CAJ | 학술논문

目的评价河南省地方病防治健康教育干预效果。方法按照《河南省地方病防治项目健康教育技术方案》要求，抽取147个县（市、区）作为项目县，确定目标人群，采用问卷方式进行地方病知识知晓率基线调查，然后在项目县、乡、村、学校开展健康教育干预活动并评价干预效果。结果在全省147个县（市、区）基线调查11720名家庭主妇和23548名小学生，效果评价8370名家庭主妇和16169名小学生。干预后，重点地方病知识知晓率小学生从60.76%提高到93.35%（χ2=5296.01，P<0.001），家庭主妇从65.56%提高到89.87%（χ2=1567.65，P<0.001）；其中碘缺乏病、饮水型氟中毒、克山病、大骨节病等防治知识知晓率均有显著提高。结论健康教育对提高病区群众地方病防治知识知晓率效果明显，今后应继续加大健康教育力度，尤其要加强在学校开展地方病防治知识教育工作。
목적평개하남성지방병방치건강교육간예효과。방법안조《하남성지방병방치항목건강교육기술방안》요구，추취147개현（시、구）작위항목현，학정목표인군，채용문권방식진행지방병지식지효솔기선조사，연후재항목현、향、촌、학교개전건강교육간예활동병평개간예효과。결과재전성147개현（시、구）기선조사11720명가정주부화23548명소학생，효과평개8370명가정주부화16169명소학생。간예후，중점지방병지식지효솔소학생종60.76%제고도93.35%（χ2=5296.01，P<0.001），가정주부종65.56%제고도89.87%（χ2=1567.65，P<0.001）；기중전결핍병、음수형불중독、극산병、대골절병등방치지식지효솔균유현저제고。결론건강교육대제고병구군음지방병방치지식지효솔효과명현，금후응계속가대건강교육력도，우기요가강재학교개전지방병방치지식교육공작。
Objective To evaluate the effectiveness of health education on endemic diseases in Henan province.Methods According to“the Education Program for Endemic Diseases Control in 2008 Henan province”, 147 counties with endemic diseases were chosen., Pulils and housewives were target population. Baseline survey on their knowledge on endemic diseases was conducted by questionnaive, the intervention effectiveness was evaluated after teaching them the knowledge of endemic diseases.Results In the baseline survey 23548 pupils and 11720 housewives were investiged and 16169 pupils and 8370 housewives were surveyed for effectiveness evaluation. The study showed that after this education , pupils’knowledge about endemic diseases increase from 60.76% to 93.35%; housewives’increased from 65.56% to 89.87%. At the same time, the people’ knowledge about IDD, endemicfluorosis , keshan disease and kashin-Beck disease were significantly increased.Conclusion Health education was noticeablely effetive in enhancing people’s awareness of endemic diseases control. Health education should be strengthened with focus in school in the future.