云南省沧源县班老乡人群疟疾防治知识行为及其影响因素分析

中国血吸虫病防治杂志 ›› 2023, Vol. 35 ›› Issue (1): 44-.

云南省沧源县班老乡人群疟疾防治知识行为及其影响因素分析

丁春丽1，2，许建卫2，林祖锐2，许时燕2，崔鑫3，孙维江4，田光强4，李春华5，罗宗圣6，周耀武2*，杨亚明1，2*

1 昆明医科大学公共卫生学院（云南昆明 650500）；2 云南省寄生虫病防治所、云南省疟疾研究中心、云南省虫媒传染病防控研究重点实验室、云南省寄生虫病防治所虫媒传染病防控关键技术创新团队、面向南亚东南亚热带病国际科技人员交流与教育培训基地（云南普洱665000）；3 云南省临沧市疾病预防控制中心；4 云南省沧源佤族自治县疾病预防控制中心；5 云南省沧源佤族自治县班老乡卫生院；6 云南省澜沧拉祜族自治县疾病预防控制中心

出版日期:2023-03-14 发布日期:2023-03-14
作者简介:丁春丽，女，硕士研究生，医师。研究方向：疟疾防控
基金资助:
国家重点研发计划（2020YFC1200105）；国家自然科学基金项目⁃云南联合基金（U1902211）；国家自然科学基金项目（81960374）

Malaria control knowledge and behaviors and their influencing factors among residents in Banlao Township, Cangyuan County, Yunnan Province

DING Chunli1,2, XU Jianwei2, LIN Zurui2, XU Shiyan2, CUI Xin3, SUN Weijiang4, TIAN Guangqiang4, LI Chunhua5, LUO Zhongsheng6, ZHOU Yaowu2*, YANG Yaming1, 2*

1 School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China; 2 Yunnan Institute of Parasitic Diseases, Yunnan Provincial Center of Malaria Research, Yunnan Provincial Key Laboratory of Vector⁃borne Diseases Control and Research, Yunnan Innovative Team of Key Techniques for Vector Borne Disease Control and Prevention, Training Base of International Scientific Exchange and Education in Tropical Diseases for South and Southeast Asia, Pu’er, Yunnan 665000, China; 3 Lincang Center for Disease Control and Prevention, Yunnan Province, China; 4 Cangyuan Wa Autonomous County Center for Disease Control and Prevention, Yunnan Province, China; 5 Banlao Township Healthcare Center, Cangyuan Wa Autonomous County, Yunnan Province, China; 6 Lancang Lahu Autonomous County Center for Disease Control and Prevention, Yunnan Province, China

Online:2023-03-14 Published:2023-03-14

摘要/Abstract

摘要： 目的　了解云南省沧源县班老乡人群疟疾相关知识知晓率、蚊帐使用情况及其相关影响因素。方法　2020年8月，以云南省临沧市沧源县班老乡19个居民点作为调查点，选择年龄≥ 10 周岁的常住居民作为调查对象，开展问卷调查。调查内容包括居民个人情况、家庭经济状况、疟疾防治知识知晓情况及蚊帐使用情况。采用多因素logistic回归分析对调查对象调查前晚蚊帐使用影响因素进行分析。结果　共发出320份问卷，收回320份，问卷回收率为100%；其中有效问卷316份，有效问卷率为98.75%。316名调查对象中，男性152人，女性164人；中国籍调查对象250人，外籍调查对象66人。中国籍居民疟疾临床症状知晓率（71.60%）高于外籍居民（50.00%）（[χ2] = 11.03，P < 0.01）。调查前夜，睡在蚊帐里的中国籍和外籍居民比例分别为46.00%和69.70%（[χ2] = 11.73，P < 0.01）。多因素logistic回归分析结果显示，民族、住房类型为调查对象调查前晚使用蚊帐的影响因素。结论　云南省沧源县班老乡居民疟疾防治知识知晓率、蚊帐覆盖率和使用率不高。应加强有针对性的健康教育，以提高其疟疾知识知晓率和自我防护能力；并加强长效蚊帐分发和使用宣传，提高蚊帐正确使用率，谨防疟疾输入再传播。

关键词: 疟疾, 中缅边境, 预防行为, 蚊帐, 影响因素, 问卷调查, 云南省

Abstract: Objective　To investigate the awareness of malaria⁃related knowledge, the use of mosquito nets and their influencing factors among residents in Banlao Township, Cangyuan County, Yunnan Province. Methods　In August 2020, 19 settlement sites in Banlao Township, Cangyuan County, Lincang City, Yunnan Province were selected as study areas, and permanent residents at ages of 10 years and older were enrolled for a questionnaire survey, including residents’ demographics, family economic status, malaria control knowledge and use of mosquito nets. In addition, the factors affecting the use of mosquito nets in the night prior to the survey were identified using multivariate logistic regression analysis. Results　A total of 320 questionnaires were allocated, and all were recovered (a 100% recovery rate). There were 316 valid questionnaires, with an effective recovery rate of 98.75%. The 316 respondents included 152 men and 164 women and 250 Chinese respondents and 66 foreign respondents. The awareness of clinical syndromes of malaria was significantly higher among Chinese residents (71.60%) than among foreign residents (50.00%) ([χ2] = 11.03, P < 0.01), and the proportions of Chinese and foreign residents sleeping under mosquito nets were 46.00% and 69.70% on the night prior to the survey, respectively ([χ2] =11.73, P < 0.01). Multivariate logistic regression analysis identified ethnicity group and type of residence as factors affecting the use of mosquito nets in the night prior to the survey. Conclusions　The awareness of malaria control knowledge, the coverage and the use of mosquito nets were low among residents in Banlao Township, Cangyuan County, Yunnan Province. Targeted health education is recommended to improve the awareness of malaria control knowledge and self⁃protection ability. In addition, improving the allocation of long⁃lasting mosquito nets and health education pertaining to their uses and increasing the proportion of using mosquito nets correctly is needed to prevent re⁃establishment of imported malaria.

Key words: Malaria, China?Myanmar border, Preventive behavior, Mosquito net, Influencing factor, Questionnaire survey, Yunnan Province

中图分类号:

R531.3

丁春丽, 许建卫, 林祖锐, 许时燕, 崔鑫, 孙维江, 田光强, 李春华, 罗宗圣, 周耀武, 杨亚明. 云南省沧源县班老乡人群疟疾防治知识行为及其影响因素分析[J]. 中国血吸虫病防治杂志, 2023, 35(1): 44-.

DING Chunli, XU Jianwei, LIN Zurui, XU Shiyan, CUI Xin, SUN Weijiang, TIAN Guangqiang, LI Chunhua, LUO Zhongsheng, ZHOU Yaowu, YANG Yaming. Malaria control knowledge and behaviors and their influencing factors among residents in Banlao Township, Cangyuan County, Yunnan Province[J]. Chinese Journal of Schistosomiasis Control, 2023, 35(1): 44-.

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