中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2013年
2期
220-223
,共4页
曹永琴%王燕玲%窦瑜贵%李洪波%郑菁%孙玮%朱小南
曹永琴%王燕玲%竇瑜貴%李洪波%鄭菁%孫瑋%硃小南
조영금%왕연령%두유귀%리홍파%정정%손위%주소남
碘%甲状腺肿,地方性%健康教育%回族地区
碘%甲狀腺腫,地方性%健康教育%迴族地區
전%갑상선종,지방성%건강교육%회족지구
Iodine%Goiter,endemic%Health education%Hui nationality
目的 评价临夏回族自治州目标人群碘缺乏病健康教育效果.方法 2006-2010年持续对甘肃省临夏回族自治州(临夏州)8个县(市)的碘缺乏病目标人群,分别通过学校和宗教宣传,开展了碘缺乏病健康教育,并在2006(健康教育前)、2010年(健康教育后),采用分层整群抽样方法,对该地5年级小学生和20～ 50岁的育龄妇女,进行碘缺乏病知识知晓情况问卷调查和访谈,评价健康教育效果.结果 健康教育后,学生碘缺乏病知识及格率从健康教育前的55.6％(548/986)上升到了90.0％(1103/1225),对缺碘造成甲状腺肿、智力低下和生傻孩子及碘盐是最好防治方法知晓率分别从79.2％ (781/986)、76.5％(754/986)、51.7％(510/986)和82.3％(811/986)上升到88.8％(1088/1225)、85.6％(1049/1225)、68.7％ (842/1225)和90.0％(1103/1225).健康教育后,学生认为碘缺乏病一定能预防的信念持有率为87.3％ (1069/1225),向父母宣传知识的行为具有率为52.9％(648/1225).育龄妇女知识及格率从健康教育前的18.0％(118/657)上升到了86.2％(687/797),对缺碘造成甲状腺肿、智力低下和生傻孩子及碘盐是最好防治方法的知晓率分别从48.6％ (319/657)、28.3％(186/657)、15.4％(101/657)和39.6％(260/657)上升到86.2％(687/797)、70.0％(558/797)、46.3％(369/797)和87.3％(696/797).健康教育后,育龄妇女自觉购买合格碘盐的行为具有率为87.1％ (694/797),正确食用碘盐的行为具有率为64.6％ (515/797).相关部门人员90％以上知道碘缺乏病相关知识,尤其对缺碘造成的智力危害有了明确的认识,积极支持和参与碘缺乏病的防治.结论 通过学校和宗教为主要的综合健康教育措施,提高了碘缺乏病目标人群的知识知晓率,促进了其自觉购买和食用碘盐的行为、信念和态度的转变,碘缺乏病防治的知、行、信达到了高度统一.通过宗教组织宣传是民族地区健康教育的良好模式,提高了健康教育的可行性和和可及性,其效果更加持久.
目的 評價臨夏迴族自治州目標人群碘缺乏病健康教育效果.方法 2006-2010年持續對甘肅省臨夏迴族自治州(臨夏州)8箇縣(市)的碘缺乏病目標人群,分彆通過學校和宗教宣傳,開展瞭碘缺乏病健康教育,併在2006(健康教育前)、2010年(健康教育後),採用分層整群抽樣方法,對該地5年級小學生和20～ 50歲的育齡婦女,進行碘缺乏病知識知曉情況問捲調查和訪談,評價健康教育效果.結果 健康教育後,學生碘缺乏病知識及格率從健康教育前的55.6％(548/986)上升到瞭90.0％(1103/1225),對缺碘造成甲狀腺腫、智力低下和生傻孩子及碘鹽是最好防治方法知曉率分彆從79.2％ (781/986)、76.5％(754/986)、51.7％(510/986)和82.3％(811/986)上升到88.8％(1088/1225)、85.6％(1049/1225)、68.7％ (842/1225)和90.0％(1103/1225).健康教育後,學生認為碘缺乏病一定能預防的信唸持有率為87.3％ (1069/1225),嚮父母宣傳知識的行為具有率為52.9％(648/1225).育齡婦女知識及格率從健康教育前的18.0％(118/657)上升到瞭86.2％(687/797),對缺碘造成甲狀腺腫、智力低下和生傻孩子及碘鹽是最好防治方法的知曉率分彆從48.6％ (319/657)、28.3％(186/657)、15.4％(101/657)和39.6％(260/657)上升到86.2％(687/797)、70.0％(558/797)、46.3％(369/797)和87.3％(696/797).健康教育後,育齡婦女自覺購買閤格碘鹽的行為具有率為87.1％ (694/797),正確食用碘鹽的行為具有率為64.6％ (515/797).相關部門人員90％以上知道碘缺乏病相關知識,尤其對缺碘造成的智力危害有瞭明確的認識,積極支持和參與碘缺乏病的防治.結論 通過學校和宗教為主要的綜閤健康教育措施,提高瞭碘缺乏病目標人群的知識知曉率,促進瞭其自覺購買和食用碘鹽的行為、信唸和態度的轉變,碘缺乏病防治的知、行、信達到瞭高度統一.通過宗教組織宣傳是民族地區健康教育的良好模式,提高瞭健康教育的可行性和和可及性,其效果更加持久.
