地震灾区集中安置点居民预防呼吸道传染病相关行为的影响因素研究  

RESEARCH ON THE INFLUENCING FACTORS OF PREVENTING RESPIRATORY INFECTIOUS DISEASES AND RELATED BEHAVIORS AT THE CENTRALIZED TRANSITIONAL RESETTLEMENT SITES OF EARTHQUAKE-STRICKEN AREAS

作　　者：周泓羽[1] 刘巧兰[1] 吴陈[2] 周欢[1] 杨洋[1] 邱培媛[1] 赵莉[3] 马骁[1] 

机构地区：[1]四川大学华西公共卫生学院健康教育教研室,成都610041 [2]四川省德阳市疾病预防控制中心 [3]四川大学华西公共卫生学院卫生管理教研室

出　　处：《现代预防医学》2009年第12期2310-2314,共5页Modern Preventive Medicine

基　　金：纽约中华医学基金会(CMB);四川大学抗震救灾专项基金资助

摘　　要：[目的]探讨汶川特大地震灾区集中安置点居民预防呼吸道传染病相关行为的影响因素及其相互作用,为灾区呼吸道传染病的预防控制提供依据。[方法]采用整群加随机抽样的方法,通过结构式问卷和现场观察调查重灾区德阳市集中安置点灾民960户,共1430人。以健康相关行为的生态学观点为理论指导,应用通径分析方法处理资料。[结果]个体水平和物质环境水平的影响因素主要发挥直接作用,而社会文化因素则直接影响和间接影响作用均比较显著。主要影响因素有:对呼吸道传染病相关知识的知晓程度(P4,Y=0.406),健康教育(P6,Y=0.314),对呼吸道传染病的态度(P5,Y=0.231),生活环境卫生情况(P9,Y=0.206),文化程度(P3,Y=0.197)。[结论]地震灾区集中安置点应加强针对呼吸道传染病的健康教育干预措施,动员社区群众参与疾病预防。[Objective] To research the influencing factors of preventing respiratory infectious diseases and related behaviors of residents at the centralized transitional resettlement sites of Wenchuan earthquake-stricken areas, so as to provide basis for preventing and controlling of respiratory, infectious diseases. [ Methods ] By cluster randomized sampling method, 960 families were selected and investigated with structured questionnaires and field observation, a total of 1430 people at the centralized transitional resettlement sites in Deyang disaster areas were investigated. On the theoretical basis of ecological viewpoint of health related behaviors, and the data were analyzed by latus rectum analysis method, [ Results] The influencing factors of individual level and physical environment level played the main direct effect, and the social culture had significantly direct and indirect effect on the respirator, infectious diseases. The main influencing factors were： the level of knowledge about respiratory infectious diseases （P4, Y=0.406）, health education （P6, Y=0.314）, the attitude to respirators＇ infectious diseases （P5, Y= 0.231）, living sanitation situation （P9, Y=0.206）, and education level （P3, Y=0.197）. [Conelusion] The centralized transitional resettlement sites of earthquake-strlcken areas should strengthen health education interventions focusing on respirators infectious diseases, and mobilize community mass to participate in disease prevention.

关 键 词：地震灾区 呼吸道传染病 行为 影响因素 通径分析 

分 类 号：R183.3[医药卫生—流行病学]