云南省南部农村居民疟防KAP变化影响因素

目的了解云南省南部农村居民疟防知识、态度、行为（KAP）变化的影响因素。方法选择云南省南部4个县，采用分层整群不等比例抽样调查方法，问卷收集居民一般情况、疟防常识知晓、疟防态度及行为习惯等资料，对回答内容进行KAP量化分析。结果农村居民的疟防KAP水平于宣教后呈显著提高，疟防态度改善最为明显（O．8051±0．0050，F=3132．85，P〈0．01），疟防常识知晓得分增幅最小，但仍有统计学意义（0．2046±0．0061，F=29．98，P〈0．01），影响疟防常识知晓变化的主要因素有年龄、文化程度、求医意向、蚊帐拥有及其使用，影响疟防态度变化的主要因素为年龄、疟疾症状知晓、蚊帐拥有及其使用，影响疟防行为变化的主要因素有年龄、文化程度、疟疾症状知晓、蚊帐使用意愿，研究地区农村居民的疟防态度和卫生行为构成不完全依赖疟防常识的积累。结论宣教后，居民的疟防KAP影响因素及其程度发生改变，人类学指标的影响强度增大，疟防常识宣教对人群的正向引导作用明显。

Influence factors on changes of KAP about malaria control in rural residents of southern areas of Yunnan Province

Objective To understand the influence factors on the changes of the knowledge, attitude and practice （KAP） about malaria control in rural residents of southern areas of Yurman Province. Methods Randomly, a questionnaire survey was employed to collect the data about the personal general, knowledge level, attitude and practice about malaria control. The KAP values were analyze＆ Results The KAP levels of population enhanced significantly after the health education. The attitude improved most significantly in the same population from 2003 to 2006（0. 805 1±0. 005 0, F =3 132. 85, P〈0. 01）. The increase of knowledge score was least, but there was still a difference between the scores before and after the education （0. 204 6±0. 006 1, F=29. 98, P〈0. 01）. The main factors influencing the changes of knowledge on malaria control were the age, education levels, intention for medicine, possess net and net usage. The main factors influencing the changes of attitude were the age, understanding malaria symptom, possess net and net usage. The main factors influencing the changes of practice were the age, education levels, understanding of malaria symptom, intend for net usage. The forming of attitude and practice did not only depend on the awareness degrees of malaria control. Conclusions After the health education, the influence factors on KAP about malaria control have changed in rural residents of southern areas of Yunnan Province. The intension of anthropological indexes augments. The health education on malaria control influences thepractice of the residents significantly.