| 基于重复测量分析的包虫病健康教育效果评价 |
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| 引用本文： | 余红梅1,杨义1,赵俊生2,刘磊3,卿胡兵4,许靖1,肖洁1. 基于重复测量分析的包虫病健康教育效果评价[J]. 现代预防医学, 2020, 0(1): 106-109 |
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| 作者姓名： | 余红梅1 杨义1 赵俊生2 刘磊3 卿胡兵4 许靖1 肖洁1 |
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| 作者单位： | 1.成都中医药大学,四川 成都 611137;2.甘孜藏族自治州卫生健康委,四川 甘孜州藏区自治区 626000;3.四川省骨科医院,四川 成都 610041;4.甘孜藏族自治州疾病预防控制中心,四川 甘孜州藏区自治区 626000 |
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| 摘 要： | 目的 分析不同项目对不同人群的包虫病防治知识知晓率、健康行为养成率的干预效果,为实行分类健康教育提供参考依据。方法 利用甘孜藏族自治州包虫病综合防治监测点信息管理系统,提取2014-2017年资料。基于类实验设计,运用SPSS 23.0对健康教育效果进行双因素（时间和处理因素）重复测量方差分析。结果 处理和时间不存在交互作用（P<0.05）。2017年干部、中小学生、僧侣和农牧民在包虫病防治知识知晓率分别为90.66%、90.14%、86.06%和86.22%,组间差异无统计学意义（P<0.05）。随着时间推移,干部、中小学生、僧侣和农牧民的包虫病防治知识知晓率和健康行为养成率均显著提高（F=12.36, F=14.89, F=12.29, F=10.03, P＜0.01）。试点乡中小学生和农牧民在各时间点上的知晓率均显著高于对照乡（F=8.89, F=8.97, P<0.05）,试点乡僧侣和农牧民在各时间点上的健康行为养成率也均显著高于对照乡（F=10.17, F=8.34, P<0.05）。干部、中小学生和农牧民的包虫病防治知识知晓率与健康行为养成率均呈显著正相关（r=0.62, r=0.55, r=0.34, P<0.05）。结论 中小学生和干部的干预效果具有正外部性,可将健康的生活理念、知识和行为主动传播给其他人群。农牧民为减轻包虫病的疾病负担和经济负担,参与专项健康教育的主动性强,配合度高,健康教育效果明显。为提高群众参与包虫病防治工作的成效,注重发挥中介效应,即对健康教育认同程度,以促进认知向健康行为的转变。
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| 关 键 词： | 包虫病 健康教育 效果评价 重复测量 类实验 |
Effect of health education on echinococcosis based on repeated measure analysis |
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| YU Hong-mei,YANG Yi,ZHAO Jun-sheng,LIU Lei,QING Hu-bing,XU Jing,XIAO Jie. Effect of health education on echinococcosis based on repeated measure analysis[J]. Modern Preventive Medicine, 2020, 0(1): 106-109 |
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| Authors: | YU Hong-mei YANG Yi ZHAO Jun-sheng LIU Lei QING Hu-bing XU Jing XIAO Jie |
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| Affiliation: | *Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 611137, China |
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| Abstract: | Objective To compare the intervention effect of different health education items on the awareness rate of echinococcosis control and prevention and the incidence of health behaviors, and to offer a reference for the implementation of classified health education. [WTHZ]Methods [WTBZ]The first-hand data of health education in 2014 (before the intervention) and from 2015 to 2017 (after the intervention) was extracted from the Echinococcosis Comprehensive Control and Prevention Monitoring database of Ganzi Tibetan Autonomous Prefecture. Two-factor repeated measures analysis of variance was used to analyze the difference in pre and post-intervention. [WTHZ]Results [WTBZ]There was no interaction between intervention and time. In 2017, the awareness rates among cadres, primary and middle school students, monks as well as farmers and herdsmen were 90.66%, 90.14%, 86.06% and 86.22%, respectively. There were no significant differences between the four groups. The awareness rates among four groups after the intervention were significantly higher in 2017, compared with the period before the intervention (F=12.36, F=14.89, F=12.29, F=10.03, P<0.01). The awareness rates of primary and middle school students, as well as farmers and herdsmen in the intervention group, were significantly higher, compared with control group during the experiment (F=8.89, F=8.97, P<0.05). The incidences of health behavior of monks as well as farmers and herdsmen in the intervention group were significantly higher, compared with control group during the experiment (F=10.17, F=8.34, P<0.05). The incidence of health behavior was positively significantly associated with the awareness rate (r=0.62, r=0.55, r=0.34, P<0.05). [WTHZ]Conclusion [WTBZ]There has a positive externality for the intervention effect of primary and middle school students and cadres. Due to the high demand of health education of farmers and herdsmen, they had active coordinate with the implementing of intervention, and significant effect was found. In order to transform cognition to behavior, the intermediary effect of identification should play a vital role in echinococcosis health education. |
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| Keywords: | Echinococcosis Health education Effect evaluation Repeated measure Quasi-experiment |
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