利用微信公众号提高在尼日尔的中国侨民的疟疾健康素养：一项干预研究。
Using WeChat official accounts to improve malaria health literacy among Chinese expatriates in Niger: an intervention study.
作者信息
Li Wei, Han Le Qiang, Guo Yan Jun, Sun Jing
机构信息
Health Care Center Manager of HSE Department, China National Oil and Gas Exploration and Development Corporation, 6-1 Fuchengmen Beidajie, Xicheng District, Beijing, 100034, China.
Infectious Disease Department, Dalian Sixth People's Hospital, No. 269 Huibai Road, Lugang, Ganjingzi District, Dalian, 116031, Liaoning, China.
出版信息
Malar J. 2016 Nov 24;15(1):567. doi: 10.1186/s12936-016-1621-y.
BACKGROUND
Malaria is the main health risk for Chinese expatriates working in Niger. Health education is a recommended intervention for prevention of malaria among non-immune travellers and expatriate workers. It is urgent to develop an effective and feasible way for these populations to obtain information about the prevention and treatment of malaria.
METHODS
An individually randomized, unblinded, controlled trial was used to evaluate the effectiveness of using WeChat official accounts for health education to improve malaria health literacy among Chinese expatriates in Niger. A total 1441 participants completed a baseline malaria health literacy questionnaire and were randomly assigned to an intervention or comparison group in a ratio of 1:1. From July to October 2014, 50 malaria prevention and treatment messages were sent to the intervention group; 50 health news messages were concurrently sent to the control group. Both groups completed the malaria health literacy questionnaire again 4 months after the start of the education intervention. A questionnaire addressing satisfaction with the health education programme was completed by the intervention group. Malaria morbidity data for 2013 and 2014 were also collected.
RESULTS
At baseline, participant health literacy rates were 58.29, 62, 54, and 34% for skills, knowledge, practice, and attitude, respectively. After the intervention, rates for all four aspects of malaria literacy were above 70%. There was greater change in knowledge, attitude, practice, skills, and overall health literacy among the intervention group compared with the controls, with a statistically significant difference (p < 0.01). This was especially true for acquisition of malaria-related knowledge, practice and attitude; comprehensive intervention practices; and, correct use of rapid diagnostic tests (p < 0.001). The reported malaria morbidity during the study period decreased from 23.72 to 15.40%. Participants reported high levels of satisfaction with the WeChat health education programme with over 80% stating that they would continue to follow the programme.
CONCLUSIONS
The present health education intervention, via a WeChat official account, for the prevention and treatment of malaria among non-immune travellers and expatriate workers proved to be an effective, sustainable, feasible, and well accepted strategy for improving malaria health literacy among Chinese expatriates in Niger.
背景
疟疾是在尼日尔工作的中国侨民面临的主要健康风险。健康教育是针对非免疫旅行者和侨民工人预防疟疾的推荐干预措施。为这些人群开发一种有效且可行的获取疟疾预防和治疗信息的方式迫在眉睫。
方法
采用个体随机、非盲、对照试验来评估利用微信公众号进行健康教育以提高尼日尔中国侨民疟疾健康素养的效果。总共1441名参与者完成了基线疟疾健康素养问卷，并以1:1的比例随机分配到干预组或对照组。2014年7月至10月，向干预组发送了50条疟疾预防和治疗信息；同时向对照组发送了50条健康新闻信息。两组在教育干预开始4个月后再次完成疟疾健康素养问卷。干预组完成了一份关于对健康教育项目满意度的问卷。还收集了2013年和2014年的疟疾发病数据。
结果
在基线时，参与者在技能、知识、实践和态度方面的健康素养率分别为58.29%、62%、54%和34%。干预后，疟疾素养的所有四个方面的比率均高于70%。与对照组相比，干预组在知识、态度、实践、技能和总体健康素养方面有更大的变化，差异有统计学意义（p < 0.01）。在获取疟疾相关知识、实践和态度；综合干预实践；以及正确使用快速诊断测试方面尤其如此（p < 0.001）。研究期间报告的疟疾发病率从23.72%降至15.40%。参与者对微信健康教育项目的满意度很高，超过80%的人表示他们会继续关注该项目。
结论
目前通过微信公众号对非免疫旅行者和侨民工人进行疟疾预防和治疗的健康教育干预，被证明是提高尼日尔中国侨民疟疾健康素养的一种有效、可持续、可行且广受接受的策略。
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