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[荆州市血吸虫病流行区居民血吸虫病防治知识与行为调查]

[Survey of knowledge and practice of residents about schistosomiasis prevention and control in endemic areas of Jingzhou City].

作者信息

Yan-Wei Li, He-Hua Hu, Zheng-Wen He, Zhao-Gang Xu, Chun-Bin Zhang, Xiao-Shan Zhou, Yao Li, Rong Liu, Hui-Fen Dong, Qin-Ping Zhao

机构信息

Department of Parasitology, School of Basic Medical Sciences, Wuhan University, Wuhan 430071, China.

Jiangling Institute of Schistosomiasis Prevention and Control, Practical Training Center of Wuhan University, Jingzhou City, Hubei Province, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Nov 16;30(1):57-61. doi: 10.16250/j.32.1374.2017103.

Abstract

OBJECTIVE

To investigate the knowledge and practice of residents about schistosomiasis prevention and control in endemic areas of Jingzhou City, Hubei Province after the disease transmission being controlled, so as to provide the valuable information for formulating an efficient health education and intervention strategy.

METHODS

The residents were selected by using the cluster sampling method and investigated with questionnaires in Jiangling County and Gong'an County, Jingzhou City, Hubei Province, and the data were analyzed by using the descriptive analysis method, Chi-square tests and logistic regression.

RESULTS

In a total, 826 available questionnaires were obtained with 100% of valid rate. Among them, 97.0% of the interviewee knew schistosomiasis, and 86.3% knew that the infection happened by contacting water containing cercariae. The residents in elder age (41-84 years) had higher awareness rates than the residents in lower age (6-17 years), about the regions of epidemic area ( = 57.860), infection route of schistosomiasis ( = 87.045), advanced schistosomiasis symptoms ( = 27.268) and being as intermediate host ( = 55.856) (all < 0.05) . The males had higher awareness rates of epidemic areas than the females ( = 13.442, < 0.05) . For personal behavior, 36.6% of the interviewee had experience of contacting lake or pond water many times a day, and 66.5% had the willingness to participate in schistosomiasis health education.

CONCLUSIONS

In the investigation areas, Jiangling County and Gong'an County, the awareness rates of the residents about schistosomiasis prevention and control are higher, and we should strengthen the health education and behavior intervention, especially in the students of middle and primary schools to help them have the self-protection ability efficiently.

摘要

目的

调查湖北省荆州市血吸虫病传播控制后流行区居民对血吸虫病防治的知识与行为,为制定有效的健康教育和干预策略提供有价值的信息。

方法

采用整群抽样方法选取湖北省荆州市江陵县和公安县居民进行问卷调查,并采用描述性分析、卡方检验和logistic回归分析数据。

结果

共获得有效问卷826份,有效率100%。其中,97.0%的受访者知晓血吸虫病,86.3%知晓感染途径为接触含尾蚴的水。老年(41 - 84岁)居民对疫区范围(χ² = 57.860)、血吸虫病感染途径(χ² = 87.045)、晚期血吸虫病症状(χ² = 27.268)及钉螺作为中间宿主(χ² = 55.856)的知晓率均高于低龄(6 - 17岁)居民(均P < 0.05)。男性对疫区的知晓率高于女性(χ² = 13.442,P < 0.05)。个人行为方面,36.6%的受访者有每天多次接触湖泊或池塘水的经历,66.5%有意愿参与血吸虫病健康教育。

结论

在调查地区江陵县和公安县,居民对血吸虫病防治的知晓率较高,但仍应加强健康教育和行为干预,尤其是对中小学生,以帮助他们有效具备自我保护能力。

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