2004–2015年湖北省预防控制血吸虫病中长期规划健康教育终期评估
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摘要
目的评估湖北省预防控制血吸虫病中长期规划健康教育效果。方法结合问卷调查及资料回顾等方法,收集2004–2015年湖北省血吸虫病健康教育相关资料,评价健康教育效果。结果 2004–2015年,湖北省13个市63个血吸虫病流行县(市、区)累计发放血防健康教育宣传材料16 662 499份,媒体宣传累计28 712次,树立血防警示性标志174 506个,张贴宣传标语185 985条,发放个人防护用品1 212 810份,举办村干部培训班9 248班·次、中小学师资培训班5 569班·次。2015年抽样调查3个(县)6个乡(镇)的4 815名居民,血防知识知晓率为91.62%,血防信念、态度正确率分别为89.54%和96.91%,人群总体血防行为正确率为91.91%;同期血吸虫感染率、急性感染病例等人群疫情相关指标逐年下降。结论湖北省预防控制血吸虫病中长期规划期间实施的健康教育措施,对改善流行区人群血防知识、态度,促进居民血防正确行为形成等有明显效果,为推动全省血吸虫病防治工作进程发挥了积极作用。
Objective To evaluate the health education effect of schistosomiasis in Hubei Province after implementing of the Outline of National Mid-Long-Term Plan for Schistosomiasis Prevention and Control(2004–2015). Methods Based on questionnaires and datum review, the data of health education for integrated prevention and control of schistosomiasis in Hubei Province from 2004 to 2015 were collected to evaluate the effect of health education. Results A total of 16 662 499 schistosomiasis health education publicity materials were distributed, 28 712 times of media propaganda were conducted, 174 506 warning signs were established, 185 985 promotional slogans were issued, 1 212 810 pieces of personal protective equipment were distributed,9 248 village officer training courses were organized, and 5 569 school teacher training courses in primary and secondary schools were conducted in 63 counties(cities, districts) of 13 cities in Hubei Province from 2004 to 2015. A total of 4 815 people were surveyed in 3 counties in 2015. The awareness rate of schistosomiasis control knowledge was 91.62%, and the correct rates of beliefs and attitudes were 89.54% and 96.91% respectively. The overall rate of correct behavior of the population was 91.91%. The related indicators, such as schistosomiasis infection rate, acute infection cases, and others, declined year by year over the same period. Conclusions The schistosomiasis health education in Hubei Province has obvious effects on enhancing the knowledge and attitudes of schistosomiasis control in populations and promoting the formation of correct schistosomiasis control behavior among residents. It has played an active role and is an important mean in comprehensive prevention and control of schistosomiasis.
Objective To evaluate the health education effect of schistosomiasis in Hubei Province after implementing of the Outline of National Mid-Long-Term Plan for Schistosomiasis Prevention and Control(2004–2015). Methods Based on questionnaires and datum review, the data of health education for integrated prevention and control of schistosomiasis in Hubei Province from 2004 to 2015 were collected to evaluate the effect of health education. Results A total of 16 662 499 schistosomiasis health education publicity materials were distributed, 28 712 times of media propaganda were conducted, 174 506 warning signs were established, 185 985 promotional slogans were issued, 1 212 810 pieces of personal protective equipment were distributed,9 248 village officer training courses were organized, and 5 569 school teacher training courses in primary and secondary schools were conducted in 63 counties(cities, districts) of 13 cities in Hubei Province from 2004 to 2015. A total of 4 815 people were surveyed in 3 counties in 2015. The awareness rate of schistosomiasis control knowledge was 91.62%, and the correct rates of beliefs and attitudes were 89.54% and 96.91% respectively. The overall rate of correct behavior of the population was 91.91%. The related indicators, such as schistosomiasis infection rate, acute infection cases, and others, declined year by year over the same period. Conclusions The schistosomiasis health education in Hubei Province has obvious effects on enhancing the knowledge and attitudes of schistosomiasis control in populations and promoting the formation of correct schistosomiasis control behavior among residents. It has played an active role and is an important mean in comprehensive prevention and control of schistosomiasis.
