同伴教育在改善武汉市血吸虫病流行区小学生知信行中的效果  

Effect of peer education on knowledge, attitude and practices towards schistosomiasis among primary school students in endemic foci of Wuhan City

作　　者：熊月琳 徐明星[1] 王浩[1] 罗华堂[1] 王帅 彭峥 张佳京 李洋[1] XIONG Yue-lin;XU Ming-xing;WANG Hao;LUO Hua-tang;WANG Shuai;PENG Zheng;ZHANG Jia-jing;LI Yang(Wuhan Center for Disease Control and Prevention,Wuhan,Hubei 430015,China;Jiang’an District Center for Disease Control and Prevention,Wuhan City,Hubei Province,China)

机构地区：[1]湖北省武汉市疾病预防控制中心,湖北武汉430015 [2]湖北省武汉市江岸区疾病预防控制中心

出　　处：《中国血吸虫病防治杂志》2022年第5期522-526,共5页Chinese Journal of Schistosomiasis Control

基　　金：湖北省武汉市卫生健康科研基金(WG20C01);湖北省卫生健康委员会联合基金项目(WJ2019H399)。

摘　　要：目的 探讨同伴教育对武汉市血吸虫病流行区小学生血吸虫病防治知信行的干预效果。方法 2021年以武汉市江岸区育才汉口小学为研究现场,整群抽取该校所有4~5年级学生为研究对象,进行血吸虫病同伴教育干预。比较干预前后小学生血吸虫病防治知信行变化,评价同伴教育干预效果。结果 干预前,所有小学生血吸虫病防治知识总知晓率、血防态度和相关行为正确率分别为51.50%、93.70%、92.99%,干预后分别上升至86.50%、98.98%、98.72%,差异均有统计学意义(χ~2=149.457、21.692、20.691,P均<0.05)。干预前,四年级小学生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别为49.19%、92.20%和92.72%,五年级小学生分别为53.83%、95.21%和93.28%,四、五年级小学生血吸虫病防治知识知晓率、态度和相关卫生行为正确率差异均无统计学意义(χ~2=1.214、2.034、0.096,P均> 0.05);干预后,四年级小学生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别上升至75.93%、98.09%和97.59%,五年级小学生分别上升至97.16%、99.87%和99.87%,差异均有统计学意义(χ~2=40.798、9.572、7.207、133.194、9.678、14.926,P均<0.05)。干预前,男生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别为51.25%、76.92%和77.97%,女生分别为51.80%、94.42%和95.70%,男、女生血吸虫病防治态度和相关卫生行为正确率差异均有统计学意义(χ~2=30.462、33.416,P均<0.05);干预后,男生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别上升至86.23%、98.25%和97.79%,女生分别上升至86.83%、99.85%和99.85%,差异均无统计学意义(χ~2=0.081、3.529、3.335,P均> 0.05)。结论 同伴教育对于武汉市血吸虫病流行区小学生血吸虫病防治知信行具有较好改善效果,可能更有助于改善小学高年级学生血吸虫病防治知识水平和相关卫生行为。ObjectiveTo evaluate the effect of peer education on knowledge, attitude and practices towards schistosomiasis control among primary school students in endemic foci of Wuhan City.Methods District, Wuhan City was selected in 2021, and all students at grades 4 and 5 were sampled using a cluster sampling method to receive peer education about schistosomiasis. The changes of knowledge, attitude and practices towards schistosomiasis control were compared before and after peer education to evaluate the effect of peer education on knowledge, attitude and practices towards schistosomiasis control.ResultsThe overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors increased from 51.50%, 93.70%and 92.99% before peer education to 86.50%, 98.98% and 98.72% after peer education among primary school students, respectively(χ~2=149.457, 21.692 and 20.691, all P values < 0.05). The overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors were 49.19%,92.20% and 92.72% among Grade 4 primary school students and 53.83%, 95.21% and 93.28% among Grade 5 primary school students prior to peer education( χ~2= 1.214, 2.034 and 0.096, all P values > 0.05), and increased to 75.93%, 98.09% and97.59% among Grade 4 primary school students and 97.16%, 99.87% and 99.87% among Grade 5 primary school students after peer education, respectively(χ~2= 40.798, 9.572, 7.207, 133.194, 9.678 and 14.926,all P values < 0.05). The overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors were 51.25%, 76.92% and 77.97% among male primary school students and 51.80%, 94.42%and 95.70% among female primary school students prior to peer education, the differences in the overall proportion of corre

关 键 词：血吸虫病 同伴教育 知信行 小学生 武汉市 

分 类 号：R532.21[医药卫生—内科学]