非典期间公众健康相关行为影响因素分析  

ANALYSIS OF THE RELATED BEHAVIORAL INFLUENCING FACTORS ON THE PUBLIC HEALTH DURING SARS OUTBREAK

作　　者：吕书红[1] 田本淳[1] 杨廷中[2] 陈定湾[2] 

机构地区：[1]中国疾病预防控制中心健康教育所,北京100011 [2]浙江大学

出　　处：《现代预防医学》2008年第15期2907-2909,共3页Modern Preventive Medicine

基　　金：世行贷款/国外赠款中国传染性非典型性肺炎及其他传染病应对项目

摘　　要：[目的]探讨非典期间公众健康相关行为的影响因素,为应对类似传染病的行为干预提供依据。[方法]选择广州、太原和杭州3地,2003年"SARS"疫情流行强度高和低的街道各1个及1个县中的2个乡,每个街道(乡)选择1个居委会(村),每个居委会(村)随机调查100人。并调查部分职业人群。了解调查对象基本人口学特征、对SARS的认知和心理情况、非典期间的群体张力以及8种健康相关行为。用EPIDATA2.0软件建立数据库,SPSS11.5分析。[结果]SARS期间健康相关行为均分30.47,95%CI为30.29～30.66,居民的健康行为得分城镇高于农村,山西和广东高于浙江,并随文化程度、对非典的传播途径和预防措施了解、对非典预防措施相信程度的提高以及非典对生命的威胁严重性认知增加而逐步增加;随压力状态的升高、依次降低(P﹤0.01)。[结论]除了文化程度、性别、地区、城乡等因素对行为的影响外,群体张力以及对非典的认知是影响居民健康行为采纳的重要因素,应成为干预的重点。[ Objective] To explore the influencing factors for related health behavior during SARS outbreak, so as to provide basis for behavior intervention for this type of contagious disease. [Methods] 200 residents were sampling selected from one neighborhood committee with high prevalence of SARS and another with low prevalence of SARS in two 2 villages, each neighborhood committee were selected 100 residents. The basic demographic characteristic, the recognition and psychological situation about SARS and the population tension was investigated as well as eight kinds of heahh related behaviors. The database was established by EPIDATA 2.0 software, and SPSS11.5 was conducted to analyze. [ Results] The average score of related health behaviors was 30.47 with 95%CI at the range of 30.29 to 30.66. The scores of health behavior in urban residents were significandy higher than those in rural residents, and those of residents in Shanxi were significantly higher than those in Zhejiang. Moreover, the scores of health behavior was increased with the understanding of transmission route and preventive measures of SARS, eonfidence of preventive measures about SARS as well as the recognition of the severity of threat from SARS to life, and decreased with the increasing of pressure （P 〈 0.01）. [Conclusionl Besides the influenee from education level, gender, region and difference between urban and rural, the population tension and recognition for SARS are the important factors to influence the heahh related behaviors, which should be paid more attention to further intervention.

关 键 词：非典 健康相关行为 认知 群体张力 影响因素 

分 类 号：R195[医药卫生—卫生统计学]