2021年四川省甘孜州饮茶型地氟病健康教育知晓现况分析  

Analysis on current status of the awareness of health education on the drinking-tea type endemic fluorosis in Ganzi Prefecture of Sichuan Province in 2021

作　　者：简鸿帮[1] 刀吉 段晓霞 刘启胜[2] 余江[2] JIAN Hong-bang;DAO Ji;DUAN Xiao-xia;LIU Qi-sheng;YU Jiang(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China;Ganzi Center for Disease Control and Prevention,Kangding 626000,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]甘孜州疾病预防控制中心,四川康定626000

出　　处：《预防医学情报杂志》2023年第6期641-644,648,共5页Journal of Preventive Medicine Information

基　　金：四川省疾控中心自立课题(项目编号:ZX202211)。

摘　　要：目的掌握甘孜州饮茶型地氟病防治健康教育现况,为进一步促进全州饮茶型地氟病综合防治工作提供依据。方法2021年在甘孜州18个饮茶型地氟病病区县(市)实施大众传播、组织传播与人际传播相结合的健康教育综合干预措施,4~6年级小学生、家庭主妇和寺庙僧尼为一级目标人群,采用分层随机抽样在干预前后用统一评估问卷进行调查,采用SPSS 19.0分析干预前后知晓率变化,以P<0.05为差异有统计学意义。结果干预后效果评价小学生、家庭主妇、寺庙僧尼饮茶型地氟病防治核心知识平均知晓率分别为90.93%、88.83%、89.07%,较干预前3类一级目标人群的68.23%、56.84%、65.07%均提高20%以上,差异有统计学意义(χ^(2)值分别为1431.915、1447.121、487.298,P均<0.001);干预前基线调查3类一级目标人群的平均知晓率两两之间均存在统计学差异(χ^(2)值分别为194.268、10.239、55.218,分别为P<0.001、P=0.001、P<0.001),其中家庭主妇平均知晓率最低且不足60%。结论以饮茶型地氟病防治核心知识为主要内容的健康教育综合干预措施在藏区可行有效,应作为饮茶型地氟病综合防治的长效措施之一且家庭主妇为今后重点干预人群。Objective To understand the current status of health education on the type of drinkingtea endemic fluorosis in Ganzi Prefecture,and to provide evidence for further promoting the comprehensive prevention and control of drinking-tea type endemic fluorosis in the whole prefecture.Methods In 2021,comprehensive health education intervention measures combining mass communication,organizational communication and interpersonal communication were implemented in all 18 counties/cities affected by drinking-tea type endemic fluorosis in Ganzi Prefecture.Primary school students from grade 4 to 6,housewives and monks and nuns as the primary targeted populations,were selected by stratified random sampling method to conduct unified assessment questionnaires before and after the intervention.SPSS 19.0 was used to compare the awareness rates before and after the intervention.And P<0.05 was considered to be statistically significant.Results The average awareness rates of the core knowledge about drinking-tea type endemic fluorosis prevention and control among primary students,housewives and temple monks and nuns were 90.93%,88.83%and 89.07%after the intervention,which were promoted by more than 20%(χ^(2)=1431.915,1447.121,487.298,P<0.001,respectively)when compared with the rates of 68.23%,56.84%and 65.07%among these three primary targeted populations before the intervention,and the differences were statistically significant.In the baseline survey before intervention,the average awareness rates of the three primary targeted populations were statistical different between each other(χ^(2)=194.268,10.239,55.218,respectively,P<0.001,P=0.001,P<0.001).The average awareness rate of housewives was the lowest and less than 60%.Conclusions The comprehensive intervention measures of health education with the core knowledge about drinking-tea type endemic fluorosis control and prevention as the main content are feasible and effective in Tibetan areas,which should be taken as one of the enduring effective measures of comprehensive prevention a

关 键 词：地氟病 饮茶型 健康教育 结果分析 

分 类 号：R599[医药卫生—内科学]