CAJ | 학술논문

目的评价山东省地方性氟中毒健康教育效果,为制订防治策略提供依据.方法 2010年12月至2011年6月,根据历史病情,在山东省选择19个县(市、区),每个项目县选择3个乡(镇),在每个乡(镇)中心小学4～6年级开展健康教育活动；每个项目乡(镇)选择3个村,开展社区健康教育活动.在健康教育活动前后,在每个乡(镇)的中心小学抽取5年级学生30名,在每所学校所在地抽取15名家庭主妇,进行饮水型氟中毒防治知识的健康教育问卷调查.结果健康教育干预后,小学生与家庭主妇的地方性氟中毒防治知识知晓率分别为96.53％(5482/5679)和94.88％(3501/3690),均较干预前[62.31％(5154/8271)和76.91％(2815/3660)]显著提高(x2值分别为2176.50、490.58,P均＜0.01),小学生和家庭主妇的防治知识知晓率分别提高了34.22和17.97个百分点.结论地方性氟中毒健康教育活动可显著提高目标人群的知识知晓率,对今后的防治工作将会起到积极的推动作用.
목적 평개산동성지방성불중독건강교육효과,위제정방치책략제공의거.방법 2010년12월지2011년6월,근거역사병정,재산동성선택19개현(시、구),매개항목현선택3개향(진),재매개향(진)중심소학4～6년급개전건강교육활동；매개항목향(진)선택3개촌,개전사구건강교육활동.재건강교육활동전후,재매개향(진)적중심소학추취5년급학생30명,재매소학교소재지추취15명가정주부,진행음수형불중독방치지식적건강교육문권조사.결과 건강교육간예후,소학생여가정주부적지방성불중독방치지식지효솔분별위96.53％(5482/5679)화94.88％(3501/3690),균교간예전[62.31％(5154/8271)화76.91％(2815/3660)]현저제고(x2치분별위2176.50、490.58,P균＜0.01),소학생화가정주부적방치지식지효솔분별제고료34.22화17.97개백분점.결론 지방성불중독건강교육활동가현저제고목표인군적지식지효솔,대금후적방치공작장회기도적겁적추동작용.
Objective To evaluate the effects of a health education project on endemic fluorosis in Shandong Province,and to provide a basis for formulating control strategies.Methods From December 2010 to June 2011,according to historical conditions,a total of 19 counties (cities,districts) of Shandong Province were chosen,and 3 townships (towns) were chosen in each project county.Health educational activities on endemic fluorosis were carried out in the Central Primary School in grade 4 to 6 in each township(town).In each project township(town),3 villages were chosen in each selected township(town) where the health educational activities in the community were carried out.Before and after the health educational activities,surveys on knowledge questionnaire on drinking-water-borne fluorosis control were conducted among 30 students of grade 5 in the Central Primary School and 15 housewives in every school location in each selected township(town).Results After the health educational activities,the knowledge awareness rates of endemic fluorosis control of the students and housewives were 96.53％ (5482/5679) and 94.88％ (3501/3690),respectively,and increased significantly compared with those before intervention [62.31％ (5154/8271) and 76.91％ (2815/3660)],and the difference was statistically significant (x2 =2176.50,490.58,all P ＜ 0.01).Among the primary school students and housewives,the knowledge awareness rates of endemic fluorosis control were increased by 34.22％ and 17.97％,respectively.Conclusions Health education activities on endemic fluorosis can significantly improve the knowledge awareness of target population,which will play a positive role in promoting prevention and control of endemic fluorosis.