河南省碘缺乏病健康教育项目效果分析  

Assessment of the effectiveness of health education project on iodine deficiency disorders in Henan Province

作　　者：刘洋[1] 李小烽[1] 岳义田[1] 郑合明[1] LIU Yang;LI Xiao-feng;YUE Yi-tian;ZHENG He-ming(Henan Provincial Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China)

机构地区：[1]河南省疾病预防控制中心,郑州450016

出　　处：《中国地方病防治》2021年第2期112-114,156,共4页Chinese Journal of Control of Endemic Diseases

基　　金：中央补助地方公共卫生专项资金地方病防治项目(2007-2014)。

摘　　要：目的了解河南省病区目标人群碘缺乏病(IDD)防治知识的认知情况,评价IDD健康教育项目干预效果。方法2008-2015年,采用前瞻性研究方法,结合河南省IDD病情分布,每年在全省随机选择40~50个病区县,每个项目县抽取3个乡(镇),在每个乡(镇)中心小学4~6年级开展IDD防治知识健康教育活动,每个乡(镇)抽取3个行政村,开展社区健康教育活动。每年健康教育干预前后在每个项目乡(镇)抽取中心小学5年级1个班30名学生和学校所在地15名家庭主妇,用问卷调查IDD防治知识,评价健康教育效果。结果河南省基线调查小学生41196人,家庭主妇20793人;干预后调查小学生36576人,家庭主妇18475人。健康教育后,小学生和家庭主妇的IDD防治知识知晓率分别为93.71%和92.75%,较干预前(63.22%和68.61%)显著提高(χ^(2)=68211.1、33944.9,P均<0.01),小学生和家庭主妇饮水型地方性IDD防治知识知晓率分别提高了30.49和24.14个百分点。结论实施健康教育项目干预后,河南省小学生和家庭主妇IDD防治知识知晓率显著提高,达到了IDD健康教育预期效果。Objective To find out the development of health education project on iodine deficiency disorders(IDD)in Henan Province,and to evaluate the effectiveness of a health education project on prevention and control of IDD.Methods From 2008 to 2015,using prospective method,40-50 iodine-deficient counties(cities,districts)were selected as project counties in Henan Province each year,and 3 townships(towns)were selected in each project county.Health educational activities on prevention and treatment of IDD were carried out in the classes of Grade 4-6 in the central primary school;3 administrative villages were selected in each township(town)to carry out community health education activities.Before and after the health education activities,questionnaire surveys on the health education of IDD prevention knowledge were conducted among 30 students of Grade 5 in the central primary school and 15 housewives lived near the schools in each township(town).Comparative analysis of the effects of health education activities was carried out.Results The baseline survey of Henan Province included 41196 primary school students and 20793 housewives.After the intervention,36576 primary school students and 18475 housewives were surveyed.After the health education,the awareness rates of knowledge on IDD prevention and control in the primary school students and housewives were 93.71%and 92.75%,respectively,which increased significantly compared with those before the intervention(63.22%and 68.61%),and the differences were statistically significant(χ^(2)=68211.1,33944.9,P<0.01).Among the primary school students and housewives,the knowledge awareness rates of prevention and treatment of IDD were increased by 30.49%and 24.14%,respectively.Conclusions After implementation of IDD health education intervention,the awareness rates of prevention and treatment knowledge in primary school students and housewives in Henan Province are significantly increased,which has achieved the effectiveness of IDD health education.

关 键 词：碘 缺乏症 健康教育 结果评价 

分 类 号：R599.9[医药卫生—内科学]