基层流动人口健康促进干预模式的效果分析  

Effect evaluation of health promotion and intervention model for grassroots floating population

作　　者：朱莹莹[1] 丁十戈[1] 贺天锋[1] 徐倩倩[1] 梅秋红[1] 冯宏伟 张涛[1] ZHU Yingying;DING Shige;HE Tianfeng;XU Qianqian;MEI Qiuhong;FENG Hongwei;ZHANG Tao(Ningbo Municipal Center.for Disease Control and Prevention,Ningbo,Zhejiang 315010,China)

机构地区：[1]浙江省宁波市疾病预防控制中心,浙江宁波315010

出　　处：《中国农村卫生事业管理》2020年第8期599-603,共5页Chinese Rural Health Service Administration

基　　金：浙江省医药卫生科技计划项目(2018KY730)。

摘　　要：目的探讨流动人口健康促进干预方式,为今后推动流动人口群体健康教育和促进工作有效开展奠定基础。方法将宁波市洞桥镇作为健康干预试点镇。将流动人口作为研究对象,分为对照组、干预组进行研究。在干预前后进行问卷调查,比较干预效果。结果干预后调查对象相关健康知识有显著提高,10个健康知识相关问题中,除了"BMI指数的正常范围"外其余9个问题干预后回答准确率高于干预前;干预后干预组中"当前吸烟"等9个健康知识相关行为问题干预后行为改变率高于干预前(P值均<0.05),干预组和对照组的干预后效果差异有意义(P值均<0.05);多因素分析发现,"性别"和"是否在这半年内接触到健康相关知识的宣传和培训"是影响干预组干预后回答准确率高低的影响因素。结论基层针对性的流动人口健康教育与健康促进服务模式提高了流动人口健康意识,增强了防病能力,其经验做法有助于推动流动人口健康教育和促进工作有效开展。Objective To explore the way of health promotion and intervention for the floating population, and to lay a foundation for promoting health education of the floating population and an effective implementation of the work. Methods Dongqiao Town of Ningbo City was selected as a pilot town for health intervention. The floating population there was included as the survey subjects;they were assigned into control group and intervention group. A questionnaire survey was conducted before and after the intervention and the pre-and post-intervention effects were compared. Results After the intervention, the relevant health knowledge of the respondents improved significantly. In the intervention group, 9 of the 10 health-related questions were answered with higher accuracy than before intervention, except for the "normal range of BMI index", and the behavior change rate of 9 health-related behavioral problems such as "smoking" in the intervention group was higher than that before intervention(both P<0.05). There was difference in post-intervention effect between the intervention group and the control group(both P<0.05). Multivariable analysis results showed that "gender" and "whether having health-related knowledge publicity and training within this half year" were factors that affected the response accuracy rate of the intervention group after the intervention. Conclusions Targeted grass-roots health education and health promotion service model for floating population has improved the health awareness of the population and strengthened their ability to prevent diseases, which helps to promote the effective implementation of health education and promotion.

关 键 词：基层 流动人口 健康促进 干预评价 

分 类 号：R193[医药卫生—卫生事业管理]