贵州、云南四县区居民伤寒、副伤寒防治知识、态度及行为调查

目的了解伤寒、副伤寒高发地区居民的伤寒、副伤寒防治知识、态度和行为现状，为在贵州、云南伤寒、副伤寒高发地区采取干预措施提供参考。方法采用多阶段随机整群抽样方法，在贵州省2县、云南省2县区共抽取96个村小组／居民小组的2400户家庭，每个抽中的调查户采用Kish表法进行调查对象抽样，调查员使用统一问卷调查伤寒、副伤寒相关知识、态度、行为情况。结果4县区居民伤寒、副伤寒知识总知晓率为：贵州开阳县7．87％，贵州平坝县15．04％，云南玉溪市红塔区35．92％，云南澄江县31．09％。云南两县区居民伤寒、副伤寒防治知识的总知晓率均高于贵州两县（P〈0．05）；4个区县均以“20-29岁”组人群总知晓率最高。不同文化程度居民伤寒、副伤寒相关知识、态度、行为存在差异（P〈0．05），文化程度越低，知识知晓率和行为正确率也越低。4区县居民喝生水的比例均较高，对采取何种措施预防伤寒、副伤寒的行为正确率较低。结论4个高发区县的居民普遍缺乏对伤寒、副伤寒疾病及防治知识的了解，在此地区人群中开展伤寒、副伤寒相关知识的健康教育很有必要，对农民、中小学生的健康教育模式需要进一步探讨。

Survey on KAP of typhoid fever and paratyphoid fever among 4 counties/district in Guizhou and Yunnan Provinces

Objective To understand the current situation of knowledge, attitude and practice （KAP） about ty- phoid and paratyphoid fever among the residents living in 4 counties/district with high incidence rate in Guizhou and Yuu- nan Provinces for preparing to make intervention strategies. Methods Two thousand and four hundred households were se- lected from three counties and one district of two provinces by multistage cluster sampling. Kish Grid was used to choose the interviewee randomly from each family and a survey was conducted with uniform questionnaires by investigator. Results The general rates of awareness of typhoid and paratyphoid fever in Kaiyang county, Pingba county, Hongta district and Chengjiang county were 7. 87% , 15.04% , 35.92% and 31.09% respectively. The residents in two counties of Guizhou had poor know/edge than those in two counties of Yunnan （P 〈 0.05 ）. The variation of general awareness rates of residents were significant （ P 〈 0. 05 ） in each county/district. The people of 20 - 29 years old had more knowledge than others. The proportion of related knowledge, attitude, practice varied statistically among the residents with different educational levels （ P 〈 0. 05 ）. The people with lower education level had poor awareness and practice. The proportion of drinking boiled wa- ter was lower in surveyed counties. The total rate of correct practice for typhoid and paratyphoid fever prevention was also lower. Conclusion The residents in three surveyed counties and one district widely lacked relevant knowledge for typhoid fever and paratyphoid fever prevention and treatment. It＇ s necessary to implement health education to residents in the sur- veyed areas and to explore the mode of health education to farmers and students in primary and middle school.