摘要
目的了解云南鹤庆县高原山区血吸虫病流行区居民的血防健康素养水平。方法在鹤庆县金墩乡高原峡谷型血吸虫病流行区西甸和磨光2个行政村,采用随机抽样的方法抽取6~65岁居民开展问卷调查,了解其掌握血防知识、防治态度、防治行为的水平和程度。同时对调查对象采用间接血凝试验（IHA）进行检查,了解其血吸虫感染情况。结果西甸行政村2013年尚有钉螺面积5.6万m2,钉螺分布相对广泛;磨光行政村2013年尚有钉螺面积0.85万m2,钉螺分布相对局限,两村2013年均无血吸虫病患者、病畜。在血吸虫病防治知识、防治行为和防治态度的回答中,防治知识正确率为40.53%~89.81%,防治行为的正确率为39.81%~88.35%,防治态度的正确率为55.34%~80.34%,不同村别、年龄、性别、职业人群的正确人数存在一定程度的差别,不同村别、年龄、职业人群中曾有血吸虫病病史人数和间接血凝（IHA）阳性人数占调查人数的比例也同样存在一定程度的差别。结论云南省鹤庆县高原山区血吸虫病流行区居民的血防健康素养差别较大,在今后的健康教育过程中,要进一步把握目标人群特点,针对不同的原因和情况,探索不同的教育策略,才能逐步强化流行区干部群众的血防意识,有效控制血吸虫病的传播和流行。
Objective To learn residents＇ health literacy level on schistosomiasis control in plateau moun demic areas of Heqing county, Yunnan province. Methods Schistosomiasis control knowledge, attitu behavior to prevention were investigated in 6 -65 years old residents with questionnaire in two admin village -Xidian and Moguang. Meanwhile, the indirect hemagglutination test （IHA） was carried ou tam endes and istrative t to detect the aim population to understand the schistosomiasis infective condition. Results The snail distribution area was 56, 000 m^2 in Xidian administrative village in 2013, indicating that the distribution was relative widely. However, there was 8500 m^2 snail distribution in Moguang administrative village, which were comparatively less. Moreover, there was no patients and livestock infected with schistosomiasis in the above villages, 2013. In the answer to the schistosomiasis prevention and control knowledge, control behavior and attitudes, the correct rate of prevention was 40. 56 -89. 81% and that of control behavior was 39. 81 -88.35% ; and when it comes to prevention attitude, it was 55.34 - 80. 34%. From the results, it could be seen that there was difference in the number of correct answer residents in different villages, ages, sex, and occupation. And the distinct was also in the historic number with schistosomiasis infected population and the number of IHA positive in different villages, ages, sex, and occupation. Conclusion In further health education, the character of target population should be grasped. And in terms of different reasons and circumstances, the different educational strategies should be explored. Through the above measures, the awareness in endemic area of schistosomiasis control can be strengthened, as well as the spread and prevalence of schistosomiasis could be controlled effectively.
出处
《寄生虫病与感染性疾病》
CAS
2015年第2期57-61,共5页
Parasitoses and Infectious Diseases
基金
大理州科学技术计划项目(项目编号:2060402)
关键词
血吸虫病
健康素养
高原山区
schistosomiasis
health literacy
plateau mountain
