陕西省宝鸡市碘缺乏病健康教育干预效果评估  

Effect evaluation on health education for IDD in Baoji City, Shaanxi

作　　者：朱宏伟[1] 刘梅[1] 高健[1] 邓峰[1] 高艳芹[1] 

机构地区：[1]陕西省宝鸡市疾病预防控制中心/宝鸡市地方病防治所,陕西宝鸡721006

出　　处：《疾病预防控制通报》2014年第4期81-84,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的评价陕西省宝鸡市碘缺乏病健康教育效果,为调整碘缺乏病防治策略提供依据。方法严格按照《全国2008─2012年健康教育项目技术方案》（简称项目技术方案）的要求实施,市级在干预方法上充分利用社会资源予以适当补充,以增强宣传干预效果。结果宝鸡市12个县（区）学生和家庭主妇碘缺乏病知识知晓率均有明显提高,目标人群正确答题总数由基线调查的10 607个增加到效果调查的13 700个,增幅为29.16%,各县（区）学生知晓率增幅15.54%~53.49%,家庭主妇增幅9.60%~47.80%,其中金台区、陈仓区、千阳县、麟游县、眉县、凤翔县等7个县（区）的学生和家庭主妇知晓率增幅都达到了20.00%以上;在市级层面上,学生知晓率从69.35%提高到90.17%（χ2=1 377.12）,家庭主妇从68.07%提高到86.73%（χ2=510.26）,差异有统计学意义（P〈0.01）;健康教育项目实施前后5年即2003─2007年、2008─2012年,宝鸡市居民总碘盐覆盖率（χ2=121.68）和总合格碘盐食用率（χ2=113.50）发生了显著变化（P〈0.01）。结论宝鸡市连续5年实施健康教育和健康促进项目后,病区群众碘缺乏病防治知识知晓率、碘盐覆盖率、合格碘盐食用率均明显提高;并完成了健康教育工作干预模式图,可供同行借鉴。Objective To evaluate effect of health education for IDD in Baoji City of Shaanxi Province, to provide basis for modifying strategies of the disease prevention and control. Methods In accordance with requirement of Project Technology of National Health Education from 2008 to 2012（project technical scheme for short）, municipal in the intervention method to social resources were taken for appropriate supplement at municipal level, in order to enhance the effect of propaganda and intervention. Results In 12 counties（districts） of Baoji, awareness rate of knowledge about IDD increased ob-viously. Total correct answers of target population multiplied from 10 607 in the baseline investigation to 13 700 in the effect survey with amplification of 29.16%. The awareness rate was from 15.54% to 53.49% for students in counties（districts）, and9.60%-47.80% for the materfamilias, while it increased over 20.00% in the students and materfamilias in 7 districts and counties, including Jintai District, Chencang District, Qianyang County, Linyou County, Meixian County, Fengxiang County, etc.At the municipal level, the awareness rate increased from 69.35% to 90.17% for students（χ2=1 377.12）, and from 68.0% to86.73% for the materfamilias（χ2=510.26）, with statistical difference（P〈0.01）. Before and after implementation of the health education project from 2003 to 2007 and 2008 to 2012, total coverage rate of iodized salt（χ2=121.68） and total intake rate of qualified iodized salt（χ2=113.50） varied obviously（P〈0.01）. Conclusions After consecutive implementation of health education and health promotion project for 5 years, the rates of awareness, coverage of iodized salt, and intake of qualified iodized salt significantly improve. And the chart pattern of health education intervention is completed for reference.

关 键 词：碘缺乏病 健康教育 干预效果 评估 

分 类 号：R591.1[医药卫生—内科学] R193[医药卫生—临床医学]