中国血吸虫病防治杂志 ›› 2020, Vol. 32 ›› Issue (3): 273-.

• 论著 • 上一篇    下一篇

四川省色达县居民棘球蚴病防治知信行调查及影响因素分析

雷雅麟,肖成汉,马骁*   

  1. 四川大学华西公共卫生学院健康与社会行为学系(成都 610041)
  • 出版日期:2020-05-16 发布日期:2020-05-16
  • 作者简介:雷雅麟,女,硕士研究生。研究方向:健康相关行为
  • 基金资助:
    四川省卫生和计划生育委员会项目( 2018四川卫计委?MX)

Knowledge, attitude and practice of echinococcosis prevention and control, and their influencing factors among residents living in Seda County, Sichuan Province

LEI Ya-Lin, XIAO Cheng-Han, MA Xiao*   

  1. Department of Health Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China
  • Online:2020-05-16 Published:2020-05-16

摘要: 目的 了解四川省色达县居民棘球蚴病防治知识、态度和行为现状及其影响因素,为当地进一步实施健康教育干预措施提供科学依据。方法 2018年9月,采用多阶段分层随机抽样方法,共抽取10个乡(镇),每个乡(镇)随机抽取2~3个行政村,每个村随机抽取20~40户,每户调查1~2名村民。采用入户问卷调查了解调查居民棘球蚴病防治知识、态度和行为情况,采用[χ2] 检验及logistic回归分析对影响居民防治知识合格率的因素进行分析。结果 本次调查共发放问卷760份,回收有效问卷748份,问卷回收率为98.42%。色达县居民棘球蚴病防治知识合格率为56.42%(422/748),其中“人是怎样感染棘球蚴的?”知晓率仅为48.40%;调查对象棘球蚴病防治积极态度持有率在64.71%~94.79%,防治行为正确率在10.40%~82.45%。单因素分析表明,居民棘球蚴病防治知识合格率影响因素包括性别、职业、受教育程度、是否曾经接受棘球蚴病筛查服务及健康教育(P均 < 0.05);二分类logistic回归分析结果显示,女性、主要职业为牧民、小学及以下受教育程度、未接受过棘球蚴病筛查服务及健康教育是导致防治知识知晓率不合格的影响因素(P均 < 0.05)。结论 四川省色达县居民棘球蚴病防治知识知晓率偏低、行为正确率不高,需因地制宜地采取多种形式加强疾病防治知识宣传,并进行适当行为干预。

关键词: 棘球蚴病, 知信行, 健康教育, 影响因素, 色达县

Abstract: Objective To understand the status of knowledge, attitude and practice on echinococcosis prevention and control and investigate their influencing factors among residents living in Seda County of Sichuan Province, so as to provide a scientific basis for the further implementation of health education interventions in the county. Methods A multi?stage stratified random sampling method was employed on September 2018. Ten townships were randomly sampled, and 2 to 3 administrative villages were randomly sampled from each township. Then, 20 to 40 households were randomly sampled from each village, and 1 to 2 villagers were investigated in each household. The knowledge, attitude and practice on echinococcosis prevention and control were investigated using a household questionnaire survey, and the factors affecting the qualification of echinococcosis prevention and control knowledge were identified using chi?square test and logistic regression analysis. Results A total of 760 questionnaires were assigned, and 748 effective questionnaires were recovered, with a recovery rate of 98.42%. The overall qualification rate of echinococcosis prevention and control knowledge was 56.42% (422/748) in residents living in Seda County, and the awareness of the question “How to get echinococcosis?” was only 48.40%. The proportion of subjects with a positive attitude towards echinococcosis prevention and control was 64.71% to 94.79%, and the rate of corrected echinococcosis prevention and control behaviors was 10.40% to 82.45%. Univariate analysis showed that factors affecting the qualification rate of echinococcosis prevention and control knowledge included gender, occupation, education level, frequency of echinococcosis screening and frequency of health education (all P < 0.05), and binary logistic regression analysis showed that women, herdsmen as the primary occupation, an education level of primary school and below, absence of echinococcosis screening and absence of health education were factors responsible for the unqualified awareness of echinococcosis prevention and control knowledge (all P < 0.05). Conclusions There is a low awareness rate of echinococcosis prevention and control knowledge and a low proportion of corrected echinococcosis prevention and control behaviors in residents living in Seda County, Sichuan Province. Multiple forms of health education activities pertaining to echinococcosis prevention and control are needed with adaptation to local circumstance, and implementation of appropriate behavioral interventions is recommended.

Key words: Echinococcosis, Knowledge, attitude and practice (KAP), Health education, Influencing factor, Seda County

中图分类号: