首页|血吸虫病消除进程中的健康教育与健康促进Ⅰ基于社区资源整合的健康教育需求及可用资源调查

血吸虫病消除进程中的健康教育与健康促进Ⅰ基于社区资源整合的健康教育需求及可用资源调查

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目的 分析基于社区资源整合的血吸虫病流行区健康教育需求和可用资源,探索血吸虫病消除阶段健康教育与健康促进的运行路径.方法 选择江西省鄱阳湖区的南昌市新建区南矶乡社区作为调查地点,于2022年6-7月采用面对面询问方式对20岁以上常住居民进行血吸虫病防治(血防)健康教育需求问卷调查.采用现场观察、实地调研及专题访谈对乡属专职机构工作人员、民间组织成员,以及村民、老师和中小学生开展社区血防健康教育可用资源调查.结果 共304人参与社区血防健康教育需求调查,分别有94.41%(287/304)和93.42%(284/304)的调查对象最希望了解/掌握血吸虫形态和血吸虫病传播途径相关知识;最受调查对象欢迎的4种血防健康知识传播方式依次为现场播放血防视频(94.41%,287/304)、平面宣传册(89.80%,273/304)、医生专题讲座(62.50%,190/304)和实物类血防宣传品(61.51%,187/304);认同并接受乡卫生院和乡政府/村委会参与血防健康知识宣传的调查对象占比较高,分别为96.71%(294/304)和77.63%(236/304);居民既往主要通过村里发放宣传册获取血防健康知识[95.72%(291/304)],获取知识的场所主要为血防义诊活动现场[80.59%(245/304)];96.71%(294/304)的调查对象既往曾参与村委会、乡卫生院、中小学校/幼儿园等机构举办的血防健康知识宣传活动,61.25%(177/289)的调查对象愿意参加血防志愿工作.共115人参与社区血防健康教育可用资源调查,调查结果显示,社区具备可用于开展健康传播服务的组织、人力和丰富的文化资源.结论 在血吸虫病流行区,可将社区充足的人力和物力资源与血防健康教育进行资源整合,形成由血防机构-乡镇政府-社区部门-社区居民共同参与的乡村健康教育路径.该路径为未来血防健康教育的开展提供了方向.
Health education and health promotion during the progress towards schisto-somiasis elimination Ⅰ Investigation on health education needs and available re-source based on integration of community resources
Objective To investigate the health education needs and available resources in schistosomiasis-endemic areas based on integration of community resources,and to explore the operation pathways for health education and promotion during the stage of schistosomiasis elimination.Methods A community was selected from Nanji Township,Xinjian District,Nanchang City,Jiangxi Province around the Poyang Lake areas as the study site,and a questionnaire survey on health education needs for schistosomiasis control was conducted among permanent residents at ages of 20 years in the community during the period be-tween June and July,2022 using face-to-face interviews.In addition,the resources available for the community-based schistoso-miasis control health education were investigated among workers in township-level specialized institutions,members of civil soci-ety organizations,villagers,teachers and high and primary school students through field observations,field surveys and thematic interviews.Results A total of 304 individuals participated in the questionnaire survey on community-based health education needs for schistosomiasis control,and 94.41%(287/304)and 93.42%(284/304)of the respondents were most interested in know-ing/understanding knowledge of the morphology of schistosomes and knowledge associated with the transmission route of schisto-somiasis.The four most popular patterns for disseminating schistosomiasis control knowledge included live broadcasting of schis-tosomiasis control videos(94.41%,287/304),printed brochures(89.80%,273/304),special lectures by doctors(62.50%,190/304)and physical health education materials for schistosomiasis control(61.51%,187/304).There were 96.71%(294/304)and 77.63%(236/304)of respondents that accepted the participation of township healthcare center and township government/village committees in dissemination of schistosomiasis control knowledge,and there were 95.72%(291/304)and 80.59%(245/304)of re-spondents that mainly acquired schistosomiasis control knowledge through village allocation of leaflets and volunteer schistosomi-asis control activities,respectively.There was 96.71%(294/304)of respondents participating in the dissemination activities of schistosomiasis control knowledge held by village committees,township healthcare centers,and high and primary schools/kinder-gartens,and 61.25%(177/289)of respondents were willing to participate in volunteer schistosomiasis control activities.A total of 115 individuals participated in the survey of available resources for community-based schistosomiasis control health education,and there were a large number of organizational,human and cultural resources in the community that were useful for health com-munication services.Conclusions The abundant human and material resources from rural communities in schistosomiasis-en-demic areas may be integrated into schistosomiasis control health education to generate a rural health education pathway with the joint participation of schistosomiasis control institutions,township governments,community departments and community resi-dents,which may provide insights into the future development of schistosomiasis control health education.

SchistosomiasisHealth educationHealth promotionResource integrationPoyang Lake area

张晶、李兰、曹淳力、谢曙英、谌俊江、刘跃民、谢华、胡飞

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江西省寄生虫病防治研究所(江西南昌 330096)

江西省妇幼保健院

传染病溯源预警与智能决策全国重点实验室、中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心)、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、科技部国家级热带病国际联合研究中心

血吸虫病 健康教育 健康促进 资源整合 鄱阳湖区

2024

中国血吸虫病防治杂志
中华预防医学会,江苏省血吸虫病防治研究所

中国血吸虫病防治杂志

CSTPCD北大核心
影响因子:1.405
ISSN:1005-6661
年,卷(期):2024.36(6)