热带病与寄生虫学

热带病与寄生虫学 ›› 2015, Vol. 13 ›› Issue (1): 19-22.doi: 10.3969/j.issn.1672-2302.2015.01.007

• 论著 • 上一篇    下一篇

影响云南高原山区人群血防健康素养部分因素分析

李萍，陈凤，李文豹，陈绍荣，李炳桂*   

  1. 671500  云南鹤庆县，鹤庆县血吸虫病防治站（李萍、李文豹、李炳桂）；大理白族自治州血吸虫病防治研究所（陈凤、陈绍荣）
  • 出版日期:2015-03-10 发布日期:2015-05-18
  • 基金资助:

    大理州科技术计划项目（项目编号：2060402）

Analysis of the factors affecting health literacy on schistosomiasis prevention in population living in plateau mountainous areas of Yunnan Province

Li Ping1, Chen Feng2, Li Wenbao1, Chen Shaorong2, Li Binggui1*   

  1. 1. Heqing Station of Schistosomiasis Control, Heqing 675100, Yunnan, China.   2. Dali Institute of Schistosomiasis Control, Dali 671000, Yunnan, China
  • Online:2015-03-10 Published:2015-05-18

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摘要： 目的  了解云南高原山区血吸虫病流行区居民血防健康素养水平的影响因素。 方法  对鹤庆县金墩乡高原峡谷型血吸虫病流行区西甸和磨光2个行政村6~65岁居民采用随机抽样的方法开展问卷调查，了解掌握血防知识、防治态度、防治行为的水平和程度。对调查对象采用IHA进行检查，了解其血吸虫感染情况。 结果  无血吸虫病史居民防治行为正确率高于有血吸虫病史居民，无病史居民做到圈养家畜占调查人数的比例高于有病史居民；知道接触疫水会感染血吸虫病的人数占调查人数的比例以≤1 500元人群为高，知道牛可以传播血吸虫病人数占调查人数的比例以≥3000元人群为高；能够对家畜进行圈养人数占调查人数的比例以≥3000元人群为高；知道血吸虫病、牛可以传播血吸虫病、血吸虫病对健康有害的人数占调查人数的比例均以初中及以上人群为高；今年没有放牧过牛羊和今年接触过河流、水沟或田地里的水的人数占调查人数的比例以初中及以上人群为高，今年曾经在田地里种过菜或割过草的人数占调查人数的比例以小学文化人群为高；认为血吸虫病可以预防的人数占调查人数的比例以初中及以上人群为高；曾有血吸虫病病史的人数占调查人数的比例以不识字人群为高。 结论  社会经济文化水平对鹤庆县高原山区血吸虫病流行区居民的健康素养有一定的影响，今后如何做到防治策略和措施与社会经济发展同步，是血吸虫病流行区在制定策略和措施时必须认真探索的问题。

关键词: 血吸虫病, 健康素养, 调查分析, 高原山区, 云南鹤庆

Abstract:

Objective  To understand the factors affecting acquisition of health literacy on schistosomiasis prevention and control in population living in the plateau mountainous endemic areas of Yunann Province. Methods  By random sampling, we conducted a questionnaire survey on the villagers, aged from 6 to 65 years old, living in the plateau and canyon basin with endemic schistosomiasis in two administrative villages of Xidian and Moguang in Jingdun of Heqing County in order to understand their knowledge level of and attitudes towards and behavior against schistosomiasis prevention and control. Indirect haemagglutination (IHA) test was applied to all subjects for informative status of infection with schistosomiasis. Results  Villagers without history of schistosomiasis infection had higher correct response rate on knowledge towards schistosomiasis prevention and control, and better practiced feeding livestock in captivity than their counterparts. The percentage, with regard to the conception of ‘contacting-the-infected-water-can-catch-schistosomiasis’, ‘cattle-can-transmit-schistosomiasis’ and ‘good-practice-to-feed-domestic-animals-in-captivity’, was higher in annual family income equal or over 1 500 RMB yuan, equal or over 3 000 RMB yuan(for the latter two items),respectively. The population with junior middle school education or above had better knowledge towards schistosomiasis, transmission of this disease by cattle and health related risk factors of schistosomiasis. The experience of vegetable planting and grass cutting in the same year of our survey was highly associated with population with only primary schooling or above, and those with junior middle school education were better knowledgeable on schistosomiasis prevention. In addition, illiteracy had higher percentage in subjects with a history of schistosomiasis. Conclusion  Development of social economic and educational levels may affect the health literacy on schistosomiasis prevention and control in population living in the plateau mountainous endemic areas. This suggests that planning the preventive strategies and measures shall be commensurable with the local social economic status, and it is also a issue worthy of serious consideration in coming policy making in specific endemic area.

Key words: Schistosomiasis, Health literacy, Investigation and analysis, Plateau mountainous area, Heqing, Yunnan