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目的了解广东省流动人口血防知识、态度、信念、行为(KABP)的状况,为制定预防血吸虫病再流行的干预对策提供科学依据。方法2006~2007年选择广东省粤东、粤西、粤北、粤中4区,每区按经济发展程度高、中、低随机抽取22个县(市、区)作为调查点,每点选择来自疫区>10岁的流动人口500人,调查龙门县来自非疫区的人群作为对照。采用血防KABP问卷调查,统计流动人口血防知识知晓率、血防态度、信念及行为的正确率。结果调查22个县(市、区)来自疫区人群7047人和非疫区人群233人,血防知识知晓率分别为42.32%、1.72%,血防态度正确率分别为79.09%、79.83%,血防信念正确率分别为2.24%、0,血防正确行为形成率分别为45.55%、47.21%。另外,在流动人口中知道如何感染血吸虫的占30.07%;认识钉螺的人数来自疫区的占50.73%,来自非疫区的仅占8.15%。认为自己患血吸虫病后对其他人没有影响的占67.63%。有在野外大便史的占59.41%,7.14%的人有经常野外大便的习惯。88.29%的人不知向何部门报螺。27.95%会到明知可能感染血吸虫的区域接触水体,34.11%的人不愿意接受血防部门进行血吸虫病检查。结论广东省流动人口血防KABP是消极因素占主导地位,应重视对流动人口开展有针对性的血防健康教育干预。
Objective To understand the status, knowledge, attitude, beliefs and behaviors (KABP) of floating population in Guangdong Province and provide a scientific basis for making intervention measures to prevent the recurrence of schistosomiasis. Methods From 2006 to 2007, 4 counties in eastern Guangdong, western Guangdong, northern Guangdong and Guangdong were selected. Each district selected 22 counties (cities and districts) randomly as the survey sites according to their high level of economic development, medium and low levels, From the epidemic area> 10-year-old floating population of 500 people, surveys of Longmen County from the pest free area as a control group. The KABP questionnaire was used to measure the rate of awareness of blood-borne knowledge, attitude toward blood-borne disease, beliefs and behavior among floating population. Results In 22 counties (cities and districts), 7047 people in the epidemic area and 233 people in the non-infected area were investigated. The awareness rate of blood-borne knowledge was 42.32% and 1.72%, respectively. The accuracy rate of blood-armor attitude was 79.09% and 79.83% The correct rates were 2.24%, 0, the correct rate of formation of blood-borne disease were 45.55%, 47.21%. In addition, 30.07% knew how to get the schistosomiasis among the floating population; 50.73% knew the snail from the epidemic area and only 8.15% from the pest free area. 67.63% thought they had no effect on other people after suffering from schistosomiasis. With history of stool in the wild accounted for 59.41%, 7.14% of people have the habit of regular field stool. 88.29% do not know where to report the loan. 27.95% will come into contact with water knowing that they may be infected with schistosomiasis, and 34.11% will not accept schistosomiasis examination by blood protection departments. Conclusion The blood-borne KAPP of floating population in Guangdong Province is the negative factor that dominates. Therefore, it is important to carry out targeted blood-health education intervention on floating population.