云南省西双版纳州景洪市居民登革热认知现状初步研究

A preliminary study on the current awareness of dengue fever in residents of Jinghong,Xishuangbanna prefecture,Yunnan province,China

目的了解云南省西双版纳傣族自治州(西双版纳州)景洪市居民对登革热认知现状,为登革热精准应对机制建立和可持续控制提供科学依据。方法2019年在景洪市登革热防控网格中随机选取代表性网格,对网格中居民采用一对一问答方式开展问卷调查。利用SPSS 20.0软件进行统计分析。结果共收回有效问卷249份。χ2分析显示,城市居民较农村居民更为关注登革热相关知识(χ^2=12.444,P=0.040);教育系统工作人员、较高学历者更为关注蚊虫防制相关知识。如不慎感染登革热后,不同职业、不同月平均收入水平及不同文化程度的居民选择的就医方式不同,高学历者、高收入者和教育系统人员更倾向于去三甲医院就诊。城市居民认为自身周围登革热感染者多于农村居民;高学历者认为自身掌握登革热防控知识足够者多于学历较低者。二分类非条件logistic回归分析显示,不同年龄、不同学历和现居地的居民使用新媒体获取登革热防控知识水平方面存在差异。结论西双版纳州景洪市高年龄组人群、农村居民、低学历者、低收入者的登革热认知水平相对较低。建议今后当地登革热精准应对机制的建立和登革热科学防控应重点关注上述人群。

Objective To investigate the current status of residents’awareness of dengue in Jinghong,Xishuangbanna Dai autonomous prefecture(Xishuangbanna prefecture),Yunnan province,China,and to provide a scientific basis for the establishment of accurate response mechanism and the sustainable control of dengue.Methods A representative grid was selected randomly from the grids with dengue prevention and control during the period of dengue outbreak in Jinghong in 2019.A questionnaire survey was conducted among the residents in the grid in a one-to-one question-and-answer manner.SPSS 20.0 statistical software was adopted for the statistical analysis.Results A total of 249 valid questionnaires were collected.The chi-square analysis revealed that urban residents paid more attention to dengue-related knowledge than rural residents(χ^2=12.444,P=0.040).The education system staff and the highly educated ones paid more attention to the knowledge of mosquito control.Residents with different occupations,monthly average income levels,and levels of education chose different ways of seeking medical treatment if they were inadvertently infected with dengue.The highly educated ones,those high-income earners,and the education system staff were more inclined to go to the grade A tertiary hospitals.Urban residents held the view that there were more dengue infections around themselves than around rural residents.The highly educated population had a higher proportion of people who thought they had enough knowledge of dengue prevention and control than the less educated population.The results of unconditional logistic regression analysis demonstrated that residents with different ages,levels of education,and current places of residence showed different abilities to use new media to acquire knowledge about dengue prevention and control.Conclusion In Jinghong,Xishuangbanna prefecture,the elderly,the rural residents,the less educated people,and the low-income earners had a relatively low level of awareness of dengue.It is suggested that in future,the above-mentioned populations should be focused on in the establishment of local accurate response mechanism and the scientific prevention and control of dengue.