Abstract: Objective To evaluate the effect of a new mode of health education in schools. Methods In the Zhaiqian Prima? ry School，Yanrui Town，Yushan County in a hilly schistosomiasis endemic area，a new mode of health education intervention，i. e.“rewards and punishment + advise others by using one’ s experience + teachers’participation”was carried out，and the knowl? edge，attitude and practice of schistosomiasis prevention of the pupils，and the schistosome infection rates of the pupils were inves? tigated and the results were analyzed and compared before and after the intervention. Results Among 204 pupils investigated， the awareness rate of schistosomiasis prevention knowledge increased from 26.47% before the intervention to 86.76% and 99.51% one and two years after the intervention，respectively；the rate of correct attitude increased from 17.04% to 73.04% and 100%，re? spectively；the rate of the infested water contact decreased from 83.33% to 26.96% and 0，respectively；the schistosome infection rate decreased from 2.94% to 0.49% and 0，respectively. Conclusion The health education of schistosomiasis prevention in schools is necessary，and the new mode of health education， “rewards and punishment + advise others by using one’ s experience + teachers’participation”is effective in the prevention from schistosome infection in pupils.

Key words: Schistosomiasis； Health Education；Pupil；Effect Evaluation

摘要： 目的 目的 评价学校 “奖惩激励+现身说法+教师参与” 血防健康教育模式的干预效果。方法 方法 选择山丘型血吸虫病 流行区的玉山县岩瑞镇宅前小学， 采用 “奖惩激励+现身说法+教师参与” 的健康教育模式， 比较干预前后学生血防知识、 血 防态度和行为以及血吸虫感染情况的变化。结果 结果 204名目标学生在健康教育干预措施实施后的第1、 2年， 血防知识知晓 率由干预前的26.47%提高到86.76%和99.51%， 血防态度正确率由17.04%提高到73.04%和100%， 疫水接触频率由干预前 的83.33%下降到26.96%和0， 血吸虫感染率由 2.94%下降到0.49%和0。结论 结论 学校健康教育不可忽视，“奖惩激励+现身 说法+教师参与” 的干预模式是控制学生血吸虫感染的有效方法。

关键词: 血吸虫病； 健康教育； 学生； 效果评价