【作者】 蔡黎；

【导师】 聂绍发；

【作者基本信息】 华中科技大学 ， 流行病与卫生统计学， 2009， 硕士

【摘要】 研究目的通过对项目社区人群进行健康促进活动和实施一系列强化干预措施,达到提高人群疟疾防治知识知晓率的目的,并评价疟疾防治中健康促进对农村社区居民和学生的影响,为今后开展适合社区人群疟疾防治的干预模式提供科学依据。研究方法根据项目地区疟疾发病密度分布,采用典型抽样的方法选择居民和小学生,进行多种形式的疟疾防治健康促进5个月,通过干预前后2次问卷调查,评价社区居民防治疟疾干预的效果。研究结果1、调查地区听说过疟疾、知道疟疾的传播方式、疟疾典型症状的分别为57.7%、49.7%、15.6%;认为预防疟疾的最好方法是使用蚊帐以防蚊虫叮咬的占35.4%;知道疟疾治疗药物和服药天数的为31.8%和47. 7%。2、不同地区、人群的知晓率存在差异(P<0.01),非条件logistic回归分析显示,影响疟疾传播途径、发作的症状、治疗药物和服药时间知晓的因素有地区和人群类别;影响预防方法知晓的因素为人群类别。性别不是影响疟疾防治知识知晓率的因素。3、健康促进干预后,社区人群疟疾防治知识知晓率有明显提高(P<0.01),防疟行为良好率显著上升(P<0.01)。研究结论1、农村地区疟疾防治知识的宣传教育仍需加强,电视宣传为最受欢迎的宣传教育形式,可充分利用这种喜闻乐见的宣传媒体做好疟疾防治知识的宣传教育工作。2、对社区人群采用适合当地情况的综合干预措施,有针对性的进行健康促进,可以明显改善农村社区居民对疟疾防治的知识、态度、行为(KAP)。更多还原

【Abstract】 ObjectiveWe carried out activities about health promotion and a series of intervention measures for community population so as to increase the awareness rate of malaria control, evaluate the effectiveness of health promotion for residents and pupils in rural community, and provide scientific basis for developing intervention mode.MethodsAccording to incidence density of malaria in program areas, residents and pupils were selected by typical sampling. Health promotion procedure was carried out for 5 months. The effect of intervention was evaluated by two questionnaire survey before and after the intervention.Results1. The rate of people who heard of malaria in investigative areas was 57.7%, who knew the route of transmission of malaria was 49.7%, who knew the typical symptoms was 15.6%. 35.4% of total people thought the best way to prevent malaria was using mosquito net to prevent mosquito biting. People knowing the anti-malaria drugs occupied 31.8%, and knowing the course of treatment occupied 47.7%.2. The differences between different regions and populations were significant (P<0.01), the factors affecting the route of transmission, main clinical manifestations, therapeutic drugs, days of drugs using were regions and populations by unconditioned logistic regression analysis, and the factors affecting the preventive methods was populations. The sex was not the factor affecting the awareness rate of malaria control.3. After the health promotion, the awareness rate about knowledge of malaria control had increased evidently than before (P<0.01), and the rate of good practice to prevent malaria had increased significantly too (P<0.01).Conclusion1. Public education of the knowledge about malaria control still need to be strengthened in countryside area. Television is the most popular education form so that we can make the best of this lovely propaganda media.2. It can obviously improve the residents’knowledge, attitude and practice about malaria control by adopting comprehensive intervention measures that are suitable for the local situation and taking pointed health promotion.更多还原