疾控人员对《丝虫病消除标准》知信行分析

Investigation on Knowledge, Attitude and Practice(KAP)of the Disease Control Staff on the "Criteria for Elimination of Filariasis"

目的了解疾控人员对《丝虫病消除标准》(GB20048-2006)知识、态度和行为现状及影响因素,为标准的执行和修订提供依据。方法以浙江、江苏、安徽三省11家卫生机构的118名疾控人员作为调查对象,采用问卷调查、现场调查与访谈相结合的方式了解其对《标准》知识、态度和行为,并采用χ^2检验对《标准》的知晓和使用的影响因素进行分层分析。结果三省疾控人员员对《标准》知晓率为77.2%,知晓途径主要以国家文件、标准宣贯为主,占比分别为63.6%和26.1%。认为《标准》完全适用和基本适用的比例分别为52.6%和44.7%。调查对象在其开展工作中使用过该《标准》的比例占52.6%,其中是否从事丝虫病防治工作和工作年限作为影响标准使用率的影响因素,单位级别和工作部门作为影响标准应用范围的影响因素。结论三省疾控人员对《标准》的知晓率和使用率不高,对《标准》适用性的态度不容乐观,下一步对《标准》进行修订时因根据影响因素考虑标准的针对性和特异性。

Objective To understand the status and influencing factors of knowledge,attitude and behavior of the"Criteria for elimination of filariasis"(GB20048-2006)among CDC staff,and to provide evidence for the implementation and revision of the standard.Methods A total of 118 disease control staff from 11 health institutions in Zhejiang,Jiangsu and Anhui provinces were selected as survey subjects.The questionnaires,field surveys and interviews were used to understand their knowledge,attitudes and behaviors towards the"Criteria for elimination of filariasis"(WS260-2006).χ^2 test was performed stratify the influencing factors of the knowledge and use of the standards.Results Totally 77.2%participants of CDC staff in the three provinces had known this standard,and the awareness route was mainly based on national documents and standard publicity,accounting for 63.6%and 26.1%respectively.It is considered that the ratios of the"Criteria for elimination of filariasis"are fully applicable and basically applicable are 52.6%and 44.7%,respectively.The proportion of respondents who used this standard in their work accounted for 52.6%.Whether they were engaged in filariasis prevention-related work and working years were the influencing factors of the utilization rate,and the unit level and work department as the influencing factors of the application scope of the impact standard.Conclusion The awarenessrate and utilization rate of disease control staff in the three provinces of the"Criteria for elimination of filariasis"were not high,and the attitude towards the applicability of the Standard was not optimistic.The pertinence and specificity of the Standard should be considered in the next revision of the Standard according to the influencing factors.