衡水市地方性氟中毒健康素养促进效果评价  

Health literacy promotion of endemic fluorosis in Hengshui City

作　　者：王锐[1] 赫娜[1] 侯国勤 张盼 金旺 王玉春[1] WANG Rui;HE Na;HOU Guo-qin;ZHANG Pan;JIN Wang;WANG Yu-chun(Hengshui Center for Disease Control and Prevention,Hebei 053000,China)

机构地区：[1]衡水市疾病预防控制中心,河北053000 [2]河北祥安检测技术服务有限公司

出　　处：《医学动物防制》2021年第9期887-890,共4页Journal of Medical Pest Control

基　　金：河北省创新能力提升计划科学普及专项项目(19K56207D);衡水市科技计划自筹经费项目(2019014043Z)。

摘　　要：目的摸清衡水市氟中毒知识知晓情况,提高氟中毒地区重点人群知晓率,评价健康素养实施效果。方法选取衡水市水氟危害较重的5个县,以小学5年级学生以及被选学生的家长为调查对象,采用全市统一的自制调查问卷,通过基线调查氟中毒健康素养开展前、干预后知晓率统计,评价干预效果。结果干预后人群整体知晓率由32.5%上升至84.2%,差异有统计学意义(χ^(2)=3 495.25,P<0.05);干预后学生平均知晓率87.5%高于家长的80.8%,差异有统计学意义(χ^(2)=53.92,P<0.05);家长低年龄组平均知晓率85.2%高于高年龄组的73.7%,差异有统计学意义(χ^(2)=63.12,P<0.05);女性家长知晓率84.8%高于男性家长的70.1%,差异有统计学意义(χ^(2)=85.88,P<0.05);不同区县知晓率干预后差异有统计学意义(χ^(2)=70.53,P<0.05)。结论通过有效的干预,调查对象人群知晓率明显提高,干预效果明显。同时发现掌握知识相对薄弱的人群和相关知识的薄弱环节,日后的工作要采取更有针对性的干预手段。Objective Find out the awareness of fluorine poisoning knowledge in Hengshui City, increase the awareness rate of key populations in fluorosis areas, and evaluate the effectiveness of health literacy implementation.Methods Five counties in Hengshui City with high water fluoride hazards were selected, and 5 th-grade primary school students and parents of the selected students were used as respondents.The city-wide unified self-made questionnaire was used to evaluate the effect of the intervention through a baseline survey of fluorosis health literacy awareness statistics before and after the intervention.Results After the intervention, the overall awareness rate of the population increased from 32.5% to 84.2%,the difference was statistically significant(χ^(2)=3 495.25,P<0.05);after the intervention, the average awareness rate of students was 87.5% higher than that of parents 80.8%,the difference was statistically significant(χ^(2)=53.92,P<0.05);the average awareness rate of parents in the low-age group was 85.2% higher than that in the high-age group 73.7%,the difference was statistically significant(χ^(2)=63.12,P<0.05);the awareness rate of female parents is 84.8% higher than that of male parents 70.1%,the difference was statistically significant(χ^(2)=85.88,P<0.05);statistically significant differences in awareness rates in different districts and counties(χ^(2)=70.53,P<0.05).Conclusion Through effective health intervention, the awareness rate of surveyed population has increased significantly, and the intervention effect is obvious.At the same time, it was found that people with relatively weak knowledge and weaknesses in relevant knowledge.More targeted interventions should be adopted in future work.

关 键 词：地方性氟中毒 健康素养 效果评价 干预 知晓率 

分 类 号：R599.9[医药卫生—内科学]