本文關鍵詞： 血吸蟲病 流動人口 預防知識 比較　出處：《現(xiàn)代預防醫(yī)學》2014年23期 　論文類型：期刊論文

【摘要】：目的了解流動人口血吸蟲病防治知識知曉及行為情況,為開展流動人口血吸蟲病防治提供科學依據(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。運用個人問卷調(diào)查法調(diào)查個人基本情況,血吸蟲病基本知識知曉情況和預防行為。對流動人口、流出地和流入地常住人口的血吸蟲病防治知識知曉情況進行比較。結果本次共調(diào)查了1 278名對象,其中男性62.4%(797/1 278),女性37.6%(481/1 278)。流動人口529名,流入地常住人口309名,流出地常住人口440名。流動人口關于知道血吸蟲病(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%)、預防措施(25.9%)和治療藥物(11.0%)等7項問題的知曉率,較流入地和流出地常住人口的知曉率均低;流動人口有關血吸蟲病預防行為的野糞(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%)和愿意在務工地接受血吸蟲病查治(65.8%)等預防行為,與流入地人群的行為有差異,流動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%)和接觸疫水防護行為(51.0%)相仿。流動人口在戶籍地接受血吸蟲病檢查、疫水接觸、疫水接觸時防護行為、自行服藥行為、遵醫(yī)囑服藥和愿意在務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。結論流動人口的血吸蟲病基本知識知曉程度和預防行為均差于流入地和流出地常住人口的情況,應將干預措施前移,在流出地加強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】： 中國疾病預防控制中心寄生蟲病預防控制所 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重點實驗室;上海市金山區(qū)疾病預防控制中心;四川省疾病預防控制中心寄生蟲病預防控制所;上海市疾病預防控制中心;
【基金】：上海市衛(wèi)生局科研計劃課題資助項目(20124405) 上海市加強公共衛(wèi)生體系建設三年行動計劃
【分類號】：R184;R532.21

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