ¶=L>ɶAbÈb€ÆÍɾ=hə=ªÇI .

*

= ÁǾ>¯·¶Í»É·j¶=°ÉFìJ¶=ͻú½>“ÝÍU¯™=¹Ç·ƒ=ÆL>ÉqÇJ¶

ÌeÆfu x

¿{=Ǚ=ÍÉ¢ÇIη¢¸»£¶=

E T=Æh¶=¸F®ì¶=sV«¶=ÆÌe>nJi×=ÍÉ»Â@

( Ä·nªÍɶ>»JU=µe=bJ¶

(

>»·Nº

ÍÉEf£¶=¹Æb¶=x£E›PbU (

ÊVr¶=hÈh£J¶=ƬɯNJ·¶ÍÉ¿{Ƕ=Í¿R·¶>EÁ>£JjÈOÉ}

( a>meÝ=Æ ¢Ç¶=ÌfÑ=bEÆ

ɺØiÝ=­>®ÆÙ=Æ Í

Ǚ=¤ÉRnJ¶ÍɫɯNIÍɺآCÍ·»}½>ɯ·¶

L>qÇV«¶=ÅdÂÐ=fQCη¢¿{=

( η¢hɲ¶=¤º

͢ǻj™=ÆÍÉÑf™=¹>rI×=ƽآÝ=¸Ñ>iƹاJi=Æ(T=Æh¶=¸F®>ÃÑ=fQC›Í·N»J™=ÍÉVr¶=ÆÍÈe>vƒ=G¾=ǂ=

¤»J=a=fª?ÍÉF¶>§¶ÍÉ¢ÇJ¶=¸rIÎJUÍU>J™=ÌÐÆf¯™=Æ

*

Æ x

ÇI½b¢GFjE

= fª Íɾ>³ºÝ=

¤uǶÍVr¶=Ìe=gÆÏb¶

ÊVr¶=º@J¶=À»u°ÉFìJ·¶ÁǾ>¯¶=

( ÍÉqÇJ¶=K“b¯ª

¥Æfn™==dÂFJ¶Í»¢=b¶=ÍɶÆb¶=L>ji֙>E;>£Ji×=Íɾ>³ºDE (

Ìe=gÆÍF®=fºÆ­=fmCK€ÁdzÈÁ?η¢

ÍVr¶=

*

°ÉFìJ·¶Íɺdzƒ=¦L>ji֙>E;>£Ji×= x

( Íɶ>™=Ìe=gǶ=Ìeb®½b¢Í¶>U›Ìe=gǶ=­=fmCK€À³¶Æ

η¢ *´¶c

ÍÉ¿ºg̪À»u>ÃÉ·¢¸»£¶=ÆL>qÇV«¶=e=f®Cη¢¸»£IÍVr¶=Ìe=gƸF®Àº¸³nIÍÉ¿{ÆÍÒɸɳnI x

Í¿É£º

% ðØNºL=Ç¿i4

$(

iËd¶=ÀºbÈb€Æ

½ëb¯É L>ºb„=ÅdÂ

* ͮأ¶=L=cL>¢>쯶=Àº·NšÍ¿R·¶=¼vIÆ

j™=OÉUÀº¥ÇuǙ=¤ºÌfm>F™=

Ö

¶=ÆÍɾǾ>¯¶=ÍÉ¶Æ ÍɯÉFìJ

*

(11)

Eastern Mediterranean Health Journal, Vol. 12, No. 6, 2006 883

ÀçÉFJÈÆ Íi=eb¶=SÑ>J¾zf¢b£EƸF®SÑ>J¿·¶°E>j¶=zf£¶=Àº (

Xu=Ƹ³nELb¢>iÍi=eb¶=ÅdÂÁ?

η¢ A(°ÉFìJ¶=Í·Ufº‘CÁÇ¿j™=ÁǾ>¯¶=¸ÈÇVJ¶>â>FI=GQ=Ƕ=ÍÉi>iÙ=Çì„=bÈb€

eÆae>FJ¢×=£EÀÈd]

