本文關(guān)鍵詞： 血吸蟲病 流動(dòng)人口 預(yù)防知識(shí) 比較　出處：《現(xiàn)代預(yù)防醫(yī)學(xué)》2014年23期 　論文類型：期刊論文

【摘要】：目的了解流動(dòng)人口血吸蟲病防治知識(shí)知曉及行為情況,為開展流動(dòng)人口血吸蟲病防治提供科學(xué)依據(jù)。方法采用意圖抽樣法在上海市選取來自血吸蟲病流行省份的流動(dòng)人口,采用整群抽樣法在湖南、湖北、江西、安徽、江蘇、四川和云南省的血吸蟲病流行村及上海市選取常住居民。運(yùn)用個(gè)人問卷調(diào)查法調(diào)查個(gè)人基本情況,血吸蟲病基本知識(shí)知曉情況和預(yù)防行為。對(duì)流動(dòng)人口、流出地和流入地常住人口的血吸蟲病防治知識(shí)知曉情況進(jìn)行比較。結(jié)果本次共調(diào)查了1 278名對(duì)象,其中男性62.4%(797/1 278),女性37.6%(481/1 278)。流動(dòng)人口529名,流入地常住人口309名,流出地常住人口440名。流動(dòng)人口關(guān)于知道血吸蟲病(26.1%)、感染原因(31.9%)、疾病危害(39.5%)、病畜(人)糞便傳播血吸蟲病(22.1%)、中間宿主(17.6%)、預(yù)防措施(25.9%)和治療藥物(11.0%)等7項(xiàng)問題的知曉率,較流入地和流出地常住人口的知曉率均低;流動(dòng)人口有關(guān)血吸蟲病預(yù)防行為的野糞(野外用廁)行為(22.9%)、在戶籍地接受血吸蟲病檢查(4.3%)、疫水接觸(28.9%)、遵醫(yī)囑服藥(53.5%)和愿意在務(wù)工地接受血吸蟲病查治(65.8%)等預(yù)防行為,與流入地人群的行為有差異,流動(dòng)人口的行為情況低于流入地人群的情況,其中野糞行為高于流入地人群;自行服藥行為(9.8%)和接觸疫水防護(hù)行為(51.0%)相仿。流動(dòng)人口在戶籍地接受血吸蟲病檢查、疫水接觸、疫水接觸時(shí)防護(hù)行為、自行服藥行為、遵醫(yī)囑服藥和愿意在務(wù)工地接受血吸蟲病查治的行為,與流出地人群的行為情況相比有差異,野糞(野外用廁)行為與流出地人群的相仿。結(jié)論流動(dòng)人口的血吸蟲病基本知識(shí)知曉程度和預(yù)防行為均差于流入地和流出地常住人口的情況,應(yīng)將干預(yù)措施前移,在流出地加強(qiáng)外出人口防治血吸蟲病健康教育和查治措施。
[Abstract]:Objective to understand the knowledge and behavior of schistosomiasis control in floating population, and to provide scientific basis for schistosomiasis control in floating population. Methods the method of intention sampling was used to select the floating population from schistosomiasis endemic provinces in Shanghai. The residents of endemic villages of schistosomiasis in Hunan, Hubei, Jiangxi, Anhui, Jiangsu, Sichuan and Shanghai were selected by cluster sampling method. The basic knowledge and prevention behavior of schistosomiasis were compared among floating population, outflow population and resident population. Results 1 278 subjects were investigated. Among them, 62.4% male, 797% 1278% female, 37.6% 481 / 12 2780.The floating population is 529, and the resident population is 309. The floating population has 440 permanent residents. The floating population is aware of the seven problems of schistosomiasis (schistosomiasis), infection causes, diseases, diseases, diseases, animal (human) faecal transmission, schistosomiasis transmission, intermediate hosts, preventive measures, and therapeutic drugs, 11.0). The awareness rate of resident population is lower than that of floating land and outflow land. The floating population's behavior of preventing schistosomiasis in wild faeces (for outdoor use of toilets) is 22.9. they are examined for schistosomiasis by means of 4.3x in the household register, infected water is exposed to 28.910% of the water, 53.555% of them take medicine in accordance with the doctor's instructions, and they are willing to be checked and treated for schistosomiasis in the workmen's land. The behavior of the floating population is lower than that of the displaced population, and the behavior of wild dung is higher than that of the displaced population. The behavior of self-taking medicine is similar to the behavior of protection against contact with infected water (51.0). The floating population shall undergo schistosomiasis examination, contact with infected water, contact with infected water, and self-medication behavior in the household register. The behavior of taking medicine according to doctor's instructions and being willing to be examined for schistosomiasis at the workplace is different from the behavior of the people in the outflow area. Conclusion the basic knowledge and prevention behavior of schistosomiasis in floating population is worse than that in resident population, so the intervention measures should be moved forward. Strengthen health education and prevention and treatment of schistosomiasis in the outflow area.
【作者單位】： 中國疾病預(yù)防控制中心寄生蟲病預(yù)防控制所 世界衛(wèi)生組織瘧疾、血吸蟲病和絲蟲病合作中心 衛(wèi)生部寄生蟲病原與媒介生物學(xué)重點(diǎn)實(shí)驗(yàn)室;上海市金山區(qū)疾病預(yù)防控制中心;四川省疾病預(yù)防控制中心寄生蟲病預(yù)防控制所;上海市疾病預(yù)防控制中心;
【基金】：上海市衛(wèi)生局科研計(jì)劃課題資助項(xiàng)目(20124405) 上海市加強(qiáng)公共衛(wèi)生體系建設(shè)三年行動(dòng)計(jì)劃
【分類號(hào)】：R184;R532.21

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