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目的了解长江沿岸武警某部官兵血防知识、态度和行为情况,并调查血吸虫感染情况,为制定武警部队血防措施提供参考依据。方法对江苏长江沿岸武警某部官兵进行问卷调查,调查内容包括社会人口学资料、血吸虫病防治知识、态度和行为方式,并对所有调查对象进行查病。结果 2个调查点共调查376人。血防知识总及格率72.87%,不同年龄组官兵血防知识及格率差异无统计学意义(χ~2=0.26,P>0.05),流行区官兵的及格率显著高于非流行区(χ~2=4.71,P<0.05);干部的及格率显著高于普通士兵(χ~2=4.21,P<0.05);初中、高中、大专、本科及以上官兵的及格率依次递增,差异有统计学意义(χ~2=8.16,P<0.05)。官兵防治态度积极者占93.88%。接触疫水的行为方式中,训练占17.55%,参加任务(如抗洪抢险、水上作业)占86.44%。下水时,采取防护措施的行为发生率为52.93%。防治知识及格组官兵的防护措施行为发生率显著高于不及格组官兵(χ~2=10.55,P<0.05)。2个营区内粪便都经过无害化处理。376名官兵的血检阳性率为0.53%,血检阳性者病原学检查结果均为阴性。结论长江沿岸武警部队血吸虫病防治知识及正确行为整体水平有待提高,加强血吸虫病健康教育及推行行为干预是部队血吸虫病防治工作的关键。
Objective To understand the knowledge, attitude and behavior of blood arsenic defense among officers and soldiers of a certain armed police force along the Yangtze River and to investigate the status of schistosomiasis infection and provide a reference for formulating the blood-prevention measures of Armed Police Forces. Methods A questionnaire survey was conducted among officers and soldiers of a certain armed police force along the Yangtze River in Jiangsu Province. The survey included socio-demographic data, knowledge of prevention and treatment of schistosomiasis, attitudes and behavior patterns, and conducted a survey on all the investigated subjects. Results A total of 376 surveyed 2 investigation points. The overall pass rate of blood-borne knowledge was 72.87%. There was no significant difference in the knowledge of passing rate among the officers and men in different age groups (χ ~ 2 = 0.26, P> 0.05). The passing rate of officers and soldiers in prevalence areas was significantly higher than that of non-endemic areas 4.71, P <0.05). The passing rate of cadres was significantly higher than that of ordinary soldiers (χ ~ 2 = 4.21, P <0.05). The passing rate of junior middle school, high school, college, undergraduate and above officers increased in sequence with statistically significant difference χ ~ 2 = 8.16, P <0.05). Officers and soldiers have 93.88% of active participants in prevention and treatment. Among the behavior patterns of contact with water, training accounted for 17.55%, and 86.44% of them participated in the task (such as flood fighting and rescue and water-related work). When launching, the incidence of protective measures was 52.93%. Prevention and treatment of knowledge group of officers and men of protective measures and behavior was significantly higher than the failure of officers and men (χ ~ 2 = 10.55, P <0.05). Two battalions of the excreta have been innocuous. 376 officers and men’s blood test positive rate was 0.53%, blood tests positive etiology test results were negative. Conclusion The prevention and treatment of schistosomiasis in the Armed Police Forces along the Yangtze River and the overall level of correct behavior need to be improved. To improve the health education of schistosomiasis and to promote behavioral intervention is the key to prevention and control of schistosomiasis.