2019年青海省治多县饮茶型地方性氟中毒健康教育效果评价  

Evaluation of the effects of health education on drinking brick-tea type fluorosis in Zhiduo County,Qinghai Province in 2019

作　　者：陈萍[1] 孟献亚[1] 张强[1] 魏生英[1] 王明君 甘培春[1] 蒲光兰[1] 鲁青[1] 姜泓[1] 白生录[1] 何多龙[1] Chen Ping;Meng Xianya;Zhang Qiang;Wei Shengying;Wang Mingjun;Gan Peichun;Pu Guanglan;Lu Qing;Jiang Hong;Bai Shenglu;He Duolong(Department for Endemic Disease Prevention and Control,Qinghai Institute for Endemic Disease Prevention and Control,Xining 811602,China)

机构地区：[1]青海省地方病预防控制所地方病预防控制科,西宁811602

出　　处：《中华地方病学杂志》2021年第11期936-939,共4页Chinese Journal of Endemiology

基　　金：第二次青藏高原综合科学考察研究资助(2019QZKK0607);2014年度青海省科技厅基础研究项目(2014-ZJ-760)。

摘　　要：目的观察和评价青海省治多县饮茶型地方性氟中毒健康教育效果,为进一步制定健康教育策略提供依据。方法2019年4月至2020年4月依据青海省治多县饮茶型地方性氟中毒的历史流行情况,选择3个乡(镇)的4~6年级学生、乡村医生、成人及僧侣作为研究对象,进行为期1年的饮茶型地方性氟中毒防治知识宣传,并发放健康教育材料,举办健康教育活动。在健康教育前后对目标人群(4~6年级学生、乡村医生、成人及僧侣)进行健康教育问卷调查,评价饮茶型地方性氟中毒防治知识知晓率、行为形成率。结果干预后分别调查4~6年级学生、乡村医生、成人、僧侣86、40、42、20人,4~6年级学生、乡村医生、成人、僧侣饮茶型地方性氟中毒防治知识的知晓率分别为87.98%(227/258)、96.67%(116/120)、81.75%(103/126)、83.33%(50/60),较干预前[38.38%(76/198)、83.33%(100/120)、15.45%(19/123)、28.89%(13/45)]均提高(P均<0.05);干预后4~6年级学生、乡村医生、成人、僧侣饮茶型地方性氟中毒防治知识的行为形成率分别为74.42%(128/172)、72.50%(58/80)、52.38%(44/84)、60.00%(24/40),较干预前[14.39%(19/132)、38.75%(31/80)、3.66%(3/82)、0(0/28)]均提高(P均<0.05)。结论以健康教育为主的综合干预措施能显著提高当地居民的饮茶型地方性氟中毒防治知识知晓率,改善其不良饮茶习惯,对饮茶型地方性氟中毒的防治有着重要意义。Objective To observe and evaluate the effect of health education on drinking brick-tea type fluorosis in Zhiduo County,Qinghai Province,so as to provide basis for further formulating health education strategies.Methods From April 2019 to April 2020,according to the historical prevalence of drinking brick-tea type fluorosis in Zhiduo County,Qinghai Province,3 townships(towns)were selected to carry out the health education activities on drinking brick-tea type fluorosis for students of grade 4-6,village doctors,adults and monks in each township(town).We carried out a one-year publicity on the prevention and treatment of drinking brick-tea type fluorosis,distributed health education materials and organized health education activities.Before and after the intervention,we conducted a questionnaire survey on health education among the target population(grade 4-6 students,village doctors,adults and monks),to evaluate the awareness rate and behavior formation rate of fluorosis prevention and control,and to evaluate the intervention effect.Results A total of 86 students of grade 4-6,40 village doctors,42 adults and 20 monks were investigated,after the intervention,the awareness rates of prevention and treatment of drinking brick-tea type fluorosis in grade 4-6 students,village doctors,adults and monks were 87.98%(227/258),96.67%(116/120),81.75%(103/126),83.33%(50/60),respectively,which were significantly higher than those before the intervention[38.38%(76/198),83.33%(100/120),15.45%(19/123),28.89%(13/45),P<0.05].After the intervention,the behavior formation rates of prevention and treatment of the drinking brick-tea type fluorosis in grade 4-6 students,village doctors,adults and monks were 74.42%(128/172),72.50%(58/80),52.38%(44/84),60.00%(24/40),respectively,which were significantly higher than those before the intervention[14.39%(19/132),38.75%(31/80),3.66%(3/82),0(0/28),P<0.05].Conclusion The comprehensive intervention measures based on health education can significantly improve the knowledge of local residents,and imp

关 键 词：氟中毒 砖茶 健康教育 干预 效果评价 

分 类 号：R599.1[医药卫生—内科学] R193[医药卫生—临床医学]