岳阳市城区小学生血吸虫病防治健康教育现状调查

目的 调查湖南省岳阳市城区小学生血吸虫病防治知识、行为现状及健康教育需求情况，为制定科学有效的小学生血吸虫病健康教育方案提供参考依据。方法 采用分层整群抽样方法，抽取岳阳市城区洞庭湖湖畔学校和中心城区学校各2所，每所再从五、六年级分别抽取2个班的学生，通过调查问卷了解小学生血吸虫病相关知识、预防行为及健康教育需求，并进行统计分析。结果 共调查湖畔小学353人、中心城区小学363人，两组学校小学生年龄、性别、年级构成差异无统计学意义(t=-0.494，χ_性别²=1.615，χ_年级²=2.152;P均>0.05)。学生血吸虫病防治知识总知晓率为42.60%(305/716)，其中，湖畔学校小学生血防知识知晓率(52.97%)高于中心城区(32.51%)，差异有统计学意义(χ²=30.661,P<0.05)；学生行为正确率为76.68%(549/716)，血防知识知晓组行为正确率(81.31%)高于不知晓组(71.24%)，差异有统计学意义(χ²=6...

Investigation on the current situation of schistosomiasis health education in primary students in urban area of Yueyang City

Objective To investigate the current situation of knowledge and behavior towards schistosomiasis prevention and health education needs in students from the primary schools in urban area of Yueyang City, Hunan Province, so as to provide evidence for formulating scientific and effective health education program on schistosomiasis prevention in the primary school students. Methods By stratified cluster sampling, students from four classes were recruited from grade 5 and 6 from two schools, respectively, in the urban area and around the Lake of Yueyang City, and underwent questionnaire survey for the relevant knowledge and behavior towards schistosomiasis prevention as well as health education needs. Then the results were statistically analyzed. Results A total of 353 pupils from primary schools located near the Dongting Lake and 363 pupils in the urban center of Yueyang City underwent the survey. There was no significant difference in the age, gender and grades between students from the two schools (t=-0.494, χ²_gender=1.615, χ²_grade=2.152, both P>0.05). The total knowledge awareness rate of schistosomiasis prevention and control was 42.60% (305/716), and was higher in pupils from the schools located near the Dongting Lake than those from the school in urban center (52.97% vs. 32.51%, χ²=30.661, P<0.05).The total rate of correct preventive behavior was 76.68% (549/716), and the correct rate was higher in students with better knowledge towards schistosomiasis prevention and control than those with poorer awareness (81.31% vs. 71.24%, χ²=6.384, P<0.05).Students' knowledge of schistosomiasis control mostly was from their teachers (47.49%). 91.90% of students were willing to learn more about the knowledge of schistosomiasis control, and their favorite way to learn the knowledge of schistosomiasis prevention and control was to participate in extracurricular activities (50.42%). Conclusion The rate of overall knowledge and preventive behavior towards schistosomiasis prevention and control appears relatively lower in the pupils in Yueyang City, which suggests that it is necessary to improve the health education on schistosomiasis prevention in the students through different means in order to enhance students' awareness of schistosomiasis control and improve their ability in self-protection.