Chin J Schisto Control ›› 2020, Vol. 32 ›› Issue (6): 623-.

Analysis of factors affecting health-related behaviors for schistosomiasis prevention and control among primary and secondary school students in Sichuan Province

ZHANG Yu, LIU Yang, LI Rong-Zhi, LU Ding, SHANG Jing-Ye, CHEN Lin*

1. Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610000, China
• Online:2020-12-08 Published:2020-12-08

四川省中小学生血吸虫病防治健康相关行为影响因素分析

1. 四川省疾病预防控制中心（成都 610000）
• 作者简介:张宇，男，硕士研究生。研究方向：血吸虫病防治、流行病与卫生统计学、健康教育学

Abstract: Objective　To analyze the influencing factors of health?related behaviors for schistosomiasis prevention and control among primary and secondary school students in Sichuan Province using a multilevel and multivariate logistic model, so as to provide the theoretical evidence for developing the schistosomiasis prevention and control strategy among primary and secondary school students in Sichuan Province. Methods　A multi?stage sampling was conducted among 63 schistosomiasis?endemic counties (districts) in Sichuan Province. Five endemic townships were sampled from each county (district), and 100 Grade 4 to 6 students in each primary school and 100 Grade 1 to 3 students in each secondary school were sampled from each township as the study subjects. The health?related behaviors for schistosomiasis prevention and control were investigated using a questionnaire survey, and factors affecting infested water contact behaviors were identified using univariate and multilevel logistic analyses. Results　Among the 62 200 questionnaires distributed, there were 59 134 recovered, and 56 510 were qualified. The qualified 56 510 respondents included 22 955 secondary school students and 33 555 primary school students, and 28 297 male students and 28 213 females. A higher proportion of infested water contacts was seen in male students than in females (P < 0.001), and the students living in heavily endemic areas had a higher proportion of infested water contacts than those in mildly endemic areas (P < 0.001). In addition, there was no significant difference in the proportion of infested water contacts between primary and secondary school students (P > 0.05). Multilevel and multivariate logistic analyses revealed a lower proportion of infested water contacts with the increase of knowledge, belief and self?efficacy levels (P < 0.001), and there was a cluster of infested water contacts among students at a county scale (P < 0.001). Conclusions　There is a cluster of infested?water contact behaviors among primary and secondary school students at a county scale in Sichuan Province. Individual and environmental factors should be considered during the formulation of health education strategy and interventions for schistosomiasis among primary and secondary school students.

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