j™=¾=ǯ·¶ÍɯÉFìJ¶=L>ɶÛ=bÈb€›¤»J=

¿

¾Ç

¾=ǯ¶=dÉ«¿I›ÍÈÇ»¿J¶=L=Ð=fQÞ¶¸»³ºÐhR²(Í

*

Íi=eb·¶ÍÉÑ>ÿ¶=L>ÉqÇJ¶=ÆL>Q>J¿Ji×=

6

‘Æ?ÀºÊÂÍi=eb¶=ÅdÂÁC K»JÂ=¶=ÊEf£¶=>£¶=›ÍÃE>n™=L>i=eb¶=

Ð=eBE àqL>ÃQÇIÆ ç¿

Å>e=f¯¶=¥>

çÉEOÉU(T=Æh¶=¸F®ì¶=sV«¶>²Í»ÃºÍÉv®

Ù=L>£Q=fºK¿

ÉEa ÍÉFì¶=L>

eÇr®Ê·Q¸³nE ð=

F² ð=

η¢ *Íq>]ì¶=sV«¶=Æͺ>£¶=ÍVr¶=¾=Ç®°ÉFìIÆÀi›¼ÂeÆaÆ(e=f¯¶=¥>ç¿àrE£™=ÊNVF¶=bÉ£r¶=

àqÁ?SÑ>J¿¶=LfÞ?b®Æ ç¿

É¿Éìj·«¶=e=f¯¶=¥>

 sV«¶=ÁǾ>®¼¢a›Í»Â>j™=ÆÄÉQÇJ¶=›ÊjÉÑeeÆa¼ÃÈb¶

Æh¶=¸F®ì¶=

T=

( ð>uÇ¢(Á>j¾Ý=±Ç¯UÆÀÈb¶=ÆÍVr¶=¤ºÌfm>F™=ÄJ®Ø£¶

I=iÝ=¼Ã£®=Ǻ›¼ÂeÆaÀ¢

É

ÍÉR (Ív«^¿ºK¾>²L>¾>ÉF¶=ÍÒF£J¶Ê£ÈfnJ¶=k·=Ð>v¢?ÀºHÆ>RJ¶=ÍFj¾Á?¼·£¶=¤º(e=f®¥>ç¿àr² k³£Èb®>º

ÊVr¶=¤uǶ>E½>»JÂ×=Ïb£JIeǺ@Ek·=Ð>v¢?¹>§n¾=

ìj·«¶=

É (

¼·£¶=¤º Á?

b®ÄÑ=hQ@Eͺ>£¶=ÍVr¶=ÁǾ>®

ÅfÈf“

PØNE ÊÑ>ÿ¶=Åe=f®C¸F®Ê£ÈfnJ¶=k·=›L=Ð=f®

Æ(

¼·£¶=¤º (ð>vÈ?(

Á?

ÊÂÉìj·«¶=¤»J=ÍVq

l>iÙ=

( e=f¯¶=¥>¿r¶¸»£¶=ÍU>jº¼É»q›¤¯IÁ?bE×Æ

*

ͧÉr·¶ÍFj¿¶>E>º?

ÍUÆfì™=

ÁǾ>¯¶

ì¶=sV«¶=

¼®eT=Æh¶=b¯¢¸F®

%

$5

ÁǾ>®¥Æfn™Ê¾>N¶=¸r«¶=Àº

ÍVr¶=

ͺ>£¶=

( b¯ª L>¾>ÉF¶=Le>m?

kɶÆð>ɺ=h¶CÁǾ>¯¶==dÂÁáÇí²Í¯É¯UgI(XßuáÆ?ͧÉqa>‹CHÇQƑC

°ÉFìJ¶=b¿¢ð>Èe>ÉJ]=

¤º(

¼·£¶=

àqÁ?

ç¿

¹ÇU=Ç«·J]=e=f¯¶=¥>

ÍÉM=eǶ=L>qÇV«¶=›½=h¶Ý=ÍÉ¢Æfnº (

k³£È>º

­Ç

¥>ç¿àq

½g>Ue=f®d]@Ee=f¯¶=

= Å>

Íɺ=h¶CÍɶBEÀj™=ÁǾ>¯¶=°ÉFìI

*

­Ç^J¶==dÂk³£Èb®Æ Æ?

He>vJ¶=

e=f¯¶=¤¾>qÄE½Ç¯ÈËd¶=eÆb¶=ÍÉQ=Æag=žÇV·™=

À{=Ç»²‘Æ?ÍQebE(Éìj·«¶=

ÀºÖÈ Î·¢e>ÉJ]×>Eaf«¶=Ç»jE

ÁǾ>¯¶=

)

¶=XqÁC F£J

) eÆbEÆ Ê£ÈfnIe=f®Ë?egÆÆÍɶÆÖjº¸»VJÈe=f®¤¾>r²Ê¾>N¶=Å

Ä£FJÈb®>ºÆ

Àº *ðØF¯Jjº½>J¶=ÄU>ˆ½b¢KFNIb®aÆae

ÁǾ>¯¶=EHe>vIaÇQÇEe=f¯¶=¥>ç¿àqx£Ea>¯J¢=(Ïf]?ÍÃQÀºÆ

T=Æh¶=b¯¢b¿¢n™=

EÆ x£E

™=x£EÁdz¶(b¯¢Ë?½>“ÝÍEÇ·ì™=ÍÉ¢fn¶=Æfn¶=

ÍVqnI×GÂ=d

T=Æh¶=b¯¢b¿¢ÁbF¶=

* Æ

ÊVr¶=½>Ÿ¿¶=ÍÈhÂ>|=dz³me=f¯¶=¥>¿qÍÉF¶>¦Á?SÑ>J¿¶=KVuÆ?

Éìj·«¶=Ëe=aÝ=Æ ÁǾ>¯¶=°ÉFìJ¶

( çb£™=PbU@EÌhÃ=L=J^™=ÆÍrr^J™=ÍÈfnF¶=ea=dz¶=fª=ÇI½b£¶´¶cÆ

Àº¥Ç¿¶==dÂÐ=fQDEÍq>„=L=

tÇV«¶=

( JÈ>º

¶=ÍÉ¿F¶=Ð>n¾Ý›>³¶=Ëa>™=¼¢b¶=aÇQÆG·ì Èb¢>¯

>ÃÑ=fQÝÍ

* J·Uf™=SÑ>J¾LfÞ?Æ

¸F®ì¶=sV«¶=ÆÌe>nJi×=ÍÉ»Âِ¿{=Ǚ=ÍÉ¢ÇIη¢¸»£¶=ÌeÆfuÍɾ>N¶=ƑÆÙ=

T=Æh¶=

( ÊVr¶=hÈh£J¶=ƬɯNJ·¶ÍÉ¿{Ƕ=Í¿R·¶>E;>£Ji×>E (

>®ÆÙ=Æa>meÝ=Æ ¢Ç¶=ÌfÑ=bEÆ ÍɺØiÝ=­

*

õ²eÆ Íi=eb¶=ÀºÍɾ>N¶=Í·Uf™=›ÍÈeÖF¶=͢ǻ=SÑ>J¾Lh (

JIÌf§rºÍÉ¿{ÆÍ¿‚¸É³nIη¢

¦@

¬É¯NJ¶=Àº

ÊVr¶=

( f™=ÍVqÆ

?Ì ( ÍÈe>j¶=z=fºÙ=Í¿‚Æ (

ʾb™=¤»J=Æ (

ͮأ¶=L=cL=e=gǶ=Æ (

η¢

Á?

ç»ÃºÁdzI

>ÃJ

Ý=bÈb€

FìJ¶ÍFi>¿™=L>ÉRÉI=i ÁǾ>¯¶=°É

( ËdÉ«¿J¶=ÆËe=aÝ=ÆʾǾ>¯¶=ÏÇJj™=η¢Ð=Çi (

?Æ ÏÇJjºÎ·¢

z>ÿJi×=

ͻɷj¶= ͯÈfì¶>E ÁǾ>¯¶= dÉ«¿IÆ °ÉFìIÆ ¸É£«J¶ ½gض= Ê£»J=

* ÍVr¶= Ìe=gÆ Á? f²d¶>E fÈb‚=Æ

É¿Éìj·«¶=

Í Íi=eb¶=ÅdÂSÑ>J¾ÁØ¢Cb£ET=Æh¶=¸F®ì¶=sV«·¶ÍÉ¿{ÆÍÒɹÆ?K·³m KªbÃJi=¸»¢Ímeƛ

°ÉFìJ·¶ÍEÇ·ì™=L>ɶÛ=ÆXÑ=Ç·¶=¤uÆÆ(ÁǾ>¯¶=¸É£«I>ú>úÀº¶=(ͮأ¶=L=cL>ÒÉ=ÆL>ji֙=

* Ê Æ(NU>F¶= fŸ¾ ÍÃQÆ>û¢bIÆ(Íi=eb¶= SÑ>J¾>Âb²ÖI ÍÉi>i? ÍÉqÇI µ>¿ÂÆ Á>‚ ÀÈdzI ÌeÆfu

ÍÉVr¶=L>i>Éj¶=ÆL×>=›Ì]L=cÆÍrr^Jº XÑ=Ƕ¤uÇEÍɶ>™=ÆÍÉj«¿¶=ÆÍÉ¢>»JQ×=ÆÍɾǾ>¯¶=ÆÍÉ¢fn¶=Æ

T=Æh¶= ¸F® ì¶= sV«¶= ÁǾ>® °ÉFìJ¶

( (ÁǾ>¯¶= ¸É£«JE ÐbF¶= ¸F®

A Ê·= ¤»J= ÍÈhÂ>Q e>FJ¢×= £E ÀÈd]

Références

Documents relatifs

It gives me great pleasure to welcome you all to the Fourth Meeting of the Technical Advisory Group for Poliomyelitis Eradication in Egypt.. I am very pleased to note that we

Beyond the ap- parent complexity and unruly nature of contemporary transnational rule making, we search for those structuring dimensions and regularities that frame

One of the unofficial reasons put forward for this lack of defence was that the city was built in a natural dip which it was believed gave the city a natural defence against an

This interaction-oriented resolu- tion is based on distributed value functions (DVF) techniques that decouple the multi-agent problem into a set of individual agent problems

11 11-Population genomics to detect local adaptation: application to Bti resistance monitoring in mosquitoes at a regional scale.. Laurence Després, Guillaume

This determinant, to be denoted by D(t), arises in the representation theory of the infinite-dimensional unitary group [5] and provides a 4-parameter class of solutions to Painlev´ e

First, we evaluate each extracted features according to the number of images (see Fig. According to this feature study and based on predicted behavior of each extracted feature for

It is our belief that that activity pattern, mode choice, allocation of time, residential and job location choices, as well as departure time choice, cannot be