昆山市血防中长期规划健康教育评估报告

Evaluation of health education of medium-and long-term planning of schistosomiasis prevention and control in Kunshan City

目的：评价昆山市血吸虫病健康教育效果，为制定血吸虫病传播阻断后期巩固策略提供依据。方法随机抽查2个乡镇各1个社区、1所中学和1所小学的居民、中学生和小学生，采用访谈和问卷调查方式，调查昆山市中小学校和社区血吸虫病健康教育开展情况，统计分析学生、居民血防知识知晓情况。结果调查了4所学校452名中小学生，学生血吸虫病知识知晓率为98.21%（基本知识知晓率98.42%，预防知识知晓率98.01%）。其中调查小学生220人，小学生血吸虫病知识知晓率为97.21%（基本知识知晓率97.60%，预防知识知晓率96.82%）；调查中学生232人，中学生血吸虫病知识知晓率为99.17%（基本知识知晓率99.20%，预防知识知晓率99.14%）。经检验，中、小学生血吸虫病知识知晓率差异均有统计学意义（χ2基本知识知晓率=13.045，χ2预防知识知晓率=21.796，χ2总体知识知晓率=34.661，P均〈0.001）。4所学校均有血防健康教育教材或教案。调查了2个社区402名居民，居民血防知识知晓率为98.87%。结论昆山市血防健康教育形式多样、效果良好，人群血防知识知晓率达到了预防和控制血吸虫病中长期规划中大于95%的目标要求。

Objective To evaluate the effect of health education on schistosomiasis in Kunshan City,so as to provide the ev？idence for making the consolidating strategy in the late stage of interruption of schistosomiasis transmission. Methods The resi？dents,middle school students and elementary school students were randomly sampled from one community,one middle school and one elementary school of each of two towns and they were investigated with interviews and questionnaires for the implementa？tion of health education on schistosomiasis prevention and control. Results A total of 452 middle school students（232 cases） and primary school students （220 cases） were surveyed. The awareness rate of total schistosomiasis knowledge was 98.21%among the students（the awareness rate of basic schistosomiasis knowledge was 98.42% and the awareness rate of preventive schistosomiasis knowledge was 98.01%）. Among the 220 elementary school students,the awareness rate of total schistosomiasis knowledge was 97.21%（the awareness rate of basic schistosomiasis knowledge was 97.60%and the awareness rate of preventive schistosomiasis knowledge was 96.82%）. Among the 232 middle school students,the awareness rate of total schistosomiasis knowledge was 99.17%（χ2 =34.661,compared with the rate of the elementary school students）[the awareness rate of basic schistosomiasis knowledge was 99.20%（χ2=13.045,compared with the rate of the elementary school students）and the aware？ness rate of preventive schistosomiasis knowledge was 99.14%（χ2 =21.796,compared with the rate of the elementary school students）]. There were significant differences between the elementary school students and middle school students in above？men？tioned awareness rates（all P〈0.001）. There were schistosomiasis health education materials or teaching plans in all the four schools. Among the 402 residents surveyed,the awareness rate of total schistosomiasis knowledge was 98.87%. Conclusion The effect of health education on schistosomiasis prevention and control is very well,and the total awareness rate of schistosomia？sis prevention and control knowledge among the population has reached the goal（more than 95%）of the medium？and long？term planning of schistosomiasis prevention and control in Kunshan City.