慈溪市散居和幼托儿童看护人手足口病知信行调查

Survey on knowledge,attitude and practice of HFMD among scattered and preschool children minders in Cixi

目的了解慈溪市散居和幼托儿童看护人对手足口病(HFMD)的认知、信念与行为,为防控HFMD提供依据。方法 2017年3—12月采用多阶段随机抽样法,抽取6所托幼机构和6家卫生院进行现场调查;单因素比较采用χ~2检验,多因素分析采用非条件Logistic回归法。结果 1 681份有效问卷中,HFMD的知晓率为64. 49%,态度合格率为78. 76%,行为合格率为74. 00%;看护人知晓率与性别(OR=1. 41)、对象来源(OR=0. 59)、身份(OR=0. 50)、受教育程度(OR=2. 74)、子女手足口患病史(OR=0. 19)等因素相关;看护人态度合格率与对象来源(OR=0. 71)、职业(OR=8. 26)、受教育程度(OR=3. 69)、未成年子女数(OR=0. 48)等因素相关;看护人行为合格率与对象来源(OR=0. 72)、职业(OR=2. 28)、受教育程度(OR=2. 19)等相关。结论慈溪市散居和幼托儿童看护人在部分HFMD知识、态度与行为方面存在一定欠缺,应对薄弱环节开展针对性的健康教育。

Objective To study the knowledge,attitude and practice(KAP)of hand foot and mouth disease(HFMD)among scattered and preschool children minders in Cixi,provide basis for preventing and controlling HFMD.Methods With multi-stage random sampling method,6 kindergartens and 6 health centers were randomly sampled for field investigation.Chi-square test was used to single factor comparison,and non-conditional Logistic regression was used to multiple factors analysis.Results There were 1 681 valid questionnaires,the awareness rate of HFMD was 64.49%,the rate of attitude qualification was 78.76%,and the rate of qualified behavior was 74%.The awareness rate of minders was related with gender(OR=1.41),object source(OR=0.59),identity(OR=0.50),education level(OR=2.74)and the history of children’s HFMD(OR=0.19).The attitude qualification rate of minders was related with the source of object(OR=0.71),occupation(OR=8.26),education level(OR=3.69),and the number of minor children(OR=0.48).The qualified practice rate of minders was related with source of object(OR=0.72),occupation(OR=8.26)and education level(OR=2.19).Conclusion The scattered and preschool children minders in Cixi had some deficiencies in the KAP of HFMD,targeted health education should be provided for the weakness.