贵州少数民族农村地区居民乙肝相关健康行为的结构方程模型分析

发布时间：2018-04-17 07:07

本文选题：少数民族 + 乙肝　；参考：《中国卫生事业管理》2017年01期

【摘要】：目的:了解贵州少数民族农村地区居民乙肝相关知信行现状,并通过结构方程模型分析其对乙肝相关健康行为的作用效应,为制定行为干预措施提供参考。方法:采用多阶段整群抽样,应用自行设计的乙肝流行病学调查问卷,在贵州省少数民族地区随机抽取两个县共2414人进行调查,数据采用SPSS17.0和AMOS22.0进行因子分析及构建结构方程模型。结果:当地居民的乙肝相关知识总知晓率为22.56%,总积极态度率为36.27%,总正确行为率为46.35%,有11.18%的人做过乙肝相关检查,而接种过乙肝疫苗的人仅10.15%。健康重视行为对乙肝相关健康行为的影响最大(总效应为0.43),其次为乙肝基本知识(0.33)、传播途径知识(0.19)和乙肝歧视态度(0.14)。结论:贵州少数民族农村地区居民乙肝相关知信行水平偏低,影响居民乙肝相关健康行为总效应最大的是健康重视行为,应针对居民的行为习惯进行干预并做好宣传教育。
[Abstract]:Objective: to understand the current situation of hepatitis B related knowledge, belief and behavior in rural minority areas of Guizhou, and to analyze its effect on hepatitis B related health behaviors by structural equation model, and to provide reference for formulating behavioral intervention measures.Methods: a total of 2414 people were randomly selected from two counties in minority areas of Guizhou Province with a multi-stage cluster sampling and a self-designed hepatitis B epidemiological questionnaire.The data were analyzed by SPSS17.0 and AMOS22.0 and the structural equation model was constructed.Results: the total knowledge rate of hepatitis B in local residents was 22.566.56, the total positive attitude rate was 36.27, the total correct behavior rate was 46.355.There were 11.18% people who had done hepatitis B related examination, while only 10.15 people who had been vaccinated with hepatitis B vaccine.The health care behavior had the greatest influence on the health behaviors related to hepatitis B (the total effect was 0.43%, followed by 0.33% of the basic knowledge of hepatitis B, 0.19 of the knowledge of transmission route), and the attitude of discrimination towards hepatitis B was 0.14%.Conclusion: the level of knowledge, belief and practice of hepatitis B in rural minority areas of Guizhou is low, and the total effect of affecting the health behavior of residents with hepatitis B is the greatest. Therefore, the intervention should be carried out according to the behavior habits of the residents and the propaganda and education should be done well.
【作者单位】：贵州医科大学公共卫生学院;贵州医科大学医学分子生物学重点实验室;
【基金】：科技部“十二五”国家科技支撑计划“贵州世居少数民族常见疾病早期诊断和干预研究”(编号:2013BAI05B03)
【分类号】：R512.62

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