鄱阳湖血吸虫病流行区居民短期健康教育的效果

EVALUATION OF A SHORT-TERM HEALTH EDUCATION PROGRAMME IN A SCHISTOSOMIASIS HIGHLY ENDEMIC AREA

目的 :研究和探讨血吸虫病防治中健康教育的作用与意义。方法 :选择血吸虫病流行严重的鄱阳湖某洲垸型疫区村居民为研究对象 ,开展以大众传播媒介为手段的短期健康教育宣传 ,从居民血吸虫病防治知识、接触疫水行为和血吸虫感染率三方面分析健康教育的效果。结果 :短期的健康教育活动提高了居民的血吸虫病防治知识和对血吸虫病危害的认识 ,居民生活性和娱乐性接触疫水频率也有所降低 ,但居民接触疫水的行为没有发生根本性的改变 ,化疗后再感染严重。结论 :短期的健康教育能提高居民对防治血吸虫病的认识 ,减少女性人群接触疫水的频率 ,使女性感染率下降。但由于男性人群捕鱼频率高 ,故治疗后再感染严重。

AIM:To assess the effect of health education on the control of schistosomiasis.METH- ODS:A high dam- circle marsh subtype endemic village named Fanhu in Jiangxi Province near Poyang Lake was chosen for carrying out a short- term mass communication health education programme. The effect was evaluated through investigations on knowledge in schistosomiasis control,water- contact frequency and schistosome infection rate pre- and post- education. RE- SULTS:The results showed that such an education programme could improve the target residents knowledge,but the water- contact behavior and schistosome infection rate had not been significantly changed.CONCLUSION:Short- term health education could enhance the residents understanding of schistosomiasis control and decrease the frequency of contacting in- fested water and the infection rate in women.However,the reinfection rate in men remain high because of high frequency of fishing.