목적 평개림하회족자치주목표인군전결핍병건강교육효과.방법 2006-2010년지속대감숙성림하회족자치주(림하주)8개현(시)적전결핍병목표인군,분별통과학교화종교선전,개전료전결핍병건강교육,병재2006(건강교육전)、2010년(건강교육후),채용분층정군추양방법,대해지5년급소학생화20～ 50세적육령부녀,진행전결핍병지식지효정황문권조사화방담,평개건강교육효과.결과 건강교육후,학생전결핍병지식급격솔종건강교육전적55.6％(548/986)상승도료90.0％(1103/1225),대결전조성갑상선종、지력저하화생사해자급전염시최호방치방법지효솔분별종79.2％ (781/986)、76.5％(754/986)、51.7％(510/986)화82.3％(811/986)상승도88.8％(1088/1225)、85.6％(1049/1225)、68.7％ (842/1225)화90.0％(1103/1225).건강교육후,학생인위전결핍병일정능예방적신념지유솔위87.3％ (1069/1225),향부모선전지식적행위구유솔위52.9％(648/1225).육령부녀지식급격솔종건강교육전적18.0％(118/657)상승도료86.2％(687/797),대결전조성갑상선종、지력저하화생사해자급전염시최호방치방법적지효솔분별종48.6％ (319/657)、28.3％(186/657)、15.4％(101/657)화39.6％(260/657)상승도86.2％(687/797)、70.0％(558/797)、46.3％(369/797)화87.3％(696/797).건강교육후,육령부녀자각구매합격전염적행위구유솔위87.1％ (694/797),정학식용전염적행위구유솔위64.6％ (515/797).상관부문인원90％이상지도전결핍병상관지식,우기대결전조성적지력위해유료명학적인식,적겁지지화삼여전결핍병적방치.결론 통과학교화종교위주요적종합건강교육조시,제고료전결핍병목표인군적지식지효솔,촉진료기자각구매화식용전염적행위、신념화태도적전변,전결핍병방치적지、행、신체도료고도통일.통과종교조직선전시민족지구건강교육적량호모식,제고료건강교육적가행성화화가급성,기효과경가지구.
Objective To evaluate the effect of health education on the target population of iodine deficiency disorders (IDD) in Linxia Hui autonomous prefecture.Methods During 2006-2010,IDD health education was carried out in the target population of Linxia Hui autonomous prefecture,and IDD knowledge of 5th grade pupil and 20-50 years old child-bearing women were surveyed by stratified sampling and questionnaire survey methods to evaluate the effect of health education.Results After health education,IDD knowledge passing rate rose from 55.6％ (548/986) and 18.0％(118/657) to 90.0％(1103/1225) and 86.2％(687/797) among pupils and women,respectively.The awareness rates of iodine deficiency in causing goiter,mental retardation and birth born silly children,and the key role of iodized salt in controling IDD were increased from 79.2％ (781/986),76.5％ (754/986),51.7％ (510/986) and 82.3％ (811/986) to 88.8％ (1088/1225),85.6％ (1049/1225),68.7％ (842/1225) and 90.0％ (1103/1225) among pupils,and from 48.6％ (319/657),28.3％ (186/657),15.4％ (101/657) and 39.6％ (260/657) to 86.2％ (687/797),70.0％ (558/797),46.3％ (369/797) and 87.3％ (696/797) among women,and all the difference were significant,respectively.Belief rate held by students that health education can prevent iodine deficiency disorders was 87.3％ (1069/1225),and 52.9％ (648/1225) of the students told their parents about IDD.The rate of consciously purchase of qualified iodized salt was 87.1％ (694/797) after health education among women of childbearing age,and the consumption rate of iodized salt was 64.6％(515/797).More than 90％ of the people in relevant departments knew iodine deficiency disorders related knowledge,in particular,had a clear understanding of intellectual hazards caused by iodine deficiency,and actively supported and participated in health education in the prevention and control of iodine deficiency disorders.Conclusions Comprehensive health education measures taken through schools and religious organizations has promoted a shift in the behavior,beliefs and attitudes of its consciously purchase and consumption of iodized salt,and integrated knowledge,attitude and practice (KAP).It is a good model of health education through religious organizations in ethnic minority areas.It has promoted the health education feasibility and accessibility,and the effect is more durable.
