目的调查河南省肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)高发地区(河南省驻马店市正阳县)健康教育前后农村居民HFRS防治知识、态度和行为(knowledge,attitudes and practice,KAP)情况,并评估健康教育干预效果。方法采用分层抽样方法,根据2017年正阳县HFRS发病情况,抽取发病率高、比较高、一般和低的4个乡镇,每乡镇随机抽取3个村,每村随机抽取约50例(18~65岁)农村居民进行干预前后调查,收集并比较干预前后研究对象HFRS防治KAP等情况。结果干预前、后分别调查了597人和612人。干预后调查对象对“HFRS传染源”的知晓率由36.35%提高到68.30%;对“接触鼠排泄物可以感染”的知晓率由36.52%提高到62.09%。"愿意接种疫苗"者由58.12%提高到了77.45%。"储存粮食时加盖且不接触地面和墙面"由24.96%提高到了67.81%、"清理杂物、稻草、麦秸等时戴口罩、手套"由21.94%提高到了54.41%。结论针对性健康教育能明显改善HFRS高发地区农村居民相关KAP,但应进一步探索提高健康教育覆盖率、并促使防治行为发生转变的策略和措施。
Objective To investigate the knowledge, attitudes and practice (KAP) toward prevention of hemorrhagic fever with renal syndrome (HFRS) among rural residents in endemic areas of Henan province, and to evaluate the effectiveness of health education intervention. Methods According to the incidence of HFRS in Zhengyang county in 2017, 4 towns with high incidence, relatively high incidence, general and low incidence, respectively, were selected using stratified sampling method. Three villages were randomly selected from each town, and 50 rural residents aged between 18 and 65 years old were randomly selected from each village. The demographic information of the subjects and their KAP toward HFRS before and after the health education were collected for comparison. Results Before and after the intervention, 597 and 612 subjects were investigated, respectively. The awareness rate for "the infection source of HFRS" increased from 36.35% before the intervention to 68.30% after the intervention while the awareness rate for "contact with rat feces could cause infection" increased from 36.52% to 62.09%. There were 77.45% of participants reported the willingness to accept the vaccine after the intervention, comparing to 58.12% before the intervention. The proportion of "covering the grains and keeping them away from the ground and the wall" increased from 24.96% before the intervention to 67.81% after the intervention. The proportion of "wearing masks and gloves when cleaning up debris, straws, wheat straws, etc." increased from 21.94% to 54.41%. Conclusions The health education can significantly improve KAP toward HFRS among residents in rural areas with high incidence of HFRS. Exploration further on the strategies and measures should be done to improve the coverage of health education and to promote the change of behaviors.
International Journal of Virology
Hemorrhagic fever with renal syndrome