湖北省血吸虫病流行区初中生血吸虫病检查情况及其影响因素

目的 了解湖北省血吸虫病流行区初中学生血吸虫病检查情况，分析其影响因素，为初中生血吸虫病防治策略提供参考依据。方法 将湖北省血吸虫疫区分为传播控制区和疫情控制区，随机整群抽取3 204 名初中生进行问卷调查。结果 中学生血吸虫病检查率为62.5%；年龄、疫区类型、血防知识水平、血吸虫病害怕程度以及接受学校、血防工作人员健康教育频次不同的中学生血吸虫病检查率不同，差异有统计学意义（均有P<0.05）；多因素Logistic回归显示疫区类型、血防知识水平和接受学校、血防工作人员健康教育是中学生参与血吸虫病检查的影响因素。结论 湖北省血吸虫病流行区初中学生血吸虫病检查率较低，在传播控制区开展健康教育，特别是血防工作人员健康教育可能是提高中学生血吸虫病检查率的有效途径。

A study on the status and influential factors of schistosomasis screening among middle school students in Hubei Province

Objective To understand the screening rate and its influential factors among middle school students in Hubei Province, so as to provide reference and suggestions for schistosomasis control among middle school students. Methods The schistosoma endemic regions were divided into transmission control area and epidemic control area in Hubei. A total of 3 204 middle school students were selected through stratified cluster random sampling and completed questionnaire. Results The prevalence of schistosomasis screening among middle school students was 62.5%. The prevalence were significantly different among students with different age, types of epidemic area, schistosomasis knowledge scores, level of fear for schistosomasis and health education frequencies (all P<0.05). Multivariance Logistic regression showed that types of epidemic area, schistosomasis knowledge scores and frequency of attending health education by staffs of school and schistosomasis control stations were influential factors. Conclusions The prevalence of schistosomasis screening among middle school students in Hubei Province is low. Health education in transmission control area, especially conducted by staffs of schistosomasis control stations may be effective strategy for improving the prevalence of schistosomasis screening among middle school students.