云南省腾冲市社区居民气候变化健康干预效果评估  

Effectiveness evaluation of community-based health intervention against climate change in Tengchong,Yunnan Province,China

作　　者：何江 张在丽 吴金伟 王裕 李新和 赵程 郭佳 柳艳香[3] 李永红[1] 李胜国 姚孝元[1] 程义斌[1] HE Jiang;ZHANG Zai-i;WU Jin-wei;WANG Yu;LI Xin-he;ZHAO Cheng;GUO Jia;LIU Yan-xiang;LI Yong-hong;LI Sheng-guo;YAO Xiao-yuan;CHENG Yi-bin(China CDC Key Laboratory of Environment and Population Health/National Institute of Environmental Health,Chinese Center for Disease Control and Prevention,Beijing 100021,China;Tengchong Center for Disease Control and Prevention;Public Meteorological Service Center of China Meteorological Administration)

机构地区：[1]中国疾病预防控制中心环境与人群健康重点实验室/中国疾病预防控制中心环境与健康相关产品安全所,北京100021 [2]腾冲市疾病预防控制中心 [3]中国气象局公共气象服务中心

出　　处：《环境卫生学杂志》2024年第3期247-253,共7页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：国家科技基础资源调查专项(2017FY101206)。

摘　　要：目的 评估云南省腾冲市社区居民气候变化健康干预效果。方法 采用随机数字法在云南省腾冲市随机选择两个乡镇分别作为干预组和对照组,每组随机选择600名常住社区居民,于2019年11月至2021年1月开展气候变化健康调查,期间对干预组开展为期一年的气候变化健康干预。采用双重差分模型,分析健康干预对气候变化健康知识、态度、风险感知及适应行为的影响。结果 经过为期一年的健康干预,社区居民气候变化态度和适应行为得分分别提高了2.70%(t=3.32,P<0.05)和5.08%(t=5.60,P<0.05),但风险感知得分降低了3.27%(t=-4.70,P<0.05),知识和总得分变化无统计学意义。已婚和离异/丧偶、教育程度低、家庭年收入水平中等(3~8万元)的人群健康干预服务效果更显著。结论 健康干预能够促进云南省腾冲市社区居民气候变化健康态度和适应行为水平。Objective To evaluate the effectiveness of community-based health interventions against climate change in Teng-chong,Yunnan Province,China.Methods Using the random number method,two townships were randomly selected from Tengchong as intervention and control groups,respectively,and 600 community residents were randomly selected in each group.From November 2019 to January 2021,one-year health intervention was provided for the intervention group,and health surveys on climate change were conducted for both groups at baseline and endline.A difference-in-differences model was used to analyze the effects of the health inter-vention service on climate change-related health knowledge,attitude,risk perception,and adaptive behavior.Results The one-year health intervention significantly increased the scores in climate change-related attitude and adaptive behavior by 2.70%(t=3.32,P<0.05)and 5.08%(t=5.60,P<0.05),respectively,but significantly decreased the risk perception score by 3.27%(t=-4.70,P<0.05),with no significant changes in the knowledge score and the total score.The effects of the health intervention service were signif-icantly more pronounced in married and divorced/widowed residents,people with low educational levels,and those with moderate an-nual household incomes(30000 to 80000 yuan).Conclusion Health intervention can improve climate change-related health attitude and adaptive behavior among residents in Tengchong.

关 键 词：干预效果评估 健康干预 气候变化 双重差分模型 

分 类 号：R12[医药卫生—环境卫生学]