旅客及车站工作人员对“非典”发热排查的认知因素分析  

Change of KAP about fever screening for SARS among travelers and work staffs on the train between 2003 and 2005

作　　者：印惠俊 高广寒 石钧 李岩[2] 曾哲淳[2] 

机构地区：[1]北京铁路疾病预防控制中心,北京100038 [2]北京安贞医院,北京100011

出　　处：《中国健康教育》2006年第5期364-366,共3页Chinese Journal of Health Education

基　　金：国家863科技攻关课题:SARS发热症状监测措施评价及政策建议(No.2003AA208412D)

摘　　要：目的探讨旅客及车站工作人员对“非典”发热排查的认同情况及相关知识、态度、行为（KAP）变化的相关影响因素。方法于2003年5～6月和2005年3月在北京火车站随机调查旅客及火车站、列车上工作人员（简称车站工作人员）183、228名（共411名）及132、108名（共240名），填写发热排查认同情况及“非典”认知调查问卷。结果2003年“非典”l认P调查知识得分均值为21．03，95％CI为5．38～36．67，2005年“非典”KAP调查知识得分均值为16．13，95％CI为1．87-30．38，2003年与2005年比较（P〈0．01），差异有统计学意义。2005年调查认为进行体温测量有必要的达到89．58％；认为出现“非典”进行隔离很重要的达到59．58％。进行多因素Logistic回归分析，影响知识得分的因素有文化程度、年代及人群。文化程度与知识得分存在正相关OR=2．42（95％CI1．54～3．82），年代与知识得分存在负相关OR=0．38（95％C10．26--0．55），人群与知识得分存在负相关，OR=0．54（95％C10．27-0．79）。结论发热排查得到了旅客和车站工作人员的认同。“非典”知识得分随着疫情的平稳呈下降趋势，医疗、卫生防疫及健康教育工作者应予以高度重视。Objective To explore the change of KAP about fever screening for SARS among travelers and work staffs on the train between 2003 and 2005 and analyze associated factors. Methods 183 travelers randomly selected at Beijing railway station and 228 work staffs on the trains were asked to fulfill the KAP questionnaire during May to June, 2003. 132 travelers and 108 work staffs received the same KAIP questionnaire survey on March 2005. Results The mean score of SARS in 2003 was 21.03, and the 95% confidence interval was 5.38-36.67. The mean score of SARS in the KAP survey in 2005 was 16.13, and the 95 % confidence interval was 1.87-30.38. The difference between the scores in these two years was statistical significant. The score in 2003 was higher. 89.58% of the interviewees believed that it was necessary to conduct fever screening. And those who believed that it was important to quarantine the SARS cases accounted for 59.58 %. Multivariate Logistic regression analysis revealed that education attainments, years when he was investigated, and group were associated with SARS knowledge score. Educational attainments were associated positively with SARS knowledge score, OR = 0.38 （95 % CI 0.26 -- 0.55 ）, while group showed negative association with SARS knowledge score, OR=0.54 （95%CI 0.27--0.79 ）. Conclusion Fever screening had been accepted by the travelers. The SARS knowledge score decreased as SARS epidemic situation faded away, which should be attached importance to by medical care, public health service, and health education department.

关 键 词：“非典” 知识 态度 信念 行为 调查 

分 类 号：R183.3[医药卫生—流行病学]