【摘要】 目的　通过调查外来流动人口对有关血吸虫病防治知识、行为和信念 ,为开展江苏省如东县当地流动人口血吸虫病健康教育提供依据。方法　运用随机抽样方法 ,选择 1 1 1名临时居住本县的外来流动人口进行基线和健康教育干预调查。本地 1 1 4名常住居民作为对照。以问卷式进行调查 ,主要调查对血吸虫病防治的“知、信、行”。结果　基线调查外来流动人口对血吸虫病防治知识的知晓率、防治行为形成率、查病的依从性、化疗的依从性均低于本地居民。通过对流动人口血吸虫病健康教育的干预 ,与干预前相比 ,血防知识提高了65 90 % ;行为形成率提高了 1 7 5 4 % ;血防信念提高了 2 4 85 %。差异非常显著 (P <0 0 1 )。结论　对流动人口开展血吸虫病多种形式的健康教育干预十分必要 ,可使他们在血吸虫病流行地区 ,增强预防血吸虫病意识 ,纠正不良行为 ,提高自我防护能力更多还原

【Abstract】 Objective To investigate the knowledge, belief,and behavior about schistosomiasis among the floating populations before and after health education intervention. Methods A questionnaire survey on the knowledge, attitudes and behavior about schistosomiasis control was conducted among 110 floating people and 114 local residents in three towns of Rudong County, Jiangsu Province, by cluster sampling. Then, health education intervention in the forms of pamphlets, poster, broadcasting, and lecture was given. Three months after the intervention, the same questionnaire survey was conducted among the same respondents. Results The baseline survey showed that 77.19% of the locals residents and 8.11% of the nonnatives knew the presence of schistosomiasis in this area, 57.89% of the local residents and 13.51% of the nonnatives knew the transmission route of schistosomiasis, 50.0% of the local residents and 9.00% of the nonnatives knew the prevention way of schistosomiasis, and 37.72% of the local residents knew the antischistosomal drug. (all P<0.01), with a general schistosomiasis control knowledge rate of 73.15% among the local residents and 12.87% among the nonnatives; 96.49% of the local residents and 92.79% of the nonnatives did not drink raw water, 78.82% of the local residents and 91.00% of the nonnatives did not enter the infectious water to play or catch fish, 94.74% of the local residents and 97.30% of the nonnatives actively see doctors when suspected to be infected, and the rate of compliance to physical examination and pharmacotherapy was 98.25% among the local residents and 92.79% among the floating people, the rate of compliance to doctor’s order was 93.86% among the local residents and 92.79% among the floating people (all P<0.05); however, 39.47% of the local residents and only 5.40% of the nonnatives adopted preventive measures when entering infectious water (P<0.01).After intervention, the general schistosomiasis control knowledge rate among the nonnatives increased by 65.90%, the schistosomiasis control belief rate increased by 24.85%, and the schistosomiasis control behavior-forming rate increased by 17.54% (all P<0.01). In comparison, there was no significant difference in the schistosomiasis control knowledge rate, belief rate, and behavior rate among the local residents before and after intervention. Conclusion The knowledge, belief, and behavior about schistosomiasis control among floating populations in endemic areas of schistosomiasis are to be improved. Health education proves to be effective measure.更多还原