引文
[1]WHO. The control of schistosomiasis. Report of a WHO expert committee[R]. WHO Technical Report Series, 1985, 728:58-61.
[2] WHO. The control of schistosomiasis. Second report of the WHO expert committee[R]. WHO Technical Report Series, 1993, 830:51-53.
[3] Chen L, Zhong B, Xu J, et al. Health education as an importanl component in the national schistosomiasis control programme in the People's Republic of China[J]. Adv Parasitol,2016, 92:307-39.
[4]吕桂阳,杨先祥,徐兴建,等.开展健康教育减少血吸虫病效益分析[J].湖北预防医学杂志,1998,9(1):29-30,36.
[5]胡广汉,林丹丹,张绍基,等.鄱阳湖重疫区血吸虫病健康教育效果评价[J].中国公共卫生,1999, 15(10):947-948.
[6]孙建国,李江虹,李雨波,等.全国血吸虫病健康教育终期评价[J].中国健康教育,2002, 18(4):210-216.
[7]刘子瑛,戴裕海,徐兴建,等.血吸虫病健康教育干预模式及成本效果研究[J].热带医学杂志,2005, 5(1):34-37, 77.
[8]谢朝勇,傅红胜.健康教育控制重疫区血吸虫病效果[J].中国血吸虫病防治杂志,2012, 24(3):362-363.
[9]郑江.我国血吸虫病防治策略面临的挑战及发展方向[J].热带病与寄生虫学,2004, 2(4):193-197.
[10]周晓农,贾铁武,郭家钢,等.中国血吸虫病防治的项目管理模式及其演变[J].中国血吸虫病防治杂志,2010, 22(1):1-4.
[11]许静,李石柱,陈家旭,等.发挥标准导向作用精准消除血吸虫病[J].中国血吸虫病防治杂志,2017, 29(1):1-4.
[12]彭民金,肖汉,高梦婷,等.湖北省血吸虫病流行区初中生血吸虫病检查情况及其影响因素[J].中华疾病控制杂志,2016, 20(7):694-697.
[13]张玉其,张娟,张瑞,等.健康教育结合预防性服药控制中小学生血吸虫病流行的效果观察[J].中国健康教育,2004, 20(2):135-136.
[14]黄少玉.流动人口血吸虫病的管理与监测[J].中国血吸虫病防治杂志,2009, 21(1):76-77.
[15]曹淳力,郭家钢.流动人口血吸虫病监测方法的评价[J].中华预防医学杂志,2006, 40(4):223-224.
[16]张娟,单晓伟,蔡顺祥,等.2015-2016年湖北省流动人群血吸虫病哨点监测结果[J].热带医学杂志,2017, 17(6):794-797.
[17]党辉,金嘉宁,许静,等.2015年全国血吸虫病监测分析[J].中国血吸虫病防治杂志,2017, 29(3):273-280.
[18]金嘉宁,党辉,张利娟,等.2016年全国血吸虫病监测点疫情分析[J].中国寄生虫学与寄生虫病杂志,2017, 35(6):542-548.
[19]江黎明,赵子晗,蒋湧,等.湖北省血防健康教育工作现况及成效评价[J].中国血吸虫病防治杂志,2017, 29(2):202-205.
[20]杨军晶,周晓蓉,刘建兵,等.2004-2015年湖北省血吸虫病疫情分析[J].公共卫生与预防医学,2017, 28(3):81-83.
[21]肖瑛,张娟,陈艳艳,等.2013年湖北省19个县(市、区)血吸虫病传播控制达标考核评估[J].中国血吸虫病防治杂志,2016,28(5):513-518.
[22]朱红,刘建兵,蔡顺祥,等.湖北省预防控制血吸虫病中长期规划中期效果评估[J].热带医学杂志,2015, 15(4):548-551.
[23]潘丽红,何结宝,汪学龙.我国血吸虫病健康教育现状分析[J].华北煤炭医学院学报,2010, 12(2):238-239.
