长江沿岸武警某部官兵血吸虫病防治知信行及感染情况调查

Investigation on knowledge,attitude,and practice of schistosomiasis prevention and control and infection status in Armed Police Forces stationed along Yangtze River

目的了解长江沿岸武警某部官兵血防知识、态度和行为情况,并调查血吸虫感染情况,为制定武警部队血防措施提供参考依据。方法对江苏长江沿岸武警某部官兵进行问卷调查,调查内容包括社会人口学资料、血吸虫病防治知识、态度和行为方式,并对所有调查对象进行查病。结果 2个调查点共调查376人。血防知识总及格率72.87%,不同年龄组官兵血防知识及格率差异无统计学意义(χ~2=0.26,P>0.05),流行区官兵的及格率显著高于非流行区(χ~2=4.71,P<0.05);干部的及格率显著高于普通士兵(χ~2=4.21,P<0.05);初中、高中、大专、本科及以上官兵的及格率依次递增,差异有统计学意义(χ~2=8.16,P<0.05)。官兵防治态度积极者占93.88%。接触疫水的行为方式中,训练占17.55%,参加任务(如抗洪抢险、水上作业)占86.44%。下水时,采取防护措施的行为发生率为52.93%。防治知识及格组官兵的防护措施行为发生率显著高于不及格组官兵(χ~2=10.55,P<0.05)。2个营区内粪便都经过无害化处理。376名官兵的血检阳性率为0.53%,血检阳性者病原学检查结果均为阴性。结论长江沿岸武警部队血吸虫病防治知识及正确行为整体水平有待提高,加强血吸虫病健康教育及推行行为干预是部队血吸虫病防治工作的关键。

Objective To understand the status of knowledge,attitude,and practice of schistosomiasis prevention and con-trol and infection status in Armed Police Forces stationed along the Yangtze River,so as to provide the reference for formulating the schistosomiasis prevention and control measures in Armed Police Forces. Methods A questionnaire survey was conducted in the Armed Police Forces along the Yangtze River in Jiangsu Province,and the investigation content included social demo-graphic data,schistosomiasis prevention knowledge,attitude and behavior. All the subjects were examined for Schistosoma ja-ponicum infection. Results Totally 376 soldiers were investigated in 2 sites. The total passing rate of schistosomiasis knowl-edge was 72.87%. The passing rate among different age groups had no significant difference（ χ^2 =0.26,P 〉 0.05）. The passing rate of soldiers from endemic areas was significantly higher than that of the soldiers from non-endemic areas（ χ^2 =4.71,P 〈0.05）. The passing rate of officers was significantly higher than that of the soldiers（χ^2 = 4.21,P 〈0.05）. The passing rate of sol-diers with the education levels of junior school,high school,college,undergraduate and above increased gradually,with a sig-nificant difference（ χ^2 =8.16,P 〈 0.05）. The soldiers with positive attitude accounted for 93.88%. Among the water contact be-haviors,training accounted for 17.55% and participating in the task（such as flood fighting and water work）accounted for 86.44%. When launching,the rate of taking protective measures was 52.93%. The rate of taking protective measures in the knowledge passing group was much higher than that in the knowledge failed group（ χ^2 =10.55,P 〈 0.05）. The stool was harm-lessly treated in the two camps. Among 376 soldiers,the positive rate of blood examinations was 0.53%,but the stool examina-tions were all negative. Conclusions The overall level of knowledge and correct behavior of schistosomiasis prevention in the Armed Police Forces along the Yangtze River still should be improved. The better health education and behavior intervention are crucial to schistosomiasis prevention in the army.