CAJ | 학술논문

目的了解阿坝州大骨节病病区居民对大骨节病的认知、态度及其主食大米行为的影响情况，为制订大骨节病防治措施提供依据，为大骨节病防治的相关政策开发提供指导作用。方法 2009年7月，通过等比例分层整群随机抽样的方法选取四川省阿坝州农区、半农办牧区、牧区的大骨节病监测点村，采用自行设计的访谈式问卷，对当地常住居民进行入户问卷调查。问卷内容包括人口和社会经济特征、大骨节病相关知识、饮食习惯，采用多水平方差成分分析的方法研究当地居民主食行为的影响因素。结果共调查常住居民1004名，大骨节病检出率为48.01％(482/1004)，以半农半牧区居民为主(84.44％，407/482)。牧区居民对大骨节病知识的知晓水平最低，知晓情况“一般”与“好”的构成比分别为15.87％(33/208)、3.36％(7/208)。所有调查对象中有93.13％(935/1004)的居民愿意主食大米，且以大米为主食比例的均数为（50.40±23.68）％。民族、工作状况、语言情况、对主食大米的态度这4个因素是主食大米行为的影响因素。结论阿坝州病区居民主食大米意愿的比例仍然不高。要根据民族、工作状况、语言情况、对主食大米的态度有针对性地开展宣传教育工作，预防大骨节病。
목적 료해아패주대골절병병구거민대대골절병적인지、태도급기주식대미행위적영향정황，위제정대골절병방치조시제공의거，위대골절병방치적상관정책개발제공지도작용。방법 2009년7월，통과등비례분층정군수궤추양적방법선취사천성아패주농구、반농판목구、목구적대골절병감측점촌，채용자행설계적방담식문권，대당지상주거민진행입호문권조사。문권내용포괄인구화사회경제특정、대골절병상관지식、음식습관，채용다수평방차성분분석적방법연구당지거민주식행위적영향인소。결과 공조사상주거민1004명，대골절병검출솔위48.01％(482/1004)，이반농반목구거민위주(84.44％，407/482)。목구거민대대골절병지식적지효수평최저，지효정황“일반”여“호”적구성비분별위15.87％(33/208)、3.36％(7/208)。소유조사대상중유93.13％(935/1004)적거민원의주식대미，차이대미위주식비례적균수위（50.40±23.68）％。민족、공작상황、어언정황、대주식대미적태도저4개인소시주식대미행위적영향인소。결론 아패주병구거민주식대미의원적비례잉연불고。요근거민족、공작상황、어언정황、대주식대미적태도유침대성지개전선전교육공작，예방대골절병。
Objective With awareness, attitudes, and rice-intake behavior of Kaschin-Beck disease (KBD) and the analysis of the factors that influence KBD related rice-intake behaviors among resident's in Aba,this research could provide evidences for KBD-Control, and benefit the policy development related to KBD-Control.Methods Villages were chosen by proportional stratified random sampling from KBD monitoring villages among agriculture areas, pastoral areas, and farming & pastoral areas in Aba, Sichuan, in July 2009. Interview questionnaire of household survey, designed by research associates of this project, was used in this research for residents in endemic area of KBD in Aba. The questionnaire covered demographic and socio-economic characteristics, KBD knowledge and diet habits. Multi-level Variance Component Analysis was used to explore factors which would influence the KBD related rice-intake behaviors. Results A total of 1029 permanent residents were recruited in this research, among which the detection rate of KBD was 48.01％ (482/1004). Most of the patients lived in farming & pastoral areas(84.44％, 407/482). Pastoral residents had the least knowledge of KashinBeck disease, and the composition ratios of "General" and "Good" were 15.87％ (33/208)and 3.36％ (7/208),respectively. Still, people who were willing to have rice as staple food were 93.13％(935/1004). It indicated that only (50.40 ± 23.68)％ on average, of research subjects had the life style of rice intake. Ethnic, work status,language situation and attitudes to rice intake were influencing factors for rice-intake behavior. Conclusions The percentage of rice intake in Aba KBD epidemic areas is low. And to prevent KBD, the advocacy actions should be targeted at ethnic, work status, language situation, and attitudes to rice intake.