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嚼食槟榔教育方案在巴布亚新几内亚的试行效果。

The effectiveness of school educating program for betel quid chewing: A pilot study in Papua New Guinea.

机构信息

Southridge School, British Columbia, Canada.

Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2018 Apr;81(4):352-357. doi: 10.1016/j.jcma.2017.10.001. Epub 2017 Nov 7.

Abstract

BACKGROUND

To investigate the effectiveness of educating program among primary and secondary school students in Papua New Guinea, where has the highest incidence of oral cancer all over the world.

METHODS

A cross-sectional school based survey was arranged in primary and secondary school in Papua New Guinea in June, 2015. A self-administrated questionnaire was administered before and after education done by health experts from Taiwan. The subjects were chosen by random. The schools provided the students we educated and did the questionnaires on.

RESULTS

Ninety five primary school students and 55 secondary school students in Papua New Guinea participated in the study. Before education, both groups lacked the knowledge that betel quid is harmful to health and had no motivation to quit betel quid consumption with the average score 4.580 out of the total score of 8 for primary school students, and the average score of 4.600 out of the total score of 8 for secondary school students. After education, improvements were noted in knowledge of betel quid among both groups, and reached the statistical significance for secondary school students (mean difference 0.700 ± 0.277, 95% CI 0.164-1.248, p-value = 0.018).

CONCLUSION

A great achievement was gained by a short time of education. To prevent the incidence and mortality of oral cancer in Papua New Guinea, education programs should be arranged aggressively and effectively.

摘要

背景

为了调查巴布亚新几内亚中小学生教育计划的效果,那里是全世界口腔癌发病率最高的地方。

方法

2015 年 6 月,在巴布亚新几内亚的中小学中安排了一项基于横断面的学校调查。在台湾的健康专家进行教育之前和之后,我们采用了自我管理的问卷进行调查。通过随机选择研究对象。学校提供我们教育的学生,并完成调查问卷。

结果

巴布亚新几内亚的 95 名小学生和 55 名中学生参加了这项研究。在教育之前,两组学生都缺乏关于槟榔有害健康的知识,并且没有动力戒除咀嚼槟榔的习惯,小学生的平均得分为 4.580(满分 8 分),中学生的平均得分为 4.600(满分 8 分)。教育后,两组学生对槟榔的认识都有所提高,并且中学生的提高具有统计学意义(平均差异 0.700±0.277,95%CI 0.164-1.248,p 值=0.018)。

结论

在短时间的教育后取得了巨大的成就。为了预防巴布亚新几内亚口腔癌的发病率和死亡率,应该积极有效地开展教育计划。

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