摘要
目的 了解英德市血吸虫病历史流行区钉螺复现前后村民血吸虫病知识的掌握及行为现状。方法 2019年随机抽取长江坝林场、洲西、沙口农场区域的6岁以上村民开展血吸虫病知晓率及行为正确率调查,后对该区域的村民开展血吸虫病健康教育,2020年再次随机抽取该区域的6岁以上村民开展调查,将健康教育干预前后(参加2次调查)村民知识知晓率及预防行为正确率进行对比,开展效果评价。结果 同时参与2019年及2020年2次调查的村民共300名,血吸虫病防治知识知晓率由干预前的58.86%上升至干预后的93.00%,差异有统计学意义(χ^(2)=669.703,P<0.05);预防行为正确率由干预前的92.33%提升至干预后的100.00%,差异有统计学意义(χ^(2)=72.832,P<0.05);“认识钉螺”知晓率提高了48.67%;知晓率提升最高的是7~26岁组(38.37%),提升最低的是27~42岁组(25.00%);干预前后不同文化程度之间村民的血防知识知晓率差异均有统计学意义(χ^(2)=25.299、12.136,P<0.05)。结论 村民血吸虫病防治知识知晓率及预防行为正确率均有大幅度提升,说明开展血吸虫病健康教育对进一步普及血吸虫病防治知识进而转化为自觉防治血吸虫病的行为取得了较好的效果,但不同年龄及文化程度的村民存在差别,今后的宣传教育应分层分类,因人施教,使可持续的知信行血防健康教育理念深入民心。
Objective To understand the current situation of villagers’ knowledge and behavior before and after Oncomelania Schistosomiasis reappearance in the historical and epidemic area of Yingde city. Methods In 2019,a survey was conducted on the awareness rate and behavior correct rate of schistosomiasis among villagers aged 6 and above in Changjiangba forest farm,Zhouxi and Shakou farm. After that,the villagers in this area were given schistosomiasis health education. In 2020,the villagers over 6 years old were randomly selected to carry out the survey again,whose knowledge awareness rate and prevention behavior correct rate of villagers before and after health education intervention were compared, and the effects were evaluated. Results Among the 300 villagers who took part in two surveys in 2019 and 2020, the awareness rate of schistosomiasis knowledge increased from 58.86% before intervention to 93.00% after intervention (χ~2=669.703, P<0.05).The correct rate of prevention behavior increased from 92.33% before intervention to 100.00% after intervention, the difference was statistically significant (χ~2=72.832,P<0.05). The awareness rate of “knowing Oncomelania” increased by 48.67%, in which the 7-26-year-old group increased by38.37%,the lowest increase was in the 27-42-year-old group(25.00%),and there was a significant difference in the awareness rate of schistosomiasis knowledge among the villagers with different education levels before and after the intervention (χ~2=25.299, 12.136, P<0.05). Conclusion The awareness rate of schistosomiasis prevention knowledge and the correct rate of prevention behavior have been greatly improved, it showed that the schistosomiasis education had a good effect on popularizing the knowledge of schistosomiasis prevention and treatment, and then transforming the knowledge into conscious prevention behavior of schistosomiasis. However, there are differences among villagers of different ages and educational levels. Our propaganda and education in the future should be classified
作者
蓝秋欣
黎伟全
LAN Qiu-xin;LI Wei-quan(Yingde City Center for Disease Control and Prevention,Qingyuan 513000,Guangdong Province,China.)
出处
《寄生虫病与感染性疾病》
CAS
2022年第2期78-82,共5页
Parasitoses and Infectious Diseases
基金
2020年度清远市社会发展领域自筹经费科技计划项目(项目编号:200730174561634)。
关键词
血吸虫病
健康教育
村民
干预效果评价
schistosomiasis
health education
villagers
evaluation of intervention effect
