湖沼型疫区“无血吸虫感染者学校”健康促进干预模式现场推广应用效果

Application effect of health promotion model of "schools without schistosome infected individuals" in endemic areas of marshland and lake region

目的观察湖沼型疫区"无血吸虫感染者学校"健康促进干预模式的现场推广应用效果。方法选择鄱阳湖区3所重疫区学校为现场,基线调查后采用"信息传播+行为参与+行为激励"的健康促进模式对学生进行干预,比较干预前后学生血防知识和态度、疫水接触频率及血吸虫感染率方面的变化。结果干预后1年,3所学校学生血防知识及格率分别由干预前的8.91%、15.12%、18.56%提高到97.32%、96.04%、98.82%;血防态度正确率分别由干预前的9.90%、15.43%、17.53%提高到98.21%、99.34%、97.65%。干预前3所学校目标人群疫水接触率分别为13.01%、17.00%、22.99%,血吸虫感染率分别为10.89%、6.48%、9.28%;干预后1～3年内未发现疫水接触者和血吸虫感染者。结论"无血吸虫感染者学校"健康促进模式可在湖沼型重疫区推广应用。

After the application of health promotion model of ＂information transmission ＋ action participation ＋ behavior encouragement＂ in 3 schools of high endemic areas of Poyang Lake, the pass rate of knowledge and correct rate of attitude on schistosomiasis control among students were significantly increased, and no individuals contacting infested water or infection were found. It indicates that the health promotion model of ＂ schools without schistosome infectied individuals＂ can be applied in endemic areas of marshland and lake region.