2009年四川省阿坝州大骨节病病区居民大骨节病认知调查

A study of Kaschin-Beck disease perception among residents in Aba Kaschin-Beck disease areas in 2009

目的 了解阿坝州大骨节病病区居民对大骨节病的认知情况.方法 2009年,采用分层整群随机抽样的方法,在四川省阿坝州大骨节病病区抽取13个村作为调查点,调查居民的一般人口学特征、大骨节病患病情况、认知情况.结果 共计调查了1007名居民,大骨节病知识回答正确率为36.7%（7361/20 080）,女性[40.2%（4427/11012）]高于男性[32.3%（2934/9084）,x2=134.80,P＜0.05];50年龄组[42.5%（2789/6562）],藏族[42.8%（6775/15829）],半农半牧区居民[47.2%（5777/12239）],务农[42.6%（4585/10762）]、丧失劳动力[42.7%（1487/3482）]、无业[42.8%（941/2199）],已婚[41.6%（6067/14584）],大骨节病患者[47.6%（4585/9632）]回答正确率相对较高（x2值分别为92.41、148.04、578.56、116.35、36.96、371.29,P均＜0.05）.63.9%（978/1530）通过医疗卫生人员获取大骨节病相关知识.结论 阿坝州病区居民对大骨节病的认知现况不容乐观,不同人口学特征人群其认知率差异明显.应针对不同特征人群制订有针对性的健康教育策略和措施.

Objective To find out the perception status of Kaschin-Beck disease（KBD）-related knowledge among residents in Aba KBD areas. Methods In 2009, hierarchical clustering random sampling method was used to select 13 villages as survey points in Aba KBD areas, general demographic characteristics, KBD prevalence and KBD-related knowledge of residents were investigated. Results Of the residents investigated, the understanding rate of KBD-related knowledge was 36.7% （7361/20 080）, understanding rate among female [40.2% （4427/11012） ]was high than that of male[32.3%（2934/9084）, x2 = 134.80, P 〈 0.05];50-year group[42.5%（2789/6562] was higher than others;Tibetan [42.8% （6775/15829）] was higher than other nationals;residents in Semi-agricultural and semi-pastoral areas [47.2% （5777/12239）] was higher than people in other areas ;farmer [42.6% （4585/10762） ],people who lost labor ability [42.7% （1487/3482）] and the unemployed [42.8% （941/2199） ] was higher;married people[41.6%（6067/14584）] was higher;KBD patients[47.6%（4585/9632）] was higher[x2 = 92.41,148.04,578.56,116.35,36.96,371.29 respectively, all P 〈 0.05]. Sixty three point nine persent （978/1530） acquired KBD knowledge through explaination by medical and health personnel. Conclusions The current situation of perception of KBD-related knowledge among residents in Aba KBD areas is not optimistic. Understanding rate among residents with different demographic characteristics is significantly different. Targeted health education strategies and measures should be developed among different population groups.