【摘要】 目的通过生育健康知识、态度和行为(knowledge,attitude and practice,KAP)问卷调查,评价预防出生缺陷知识宣传的干预效果。方法选择全省13个市18个项目点,项目干预前后每一个项目点各选取100个家庭共3 600个家庭,作为调查对象进行相关知识宣传,由培训人员进行KAP问卷调查,了解干预前后群众对出生缺陷知识、态度、行为的变化,并以问卷评分得分情况判定教育效果。结果年龄、性别、文化程度、职业、初婚年龄、家庭经济收入/人均年收入(<1 500元以及>1.5万元)对干预效果都有明显的影响。年青人比老人,女性比男性,小学以上文化程度比文盲半文盲,干部、教师和医务人员比其他职业,对知识的掌握明显增多,差异有统计学意义(P<0.05)。干预后,群众对预防出生缺陷相关知识知晓率平均提高13.77分,95%CI:(5.41～22.32),干预前后比较差异有统计学意义(P<0.05)。干预后19项题目全答对的比例高于干预前。结论本项目实施后社区群众在预防出生缺陷的知识比干预前明显提高,态度和行为比干预前有很大转度,但应加强对职业为工人、农民、文化程度偏低、家庭收入较少的育龄群众的知识普及。更多还原

【Abstract】 Objective To evaluate the effect of interventions on preventing birth defects project with the KAP questionnaire.Methods Knowledge,attitude and practice (KAP) about preventing birth defects among 3600 families in Jiangsu province (13 cities) were investigated.A comparison with the baseline investigation was made between before and after intervention.Results The risk factors of age, sex,culture degree,occupation,the fwst age of marriage,income of family (<1500 and 15000) affect the intervention of birth defects significantly.After the intervention,the awareness of about birth defects in- creased 13.77,95% CI:(5.41～22.32).The significant of preventing birth defects knowledge was found between area of the south,the middle and the north of Jiangsu.The proportion of 19 right answers were in- creased,the proportion of 1 right answers was not changed,and the proportion of 3 right answers were re- duced after intervention.Conclusion This study is effective to improve knowledge,attitude and practice of preventing birth defects,and the knowledge of the persons included of worker,farmer,low culture degree and low family income was enhanced.更多还原