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[江苏省居民血吸虫病知信行及行为影响因素调查]

[Survey of schistosomiasis KAP and influencing factors of behaviors among residents in Jiangsu Province].

作者信息

De-Rong Hang, Yi-Xin Huang, Yao-Bao Liu, Xu Zhang, Yi-Qing Xie, Wei-Gang Yin, Kai Tang, Lian-Heng Zhang, Dao-Kuan Sun

机构信息

Jiangsu Institute of Parasitic Diseases, Key Laboratory on Technology for Parasitic Disease Prevention and Control, Ministry of Health, Jiangsu Provincial Key Laboratory of Parasite Molecular Biology, Wuxi 214064, China.

Changzhou Municipal Center for Disease Control and Prevention, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 May 5;29(5):574-578. doi: 10.16250/j.32.1374.2017016.

Abstract

OBJECTIVE

To understand the schistosomiasis control knowledge, attitude, and practice (KAP), and influencing factors of behaviors among residents in Jiangsu Province, so as to provide the evidence for making effective health education and health promotion models.

METHODS

The probability proportionate to size sampling (PPS) and multi-stage sampling methods were adopted to sample the research objects. A questionnaire survey of schistosomiasis control KAP was conducted in the residents of 16 to 69 years old in schistosomiasis endemic areas of Jiangsu Province, and the results were statistically analyzed.

RESULTS

The total awareness rate of the participants was 95.98% for schistosomiasis control knowledge. The correct rates of attitude and practice were 89.06% and 77.43%, respectively. The awareness/correct rates of knowledge, attitude and practice reduced in turns significantly ( =1 282.96, < 0.01). The knowledge awareness rate of fishermen and boatmen was 90.98%, but their attitude correct rate was only 53.81% ( =120.52, < 0.01). The unconditional logistic regression analysis showed that with the education level increasing, their practice correct rate rose, and the participants with the college degree or above had a higher correct rate compared to illeterate ones ( = 6.411, 95% : 4.896-8.395). The practice correct rate of the fisher-men and boatmen was only 5.1% of the rate of the farmers ( = 0.051, 95% : 0.029-0.091).

CONCLUSIONS

The total awareness rate of basic knowledge of schistosomiasis prevention and control in the residents of Jiangsu Province has reached the requirements in the "National Schistosomiasis Control Long-term Planning Outline (2004-2015)", but the correct rate of behaviors is low. The education level, occupation and residential areas affect the health behaviors of schistosomiasis prevention and control. Therefore, it is necessary to carry out targeted health promotion activities to promote the formation of healthy lifestyle and behaviors.

摘要

目的

了解江苏省居民血吸虫病防治知识、态度和行为(KAP)及其行为影响因素,为制定有效的健康教育和健康促进模式提供依据。

方法

采用按规模大小成比例的概率抽样(PPS)和多阶段抽样方法抽取研究对象。对江苏省血吸虫病流行区16~69岁居民进行血吸虫病防治KAP问卷调查,并对结果进行统计分析。

结果

参与者对血吸虫病防治知识的总知晓率为95.98%。态度和行为的正确率分别为89.06%和77.43%。知识、态度和行为的知晓/正确率依次显著降低(χ²=1282.96,P<0.01)。渔民和船民的知识知晓率为90.98%,但其态度正确率仅为53.81%(χ²=120.52,P<0.01)。非条件logistic回归分析显示,随着文化程度的提高,行为正确率上升,大专及以上文化程度参与者的正确率高于文盲(χ²=6.411,95%CI:4.896~8.395)。渔民和船民的行为正确率仅为农民的5.1%(χ²=0.051,95%CI:0.029~0.091)。

结论

江苏省居民血吸虫病防治基本知识总知晓率已达到《全国血吸虫病防治中长期规划纲要(2004-2015年)》要求,但行为正确率较低。文化程度、职业和居住地区影响血吸虫病防治健康行为。因此,有必要开展针对性的健康促进活动,促进健康生活方式和行为的形成。

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