血防健康教育综合评价方法初探——一个湖区血吸虫病重度流行区的现场研究  

Preliminary Study on the Comprehensive Evaluation Method of Schistosomiasis Health Education ——A Field Study in a Heavy Endemic Area in Lake Region

作　　者：唐启强[1] 赵安[1] 张敬伟[1] 

机构地区：[1]江西师范大学地理与环境学院,南昌330022

出　　处：《中国寄生虫学与寄生虫病杂志》2011年第3期195-199,共5页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：2008年全国教育科学"十一五"规划课题(No.BLA080064);国家自然科学基金(No.40861021)~~

摘　　要：目的探讨湖区血吸虫病流行区易感地带学生的血防知识、态度和行为(KAP)的综合评价方法。方法应用层次分析法(AHP),建立湖区血吸虫病流行区易感地带学生KAP综合评价指标体系,指标体系包括3个指标层,一级指标为血防知识、态度和行为,二级指标为更加具体的17个方面,三级指标为30个具体指标。经相关血防专家对各指标的重要性进行评价,计算各级指标的权重,构建KAP综合评价方法。选择江西省南昌市五星农场中心小学、鲤鱼洲小学和梅池小学三、四年级学生进行问卷调查,并利用该KAP综合评价方法来评价该地区学生血防健康教育情况。结果 KAP综合评价指标体系中,血防行为、血防态度和血防知识权重值大小依次为0.54、0.30和0.16。五星农场的3所小学学生KAP的综合得分为8.45分,其中行为、态度、知识的得分分别为8.86、8.90和6.25分。部分具体指标,如外湖捕鱼虾、堤内捕鱼虾、外湖洗衣服和草洲放牧等的得分为8.17～9.29分,均大于8.0分。结论 KAP综合评价方法可用于血防健康教育干预措施基线调查和效果评价,本研究的血吸虫病流行区小学生的血防健康教育存在薄弱环节,有待加强。Objective To explore a comprehensive evaluation method of knowledge,attitude and behavior（KAP） about schistosomiasis control among students of susceptibility zone in lake region.Methods A comprehensive KAP evaluation indicator system was developed by using analytic hierarchy process（AHP）.The system consists of three layers.First-layer indices include knowledge,altitude and behavior of schistosomiasis control.17 specific parts compose second-layer indices.Third-layer indices have 30 specific aspects.The experts were invited to provide comments for these indic-ators,and indicator weights were formulated by using AHP.A questionnaire survey was conducted among students of grade 3 and 4 from Central Primary School,Liyuzhou Primary School and Meichi Primary School in Wuxing Farm.Status of health education for schistosomiasis was evaluated by this method.Results In the indicator system,the weights of behavior,altitude and knowledge were 0.54,0.30,and 0.16,respectively.The average score of KAP indicator was 8.45.The score for behavior,altitude and knowledge indicators was 8.86,8.90,and 6.25,respectively.The scores of some indicators such as fishing outside and inside levee,washing outside levee and grazing in marshland were 8.17-9.29.Conclusion This comprehensive evaluation method can be used to evaluate basic situation and effect of health education in schistosomiasis intervention.The health education should be strengthened in the survey site.

关 键 词：血吸虫病 重度流行区 知识-态度-行为指数 层次分析法 

分 类 号：R532.21[医药卫生—内科学]