流动人口血吸虫病防治知识及行为分析

发布时间：2018-02-23 21:23

本文关键词： 血吸虫病流动人口预防知识比较　出处：《现代预防医学》2014年23期 　论文类型：期刊论文

【摘要】：目的了解流动人口血吸虫病防治知识知晓及行为情况,为开展流动人口血吸虫病防治提供科学依据。方法采用意图抽样法在上海市选取来自血吸虫病流行省份的流动人口,采用整群抽样法在湖南、湖北、江西、安徽、江苏、四川和云南省的血吸虫病流行村及上海市选取常住居民。运用个人问卷调查法调查个人基本情况,血吸虫病基本知识知晓情况和预防行为。对流动人口、流出地和流入地常住人口的血吸虫病防治知识知晓情况进行比较。结果本次共调查了1 278名对象,其中男性62.4%(797/1 278),女性37.6%(481/1 278)。流动人口529名,流入地常住人口309名,流出地常住人口440名。流动人口关于知道血吸虫病(26.1%)、感染原因(31.9%)、疾病危害(39.5%)、病畜(人)粪便传播血吸虫病(22.1%)、中间宿主(17.6%)、预防措施(25.9%)和治疗药物(11.0%)等7项问题的知晓率,较流入地和流出地常住人口的知晓率均低;流动人口有关血吸虫病预防行为的野粪(野外用厕)行为(22.9%)、在户籍地接受血吸虫病检查(4.3%)、疫水接触(28.9%)、遵医嘱服药(53.5%)和愿意在务工地接受血吸虫病查治(65.8%)等预防行为,与流入地人群的行为有差异,流动人口的行为情况低于流入地人群的情况,其中野粪行为高于流入地人群;自行服药行为(9.8%)和接触疫水防护行为(51.0%)相仿。流动人口在户籍地接受血吸虫病检查、疫水接触、疫水接触时防护行为、自行服药行为、遵医嘱服药和愿意在务工地接受血吸虫病查治的行为,与流出地人群的行为情况相比有差异,野粪(野外用厕)行为与流出地人群的相仿。结论流动人口的血吸虫病基本知识知晓程度和预防行为均差于流入地和流出地常住人口的情况,应将干预措施前移,在流出地加强外出人口防治血吸虫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.
【作者单位】：中国疾病预防控制中心寄生虫病预防控制所世界卫生组织疟疾、血吸虫病和丝虫病合作中心卫生部寄生虫病原与媒介生物学重点实验室;上海市金山区疾病预防控制中心;四川省疾病预防控制中心寄生虫病预防控制所;上海市疾病预防控制中心;
【基金】：上海市卫生局科研计划课题资助项目(20124405) 上海市加强公共卫生体系建设三年行动计划
【分类号】：R184;R532.21

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