哈尔滨市社区居民应对气候变化知识、态度、行为干预效果分析

Evaluation of the effect of intervention on knowledge,attitudes and practice about climate change of community residents in the city of Harbin

目的了解气候变化健康干预前后社区居民对热浪等气候变化的知识、态度、行为(KAP)变化情况,评估干预效果。方法采用多层次单纯随机抽样的方法,分别于气候变化健康干预工作前后,抽取600余名18岁及以上社区居民进行问卷调查,对比干预前后社区居民对热浪知识、态度、行为等改变。应用多元线性回归分析知识、态度、行为的影响因素。结果干预前、后在知识知晓率、态度转变率、行为形成率方面差异均有统计学意义(均P<0.05);年龄、文化程度、锻炼、干预对知识、态度、行为的影响差异均有统计学意义(均P<0.05)。结论年龄、文化程度、是否注重自身健康、干预是知识、态度、行为的影响因素,开展有针对性的气候变化健康干预工作可有效提升高居民对于热浪的正确认知、改善其态度和相关行为。

Objective To understand the knowledge,attitude and practice（ KAP） changes about climate change such as heat waves of community residents,and to evaluate the effect of the intervention. Methods The method of the multi- level simple random sampling was used in more than 600 community residents aged 18 years and over,and the questionnaire were used to them before and after the climate change when the intervention was carried out. The knowledge,attitude,practice and scores were investigated before and after the intervention respectively. Multivariate linear regression was used to analyze the influence factors of knowledge,attitude and practice. Results The knowledge awareness,attitude change and behavior formation rate were statistically significant before and after intervention（ P〈0. 05）,the influence of age,culture level,exercise,intervention on knowledge,attitude and behavior had statistical difference（ P〈0. 05）. Conclusion The factors affecting knowledge,attitude,practice are age, culture level, whether to pay attention to their health,and intervention,to carry out targeted health interventions work on climate change can effectively improve the correct cognition,improve their attitude and relevant behavior to heat.