四川省阿坝州大骨节病病区居民的大骨节病健康教育效果评价  

Effect evaluation on the health education of Kaschin-beck disease areas in Aba(Ngawa),Sichuan

作　　者：姜鑫[1] 黎瞳[1] 王芳[1] 李娟[1] 李婷[1] 侯丰苏[1] 胡晓琴[1] 袁萍[1] 

机构地区：[1]四川大学华西公共卫生学院,四川成都610041

出　　处：《中国健康教育》2012年第5期353-355,359,共4页Chinese Journal of Health Education

基　　金：国家科技支撑计划项目(2007BA125B03)

摘　　要：目的评价四川省阿坝州大骨节病病区居民开展大骨节病健康教育的效果,为建立切实可行的干预方式提供依据。方法采用分层整群随机抽样方法,抽取阿坝州4个县的6个大骨节病村为干预组,8个村为对照组,在干预组进行健康教育,比较干预前后对大骨节病知信行的改变。结果干预后,干预组村民总体知识知晓率从36.3%提高到68.8%(P<0.05),各知识条目知晓率均高于对照组(P<0.05);村民愿意食用大米的比例由94.4%提高到97.1%(P<0.05),村民愿意食用硒碘盐的比例由95.1%提高到98.7%(P<0.05);但干预前后干预组大米占主食比例的差异无统计学意义,分别为54.8%和56.1%;干预后干预组(97.8%)食用硒碘盐率高于对照组(78.9%,P<0.05)。结论实施健康教育,可提高阿坝州大骨节病病区村民的大骨节病相关知识、食用大米和硒碘盐的主动性以及村民食用硒碘盐的比例。但主食大米行为的改善尚需时日,且需经费政策支持。Objective To understand the status of knowledge, attitudes, health related behaviors of Kaschin- Beck Disease （KBD） in Abe after specific health education, and evaluate the effect. Methods Stratified cluster random sampling method was used in this study. 6 villages from 4 KBD area counties in Aba were selected as the treatment groups, and other 8 villages as control groups. Several health education activities were carried out in treatment groups during 2010 -2011. Effects in the treatment group were then evaluated after intervention. Results The general awareness rate of KBD knowledge was increased from 36. 3% to 68. 8% after intervention （ P 〈 0. 05 ）. All the awareness rates of related each items of KBD knowledge in treatment group were higher than that of control group （ P 〈 0.05 ）. The proportion of willing to eat rice in treatment group was increased from 94. 4% to 97.1% （ P 〈 0. 05 ）, and who were willing to eat selenium-iodine salt was increased from 95. 1% to 98. 7% （ P 〈 0. 05 ）. The percentages of rice use in staple foods of all sub- jects were not significant changed after intervention （54. 8% and 56. 1% ）. The percentage of eating selenium-iodine salt in treatment group （97. 8% ） was higher than that in control group （78.9%） after intervention （P 〈0. 05）. Conclusion The KBD health education in Aba Prefecture of Sichuan was effective and help villagers improve their KBD-related knowledge, behaviors, and attitudes, such as eating rice and selenium-iodine salt.

关 键 词：大骨节病 知信行 健康教育 效果评价 

分 类 号：R193[医药卫生—卫生事业管理] R684.1[医药卫生—公共卫生与预防医学]