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初级中学突发传染性肺结核疫情风险传播干预研究
引用本文:马剑平,朱闵敏,郭旭君,王健.初级中学突发传染性肺结核疫情风险传播干预研究[J].中国社会医学杂志,2014,31(6):431-434.
作者姓名:马剑平  朱闵敏  郭旭君  王健
作者单位:深圳市南山区慢性病防治院,广东深圳,518054
基金项目:深圳市科技创新委员会项目
摘    要:目的 评估风险传播在学校肺结核疫情处置中的有效性.方法 对出现疫情的中学随机接受风险传播干预或常规疫情处置.采用问卷调查方式评估效果,主要指标采用倍差模型(DID)分析方法校正其他变量.结果 经干预后,风险传播干预组总体知晓率由43.7%提高到52.8%,提高幅度较对照组高4.7分(P=0.032);肺结核易感性和威胁性认知得分上升,升幅较对照组小(两组差值分别为-0.29和-0.06分);外部病耻感、内部病耻感得分均呈下降趋势(前后差异分别为0.27分、0.29分),降幅较对照组多,但差异无统计学意义(P=0.681,P=0.748);总负面情绪得分呈上升趋势,但上升幅度与对照组比较差异无统计学意义(P=0.122).结论 风险传播方法提高了学生肺结核防治知识,可减缓对肺结核易感性和威胁性的过度认知、降低病耻感,有助于疫情处置的开展.

关 键 词:肺结核  风险传播  风险认知  病耻感  学校

Intervention Study on Risk Communication of Emergency of Infectious Tuberculosis at Middle Schools
MA Jianping,ZHU Minmin,GUO Xujun,WANG Jian.Intervention Study on Risk Communication of Emergency of Infectious Tuberculosis at Middle Schools[J].Chinese Journal of Social Medicine,2014,31(6):431-434.
Authors:MA Jianping  ZHU Minmin  GUO Xujun  WANG Jian
Institution:, et al.( Nanshan Center for Chronic Disease Control in Shenzhen City, Shenzhen, 518054, China)
Abstract:Objectives To assess the effect of risk communication on tuberculosis (TB) epidemic at the schools. Methods The schools with emerging TB cases were randomized to receive risk communication intervention or conventional epidemic disposal. Questionnaire survey was used to evaluate intervention effects, and the primary results were analyzed by the DID statistical method, adjusting for other covariates. Results In the risk communication intervention group, the general awareness rate increased from 43.7% to 52.8%, with a mean change of 4.7 percent points, which was higher than the control group (P=0. 032). The scores of perceived vulnerability and perceivedthreat to TB increased, but the increases were smaller than those in the control group (mean differences of change were-0.29, -0.06, respectively). The scores of both external and internal stigma decreased (before-and-after changes were 0. 27, 0. 29 points, respectively), with a faster decreased trend, compared with the control group, however the differences were not statistically significant (P=0. 681, P=0. 748). The score of negative emotions was on the rise (3.19 vs 3.02), with a no significant before-and-after changes (P=0. 122). Conclusions The risk communication improves students' knowledge of TB, and the intervention slows down over-perceived vulnerability and threat to TB and reduces the stigma of TB, it does contribute to the disposal of TB epidemic at the schools.
Keywords:Pulmonary Tuberculosis  Risk communication  Risk perception  Stigma  School
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