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海南省东方市上山黎族人群疟疾相关KAP分析

Knowledge, attitude and practice about malaria among population working in mountainous areas from Dongfang city, Hainan province

  • 摘要: 目的 了解海南省东方市上山人群疟疾相关知识、态度及行为(KAP)情况,为相关干预提供依据。方法 随机选择东方市2008-2010年疟疾发病较多且历年上山人群较多的农场和乡镇各1个,对上山人群进行疟疾相关KAP问卷调查。结果 共调查379人,年龄16~50岁,青壮年占73.88%,均为黎族,其中男性181人,占47.76%,女性198人,占52.24%,平时交流用海南语6人,占1.58%,黎族语373人,占98.42%;知晓疟疾传播途径人员占77.84%,知晓疟疾症状人员占84.17%;上山过夜不防蚊咬占62.90%;不同文化水平组间知晓疟疾主要症状率差异无统计学意义(χ2=0.825,P=0.662),知晓疟疾传播途径率差异有统计学意义(χ2=16.663,P<0.001)。结论 东方市上山人群对疟疾的预防重视程度不足,缺乏良好的疟防态度及行为,控制和改变上山人群的危险因素及行为应为以后工作重点。

     

    Abstract: Objective To examine the status of knowledge,attitude and practice(KAP) about malaria among population working in mountainous areas from Dongfang city of Hainan province and to provide baseline data for health education and behavior intervention on malaria.Methods A farm and a town with malaria cases during the last three years were randomly selected.A questionnaire survey on KAP about malaria was conducted among the inhabitants with history of working in mountainous area.Results Among the 379 inhabitants(181 men47.76%and 198 women52.24%at ages of 16 to 50 years) surveyed,77.48% knew the transmission route of malaria and 84.17% knew that repeated fever and chill were the common symptoms of malaria.There were significant differences in the usage rate of insecticide-treated mosquito net and the awareness of transmission and behavior of malaria prevention among the inhibitants of different age and education.The awareness rates of typical clinical manifestation of malaria show ed no significant difference among the inhibitants of different education level.Conclusion The KAP about malaria needs to be improved among the inhibitants of Dongfang city working in mountainous area and the education on risk factors of malaria is the keypoint among the inbihitants.

     

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