中国血吸虫病防治杂志 ›› 2018, Vol. 30 ›› Issue (1): 57-61.

• 防治研究 • 上一篇    下一篇

荆州市血吸虫病流行区居民血防知识与行为调查分析

李艳伟1|胡合华2|贺正文3|徐肇纲3|张纯彬4|周晓珊1|李瑶1|刘镕1|董惠芬1|赵琴平1*   

  1. 1武汉大学基础医学院人体寄生虫学教研室(武汉430071);2湖北省荆州市江陵县血吸虫病预防控制所、武汉大学学生实践教学基地;3湖北省荆州市公安县疾病预防控制中心血吸虫病预防所、武汉大学学生实践教学基地;4湖北省荆州市江陵县卫生计生局
  • 出版日期:2018-03-05 发布日期:2018-03-05
  • 通讯作者: 赵琴平
  • 作者简介:李艳伟|女|硕士研究生。研究方向:血吸虫的种群遗传学
  • 基金资助:
    国家自然科学基金(81472926);湖北省高等学校省级教学研究项目与武汉大学教学改革研究项目(2016005);武汉大学医学部教学改革研究项目(2016002)

Survey of knowledge and practice of residents about schistosomiasis prevention and control in endemic areas of Jingzhou City

LI Yan-wei1| HU He-hua2| HE Zheng-wen3| XU Zhao-gang3| ZHANG Chun-bin4| ZHOU Xiao-shan1| LI Yao1| LIU Rong1| DONG Hui-fen1| ZHAO Qin-ping1*   

  1. 1 Department of Parasitology| School of Basic Medical Sciences| Wuhan University| Wuhan 430071| China; 2 Jiangling Institute of Schistosomiasis Prevention and Control| Practical Training Center of Wuhan University| Jingzhou City| Hubei Province| China; 3 Gong’an Institute of Schistosomiasis Prevention and Control| Practical Training Center of Wuhan University| Jingzhou City| Hubei Province| China; 4 Bureau of Health and Family Planning of Jiangling County| Jingzhou City| Hubei Province| China
  • Online:2018-03-05 Published:2018-03-05
  • Contact: ZHAO Qin?ping

摘要: 目的 在传播控制、人群感染率低的血吸虫病流行形势下,调查湖北省荆州市血吸虫病流行区居民血吸虫病相关知识知晓情况,为制定科学有效的血吸虫病健康教育方案提供参考。方法 采用整群抽样和问卷调查的方法,调查江陵县和公安县血吸虫病流行区居民的血吸虫病相关知识知晓情况,对其进行描述性统计、[χ2]检验及Logistic回归分析。结果 发放、回收有效问卷826份,有效率为100%。97.0%的调查对象听说过血吸虫病,86.3%的调查对象知道经皮肤接触疫水感染血吸虫。高年龄组(41~84岁)对于本地区是否为流行区([χ2] = 57.860)、如何感染血吸虫([χ2] = 87.045)、晚期血吸虫病的症状([χ2] = 27.268)、钉螺传播血吸虫([χ2] = 55.856)的知晓率显著高于低年龄组(6 ~17岁)(P均 < 0.05);男性对于本地区是否为流行区的知晓高于女性([χ2] = 13.442,P < 0.05)。36.6%的调查对象一天多次接触湖泊或池塘水,66.5%的被调查者愿意参加血防宣传活动。结论 荆州市江陵县和公安县血吸虫病流行区居民对血吸虫病知识的知晓率较高,应重点加强对流行区中小学生的健康教育和行为干预,提高自觉防范意识和自我保护能力。

关键词: 血吸虫病;传播控制;健康教育;荆州市

Abstract: Objective To investigate the knowledge and practice of residents about schistosomiasis prevention and control in endemic areas of Jingzhou City, Hubei Province after the disease transmission being controlled, so as to provide the valuable information for formulating an efficient health education and intervention strategy. Methods The residents were selected by using the cluster sampling method and investigated with questionnaires in Jiangling County and Gong’an County, Jingzhou City, Hubei Province, and the data were analyzed by using the descriptive analysis method, Chi?square tests and logistic regression. Results In a total, 826 available questionnaires were obtained with 100% of valid rate. Among them, 97.0% of the interviewee knew schistosomiasis, and 86.3% knew that the infection happened by contacting water containing cercariae. The residents in elder age (41-84 years) had higher awareness rates than the residents in lower age (6-17 years), about the regions of epidemic area ([χ2] = 57.860), infection route of schistosomiasis ([χ2] = 87.045), advanced schistosomiasis symptoms ([χ2] = 27.268) and Oncomelania hupensis being as intermediate host ([χ2] = 55.856) (all P < 0.05). The males had higher awareness rates of epidemic areas than the females ([χ2] = 13.442, P < 0.05). For personal behavior, 36.6% of the interviewee had experience of contacting lake or pond water many times a day, and 66.5% had the willingness to participate in schistosomiasis health education. Conclusion In the investigation areas, Jiangling County and Gong’an County, the awareness rates of the residents about schistosomiasis prevention and control are higher, and we should strengthen the health education and behavior intervention, especially in the students of middle and primary schools to help them have the self?protection ability efficiently.

Key words: Schistosomiasis; Transmission control; Health education; Jingzhou City

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