江西省不同类型流行区血防健康教育材料使用现状调查及居民需求分析  

Investigation on the accessibility and need of the health education materials in different schistosomiasis endemic areas of Jiangxi Province

作　　者：张晶 李兰 胡飞 谌俊江 曹淳力 谢曙英 刘跃民 林丹丹 许静 ZHANG Jing;LI Lan;HU Fei;CHEN Jun-jiang;CAO Chun-li;XIE Shu-ying;LIU Yue-min;LIN Dan-dan;XU Jing(Jiangxi Provincial Institute of Parasitic Diseases,Nanchang 330096,China;National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention,Chinese Center for Tropical Diseases Research,WHO Collaborating Centre for Tropical Diseases,National Center for International Research on Tropical Diseases,Ministry of Science and Technology,Key Laboratory of Parasite and Vector Biology,Ministry of Health,Shanghai 200025,China)

机构地区：[1]江西省寄生虫病防治研究所,南昌330096 [2]中国疾病预防控制中心寄生虫病预防控制所,国家热带病研究中心,世界卫生组织热带病合作中心,科技部国家级热带病国际联合研究中心,卫生部寄生虫病原与媒介生物学重点实验室,上海200025

出　　处：《中国寄生虫学与寄生虫病杂志》2019年第6期632-636,共5页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：国家自然科学基金(No.71764011);江西省重点研发计划(No.20181BBG70033);江西省重点实验室计划项目(No.20192BCD40006);江西省科技厅项目(No.20161BBG70134);江西省卫生计生委科技计划项目(No.20156042,No.20166024)~~

摘　　要：目的了解江西省不同类型流行区血吸虫病防治(简称血防)健康教育(简称健教)材料的可及性,以及居民对血防健教材料的接受度及需求,为今后血防传播材料的设计开发及制定血防健教传播策略提供依据。方法选择江西省湖沼型和山丘型血吸虫病流行村各1个作为调査点,采用统一问卷形式对调査点20岁以上居民进行面对面询问式调査;同时,采用半结构化专题访谈的形式对调查点的基层公务人员(乡镇管理人员、乡村医生、乡村教师、县血防站防治技术人员)进行专题访谈。结果湖沼型和山丘型流行村分别问卷调査348人和309人,其中获取血防知识渠道有效问卷分別为347人和304人,血防健教传播材料的需求问卷全部有效;居民获得血防健康及疾病防治知识的主要渠道是“平面类材料”,山丘型流行区“平面类健教材料”的可及率为85.5%(260/304),髙于湖沼型流行区的60.8%(211/347)(P<0.01);两种类型流行区“视频类健教材料”的可及率均较低,分别为湖沼型20.5%(71/347)、山丘型18.4%(56/304)(P>0.05);湖沼型流行区“实用类健教材料”的可及率为57.4%(199/347),高于山丘型流行区的28.0%(85/304)(P<0.01)。血吸虫病传播材料的需求调査结果显示,有效调査问卷为348份和309份,湖沼型和山丘型流行区居民对“实用类健教材料”的需求分别为75.9%(264/348)和67.3%(208/309)(P<0.05);对“平面印刷类材料”需求分别为12.6%(44/348)和10.4%(32/309)(P>0.05);山丘型流行区居民对视频类材料的需求率为22.3%(69/309),高于湖沼型流行区的11.5%(40/348)(P<0.05)。通过走访两地93名基层公务人员,共收集254条有效意见和建议,其中19.3%(49/254)认为低文化程度村民对文字多的平面印刷类材料接受信息有难度,偏好于实用类宣传材料,讲求实惠;13.4%(34/254)建议平面类健教材料应注重医生面对面解读环节;16.9%(43/254)建议视频多媒体类材料的设Objective To evaluate the accessibility to the health education materials for residents who lived in different schistosomiasis epidemic regions in Jiangxi Province,and understand the demand of these materials for local people in these regions.Methods A face-to-face questionnaire was performed on residents who were over 20 years old and lived in two pilot villages with lake and marshland(LM)and hilly and mountainous(HM)type schistosomiasis endemic regions,respectively,in Jiangxi Province.At the meanwhile,a semi-structured interview was carried out on administrative staffs in the survey sites including the administrators of related township,local workers for schistosomiasis control,village doctors and teachers.Results Total 348 questionnaires were issued to residents in HM-type village with 347 responded,309 questionnaires to HM-type villagers with 304 responded.All answers were qualified.The print materials were the main sources for acquiring the knowledge of schistosomiasis control and health education in both villages.The accessible rate to printed health education materials in HM village was 85.5%(260/304)which significantly higher than that in LM village 60.8%(211/347)(P<0.01).The accessible rate to video materials was low in both 2 villages,with 20.5%(71/347)in LM village and 18.4%(56/304)in HM village with no significant difference(P>0.05).The accessible rates to tangible education materials was 57.4%(199/347)in LM village and 28.0%(85/304)in HM village with significantly higher in LM village(P<0.01).The demand rate for tangible education materials was 75.9%(264/348)in LM village and 67.3%(208/309)in HM village,and for print materials 12.6%(44/348)in LM village and 10.4%(32/309)in HM village,with no significant difference between two villages(P>0.05).The demand rate for video materials was 22.3%(69/309)in HM village,which is significantly higher than that in LM village 11.5%(40/348)(P<0.05).Through visiting 93 local administrative staffs,a total of 254 effective suggestions were collected,in which 19.3%(49/2

关 键 词：血吸虫病 健康教育材料 可及性 需求 

分 类 号：R532.21[医药卫生—内科学]