摘要
目的探索儿童手足口病行为干预措施并评价其干预效果。方法于2011年在天津市城区和农村各选择2个街道、乡镇为研究现场,随机分为干预组和对照组各1个。采用随机整群抽样方法抽取1 224名儿童家长开展手足口病健康素养基线调查。干预组接受为期1年的干预,内容主要为手足口病防治基本知识与技能,方式包括骨干人员培训、健康教育指导和公众咨询、家长信、发放宣传材料等。干预后进行评估调查。手足口病发病情况由疾控机构提供。结果儿童家长具备手足口病健康素养的比例总体仅为10.9%。干预后,城区干预组儿童家长具备手足口病健康素养的比例由10.9%提高到24.1%,农村干预组由9.3%提高到21.1%;城区干预组儿童手足口病发病率由2.530%降低到1.230%,农村干预组由7.256%降低到2.430%。差异均有统计学意义(P<0.05)。结论大众传播和人际传播相结合的综合干预措施可有效提高儿童家长手足口病健康素养并在一定程度上改善儿童手足口病发病。
Objective To explore behavior interventions of hand, foot and mouth disease among children and evaluate effect of the intervention. Methods Two streets and two towns were selected randomly from urban area and rural area and were allocated to the intervention group and the control group, respectively. By random cluster sampling method, 1 224 parents were selected to complete baseline survey. In the intervention group, all parents received one-year intervention. The intervention items included training for trainers, health education guidance and public consultation, distributing health education materials,et al. After one-year intervention, evaluation survey was conducted. Hand, foot and mouth disease incidence was provided by the CDC. Results The proportion of the parents with general health literacy of hand, foot and mouth disease was 10.6%. After intervention, the proportion of the parents in urban area with health literacy of hand, foot and mouth disease increased from10.9% to 24.19% and the proportion in rural area increased from 9.3% to 21.1%. The incidence of hand, foot and mouth disease decreased from 2.530% to 1.230% in urban intervention group and in the rural intervention group decreased from7.256% to 2.430%. Conclusion The comprehensive intervention measures of combination of mass communication and interpersonal communication can effectively improve the level of health literacy of hand, foot and mouth disease and prevent hand, foot and mouth disease to a certain extent.
出处
《环境与健康杂志》
CAS
北大核心
2017年第6期502-505,共4页
Journal of Environment and Health
基金
天津市科技发展战略研究项目(15ZLZLZF01140)
关键词
手足口病
预防
健康素养
行为干预
Hand
foot and mouth disease
Prevention
Health literacy
Behavior intervention
