Li Jing, Xu Xin, Ding Guoyong, Zhao Yun, Zhao Ruixia, Xue Fuzhong, Li Jing, Gao Jinghong, Yang Jun, Jiang Baofa, Liu Qiyong
Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China.
State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Int J Environ Res Public Health. 2016 Jun 29;13(7):648. doi: 10.3390/ijerph13070648.
Knowledge, attitude, and practice (KAP) are three key components for reducing the adverse health impacts of heat waves. However, research in eastern China regarding this is scarce. The present study aimed to evaluate the heat wave-related KAP of a population in Licheng in northeast China. This cross-sectional study included 2241 participants. Data regarding demographic characteristics, KAP, and heat illnesses were collected using a structured questionnaire. Univariate analysis and unconditional logistic regression models were used to analyze the data. Most residents had high KAP scores, with a mean score of 12.23 (standard deviation = 2.23) on a 17-point scale. Urban women and participants aged 35-44 years had relatively high total scores, and those with high education levels had the highest total score. There was an increased risk of heat-related illness among those with knowledge scores of 3-5 on an 8-point scale with mean score of 5.40 (standard deviation = 1.45). Having a positive attitude toward sunstroke prevention and engaging in more preventive practices to avoid heat exposure had a protective interaction effect on reducing the prevalence of heat-related illnesses. Although the KAP scores were relatively high, knowledge and practice were lacking to some extent. Therefore, governments should further develop risk-awareness strategies that increase awareness and knowledge regarding the adverse health impact of heat and help in planning response strategies to improve the ability of individuals to cope with heat waves.
知识、态度和行为（KAP）是减少热浪对健康产生不利影响的三个关键因素。然而，中国东部地区对此的研究较少。本研究旨在评估中国东北历城区人群与热浪相关的KAP。这项横断面研究纳入了2241名参与者。使用结构化问卷收集了有关人口统计学特征、KAP和中暑疾病的数据。采用单因素分析和无条件逻辑回归模型对数据进行分析。大多数居民的KAP得分较高，在17分制量表上的平均得分为12.23（标准差=2.23）。城市女性和35 - 44岁的参与者总得分相对较高，而受教育程度高的人总得分最高。在8分制量表上知识得分为3 - 5分（平均得分5.40，标准差=1.45）的人群中，中暑相关疾病的风险增加。对预防中暑持积极态度并采取更多预防措施以避免受热对降低中暑相关疾病的患病率具有保护作用的交互效应。尽管KAP得分相对较高，但在一定程度上仍缺乏知识和实践。因此，政府应进一步制定风险意识策略，提高人们对热浪对健康不利影响的认识和了解，并有助于制定应对策略，以提高个人应对热浪的能力。
