流动人口包皮环切健康教育干预效果评价  

Intervention effect of health education on circumcision among migrant population

作　　者：李君[1] 钟朝晖[1] 唐晓君[1] 文静[1] 刘晨煜[1] 秦波[2] 李革[1] 

机构地区：[1]重庆医科大学公共卫生学院流行病教研室,重庆400016 [2]重庆医科大学附属第一医院

出　　处：《中国公共卫生》2012年第11期1543-1546,共4页Chinese Journal of Public Health

基　　金：国家"十一五"重大科技专项(2008ZX10001-016)

摘　　要：目的评价在流动人口中开展包皮环切手术相关知识健康宣教的效果。方法于2010年5月—2011年6月采用流行病学现场干预试验,对重庆市流动人口采用发放健康宣教纸质和音像材料、大学生志愿者宣教、专家讲座等干预方法进行综合干预,干预后6个月进行干预效果评估。结果干预前后调查对象包皮环切手术知识得分分别为(4.64±0.13)和(8.41±0.03)分,差异有统计学意义(F=88.21,P<0.001);手术原因及益处为预防生殖器炎症或肿瘤、预防艾滋病及其他性传播疾病、保护性伴侣生殖健康的知晓率干预前分别为38.00%(209/550)、32.91%(181/550)、45.64%(251/550),干预后分别为66.91%(368/550)、67.27%(370/550)、56.88%(311/550),差异均有统计学意义(χ2=50.553、82.811、13.538,P<0.001);多因素logistic回归分析结果表明,干预前后知识得分的主要影响因素是:身边是否有人做过包皮环切手术和包皮环切手术相关知识基线得分。结论流动人口对包皮环切手术相关知识掌握较差,健康宣传教育可以有效提高其包皮环切手术知识水平。Objective To evaluate the effect of health education about circumcision related knowledge on circumcision among migrant population.Methods Comprehensive epidemiological intervention activities were conducted among migrant population in Chongqing city from May 2010 to June 2011.The intervention methods included providing paper and audio-visual materials of health education,lectures by college student volunteers and experts.The evaluation on the effect of the health education was conducted after six months.Results The average score of circumcision knowledge before and after the intervention was 4.64±0.12 and 8.41±0.033,with a significant difference（F=88.210,P0.001）.The knowledge rates of the benefit,best period and complication of circumcision were higher than before after the intervention.Logistic regression analysis showed that the factors increasing the knowledge level of circumcision were awareness of someone around having circumcision（odds ratio=132.847,95% confidence interval：3.605-980.131） and low knowledge score at base-line survey（OR=0.217,95%CI：0.052-0.912）.Conclusion The level of circumcision related knowledge among migrant population is poor and intervention activities can effectively improve the knowledge level among the population.

关 键 词：流动人口 包皮环切手术 知识水平 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]