摘要
目的探索湖北省血吸虫病流行区初中生防护行为自我效能对其接触疫水行为的影响。方法在湖北省血吸虫病传播控制区和疫情控制区,通过整群随机抽样抽取3 204名初中生进行问卷调查。结果中学生最近3个月和最近12个月接触明确有钉螺的水体的行为发生率分别为11.4%(364/3 204)和14.8%(474/3 204),接触不明确有钉螺的水体的行为发生率达23.8%(762/3 204)和28.0%(898/3 204),血防知识及格率为82.1%(2 631/3 204),存在"知行分离"的问题。相关分析及Logistic回归分析显示血吸虫病防护行为自我效能是初中生接触疫水行为的保护因素(调整OR值分别为0.882、0.886、0.914、0.927)。结论初中生血吸虫病防护行为自我效能是接触疫水行为的保护因素,提高初中生自我效能可能是解决"知行分离"问题的有效策略之一。
Objective To explore the impact of self-efficacy on the behavior of contacting schistosome cercarial infested water among middle school students.Methods In the transmission control area and endemic control area of the schistosomiasis endemic regions in Hubei Province,a total of 3 204 middle school students were selected through the stratified cluster random sampling method and investigated by questionnaires.Results The incidence rates of contacting infested water with Oncomelania hupensis snails during the past 3 and 12 months among the middle school students were 11.4%（364/3 204）and 14.8%（474/3 204）respectively,while those of contacting indefinite infested water during the past 3 and 12 months were 23.8%（762/3 204）and 28.0%（898/3 204）respectively.The awareness rate of schistosomiasis prevention and control knowledge was 82.1%（2 631/3 204）.There were＂knowledge-practice separation＂in the prevention and control of schistosomiasis among the middle school students.The correlation analysis and Logistic regression analysis showed that the self-efficacy of schistosomiasis protective behavior of middle school students was a protective factor for contacting with infested water,with the adjusted odds ratio values of0.882,0.886,0.914 and 0.927.Conclusions Self-efficacy of schistosomiasis protective behavior is a protective factor for contacting with infested water among middle school students,and improving their self-efficacy may be an effective strategy to settle the problem of＂knowledge-practice separation＂.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2016年第2期193-195,204,共4页
Chinese Journal of Schistosomiasis Control
关键词
血吸虫病
自我效能
健康教育
疫水
中学生
湖北省
Schistosomiasis
Self-efficacy
Health education
Infested water
Middle school student
Hubei Province
作者简介
彭民金，男，硕士研究生。研究方向：传染病及慢性非传染性疾病流行病学、行为流行病学
通信作者E-mail：yanhmjxr@aliyun．com
