江陵县成人血吸虫病防治知信行现况调查  

A survey on the current situation of schistosomiasis prevention and control knowledge and belief among adults in Jiangling county

作　　者：冯家鑫 公衍峰 罗卓韦 王心怡 曹淳力[1] 张瑕 张捷飞 李华容 胡合华 许静[1] 李石柱[1,3] FENG Jia-xin;GONG Yan-feng;LUO Zhuo-wei;WANG Xin-yi;CAO Chun-li;ZHANG Xia;ZHANG Jie-fei;LI Hua-rong;HU He-hua;XU Jing;LI Shi-zhu(Institute of Parasitic Diseases Prevention and Control,Chinese Center for Disease Control and Prevention,Shanghai 200025,China)

机构地区：[1]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、WHO热带病合作中心、科技部国家级热带病国际联合研究中心、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室,上海200025 [2]湖北省江陵县血吸虫病防治所 [3]上海交通大学医学院全球健康学院,上海200025

出　　处：《现代预防医学》2022年第18期3426-3430,3450,共6页Modern Preventive Medicine

基　　金：国家重点研发计划项目(2021YFC2300800,2021YFC2300804);国家自然科学基金(32161143036)。

摘　　要：目的了解江陵县成人血吸虫病防治(简称血防)知信行情况,为开展有针对性的血吸虫病健康教育提供参考。方法在江陵县抽取4个重度、3个中度和2个轻度流行村。采用整群随机抽样方法,抽取18岁以上成人进行问卷调查。采用Microsoft Excel 2010软件建立数据库,运用IBM SPSS 22.0软件进行统计分析,运用基于R语言的Hiplot网站(https://hiplot.com.cn)进行绘图。结果共回收成人有效问卷1120份。江陵县成人血防知信行合格率为71.61%。不同性别(χ^(2)=6.911,P=0.009)和文化程度(χ^(2)=57.724,P<0.001)成人血防知信行合格率差异具有统计学意义。随着文化程度增高,成人血防知信行合格率增加(χ^(2)_(趋势)=57.724,P<0.001)。成人血防知识正确率(77.22%)、信念正确率(80.28%)、行为正确率(55.36%)之间差异有统计学意义(χ^(2)=1259.727,P<0.001)。重度、中度、轻度流行村成人血防知信行正确率分别为74.73%、68.52%和69.25%,差异有统计学意义(χ^(2)=96.236,P<0.001)。结论江陵县成人血防知信行情况较好。成人血防行为正确率较低,提示需开展针对性的健康教育,强调对薄弱知识点的解读和正确行为的宣传。Objective To understand the knowledge,attitude,and practice(KAP)of schistosomiasis prevention and control(referred to as blood prevention)among adults in Jiangling county,and to provide reference for the development of targeted health education on schistosomiasis.Methods Four severe,three moderate and two mildly endemic villages were selected in Jiangling county.Using the whole group random sampling method,adults aged 18 years or older were selected for the questionnaire survey.Microsoft Excel 2010 software was used to build the database,IBM SPSS 22.0 software was used for statistical analysis,and the Hiplot website(https://hiplot.com.cn)based on R language was used for mapping.Results A total of 1120 valid questionnaires for adults were collected.In Jiangling county,71.61%of adults were qualified for KAP of schistosomiasis control.The differences in the pass rate of adult blood prevention KAP by gender(χ^(2)=6.911,P=0.009)and education level(χ^(2)=57.724,P<0.001)were statistically significant.As the literacy level increased,the adult blood defense KAP pass rate increased(χ^(2)trend=57.724,P<0.001).There was a statistically significant difference between the adult blood defense knowledge accuracy rate(77.22%),attitude accuracy rate(80.28%),and practice accuracy rate(55.36%)(χ^(2)=1259.727,P<0.001).There was a statistically significant difference between the accuracy rates of adult blood prevention KAP of 74.73%,68.52%and 69.25%in severe,moderate,and mildly endemic villages,respectively(χ^(2)=96.236,P<0.001).Conclusion The situation of blood prevention KAP among adults in Jiangling county is better.The low rate of correct behaviors of adult blood prevention suggests the need for targeted health education,emphasizing the interpretation of certain knowledge points that are not well understood and the promotion of correct behaviors.

关 键 词：血吸虫病 江陵县 知信行 

分 类 号：R193[医药卫生—卫生事业管理] R532.21[医药卫生—公共卫生与预防医学]