[24]施南峰.传播阻断地区流动人口血吸虫病防控新模式研究[J].中国血吸虫病防治杂志,2010, 22(5):482-484.
[2] WHO. The control of schistosomiasis. Second report of the WHO expert committee[R]. WHO Technical Report Series, 1993, 830:51-53.
[3] Chen L, Zhong B, Xu J, et al. Health education as an importanl component in the national schistosomiasis control programme in the People's Republic of China[J]. Adv Parasitol,2016, 92:307-39.
[4]吕桂阳,杨先祥,徐兴建,等.开展健康教育减少血吸虫病效益分析[J].湖北预防医学杂志,1998,9(1):29-30,36.
[5]胡广汉,林丹丹,张绍基,等.鄱阳湖重疫区血吸虫病健康教育效果评价[J].中国公共卫生,1999, 15(10):947-948.
[6]孙建国,李江虹,李雨波,等.全国血吸虫病健康教育终期评价[J].中国健康教育,2002, 18(4):210-216.
[7]刘子瑛,戴裕海,徐兴建,等.血吸虫病健康教育干预模式及成本效果研究[J].热带医学杂志,2005, 5(1):34-37, 77.
[8]谢朝勇,傅红胜.健康教育控制重疫区血吸虫病效果[J].中国血吸虫病防治杂志,2012, 24(3):362-363.
[9]郑江.我国血吸虫病防治策略面临的挑战及发展方向[J].热带病与寄生虫学,2004, 2(4):193-197.
[10]周晓农,贾铁武,郭家钢,等.中国血吸虫病防治的项目管理模式及其演变[J].中国血吸虫病防治杂志,2010, 22(1):1-4.
[11]许静,李石柱,陈家旭,等.发挥标准导向作用精准消除血吸虫病[J].中国血吸虫病防治杂志,2017, 29(1):1-4.
[12]彭民金,肖汉,高梦婷,等.湖北省血吸虫病流行区初中生血吸虫病检查情况及其影响因素[J].中华疾病控制杂志,2016, 20(7):694-697.
[13]张玉其,张娟,张瑞,等.健康教育结合预防性服药控制中小学生血吸虫病流行的效果观察[J].中国健康教育,2004, 20(2):135-136.
[14]黄少玉.流动人口血吸虫病的管理与监测[J].中国血吸虫病防治杂志,2009, 21(1):76-77.
[15]曹淳力,郭家钢.流动人口血吸虫病监测方法的评价[J].中华预防医学杂志,2006, 40(4):223-224.
[16]张娟,单晓伟,蔡顺祥,等.2015-2016年湖北省流动人群血吸虫病哨点监测结果[J].热带医学杂志,2017, 17(6):794-797.
[17]党辉,金嘉宁,许静,等.2015年全国血吸虫病监测分析[J].中国血吸虫病防治杂志,2017, 29(3):273-280.
[18]金嘉宁,党辉,张利娟,等.2016年全国血吸虫病监测点疫情分析[J].中国寄生虫学与寄生虫病杂志,2017, 35(6):542-548.
[19]江黎明,赵子晗,蒋湧,等.湖北省血防健康教育工作现况及成效评价[J].中国血吸虫病防治杂志,2017, 29(2):202-205.
[20]杨军晶,周晓蓉,刘建兵,等.2004-2015年湖北省血吸虫病疫情分析[J].公共卫生与预防医学,2017, 28(3):81-83.
[21]肖瑛,张娟,陈艳艳,等.2013年湖北省19个县(市、区)血吸虫病传播控制达标考核评估[J].中国血吸虫病防治杂志,2016,28(5):513-518.
[22]朱红,刘建兵,蔡顺祥,等.湖北省预防控制血吸虫病中长期规划中期效果评估[J].热带医学杂志,2015, 15(4):548-551.
[23]潘丽红,何结宝,汪学龙.我国血吸虫病健康教育现状分析[J].华北煤炭医学院学报,2010, 12(2):238-239.
[24]施南峰.传播阻断地区流动人口血吸虫病防控新模式研究[J].中国血吸虫病防治杂志,2010, 22(5):482-484.