Zhang Tong, Wu Yan-Qiao, Wang Yan-Ping, Zhao Geng-Li, Yin Fei, Chen Ming-Hui
Center for Maternal and Child Health, Chinese Center for Disease Control and Prevention, Beijing 100083, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Oct;24(10):908-12.
To evaluate the effectiveness on comprehensive health education intervention program regarding reproductive tract infections/sexually transmitted diseases (RTIs/STDs) among reproductive age population in the rural areas of China.
Data were generated from the Reproductive Health/Family Planning Project implemented by the State Family Planning Committee and the Ministry of Health from 1998 to 2002, which covered 32 counties in 22 provinces. A quasi-experimental design was used. Six counties were selected from 32 project counties as intervention group, while 6 non-project counties were taken as controls which were similar in number of population and economic level to the counties as selected. Subjects of the study were mothers with children under 3 years and men under 35 years of age. A total number of 675 mothers and men were interviewed using a structured questionnaire by strictly trained investigators. Logistic model was used to compare the difference of knowledge on RTIs/STDs between intervention group and control group. OR value was used to describe the degree of the difference.
Over the 18 month intervention period, persons in the intervention group had more knowledge of RTIs/STDs than those in control group. Logistic regression analysis indicated that intervention was significantly associated with better knowledge on factors as transmission, risks, symptoms, management and prevention of RTIs/STDs with 95% CI of OR as 2.4 - 6.4, 2.0 - 4.8, 3.0 - 6.4, 1.9 - 5.7 and 1.8 - 6.8 respectively, after controlling the demographic factors. Level of education was an important factor influencing the subjects to receive knowledge on RTIs/STDs.
Comprehensive health education intervention programs had significant impact on knowledge about RTIs/STDs among the target population, indicating that the Reproductive Health/Family Planning Project implemented in the rural areas of China had been successful.
评估中国农村地区育龄人群生殖道感染/性传播疾病（RTIs/STDs）综合健康教育干预项目的效果。
数据来源于1998年至2002年国家计划生育委员会和卫生部实施的生殖健康/计划生育项目，该项目覆盖了22个省的32个县。采用准实验设计。从32个项目县中选取6个县作为干预组，同时选取6个非项目县作为对照组，对照组在人口数量和经济水平上与所选县相似。研究对象为有3岁以下子女的母亲和35岁以下的男性。由经过严格培训的调查员使用结构化问卷对675名母亲和男性进行访谈。采用逻辑模型比较干预组和对照组在RTIs/STDs知识方面的差异。用OR值描述差异程度。
在18个月的干预期内，干预组人员对RTIs/STDs的了解比对照组更多。逻辑回归分析表明，在控制人口统计学因素后，干预与对RTIs/STDs的传播、风险、症状、管理和预防等因素的更好了解显著相关，OR的95%可信区间分别为2.4 - 6.4、2.0 - 4.8、3.0 - 6.4、1.9 - 5.7和1.8 - 6.8。教育水平是影响研究对象获取RTIs/STDs知识的重要因素。
综合健康教育干预项目对目标人群关于RTIs/STDs的知识有显著影响，表明在中国农村地区实施的生殖健康/计划生育项目取得了成功。
