农村地区育龄人群生殖道感染性/传播疾病的健康教育效果评价

张彤; 吴艳乔; 王艳萍; 赵更力; 殷菲; 陈明惠

Abstract

张彤,吴艳乔,王艳萍,赵更力,殷菲,陈明惠.农村地区育龄人群生殖道感染性/传播疾病的健康教育效果评价[J].Chinese journal of Epidemiology,2003,24(10):908-912

农村地区育龄人群生殖道感染性/传播疾病的健康教育效果评价

Ef fects of a comprehensive health education program on reproductive tract infections sexually transmitteddiseases intervention among reproductive age population in the rural areas of China

Received:April 17, 2003

DOI：

KeyWord: 生殖道感染性传播疾病健康教育干预

English Key Word: Reproductiv e tract infections Sex ually transmitted diseases Health educatio n Intervention

FundProject:

Author Name	Affiliation
ZHANG Tong	Center for Maternal and Child Health, Chinese Center for Disease Control and Prevention, Beijing 100083, China
WU Yan-qiao	四川大学华西第二医院信息管理部
WANG Yan-ping	全国妇幼卫生监测办公室
ZHAO Geng-li	北京大学妇婴保健中心
YIN Fei	四川大学公共卫生学院卫生统计教研室
CHEN Ming-hui	四川大学公共卫生学院儿少卫生教研室

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Abstract:

目的评价综合性健康教育措施对农村地区育龄人群的生殖道感染性传播疾病知识的改善效果。方法资料来源于1998～2002年实施的生殖健康计划生育国际合作项目。利用准人群试验设计,从32个项目县中选择6个县作为干预组。选择人口和经济状况与项目县类似的6个县作为对照组。采用结构式问卷共访谈<3岁儿童的母亲和<35岁男性青年675名,干预组和对照组各为367名和308名。利用logistic回归模型分析项目地区和非项目地区目标人群在生殖健康计划生育知识的差异,并用OR值反映差异的大小。结果经过18个月的综合性健康教育干预后,干预组在生殖道感染性传播疾病的传播途径、危害、症状、处理和预防五个方面的知晓率明显高于对照组。logistic回归分析表明,在控制人口学特征因素后,干预措施与调查对象在传播途径、健康危害、症状、得病后的处理和预防五个方面的知识相关,OR值的95%CI分别为2.4～6.4、2.0～4.8、3.0～6.4、1.9～5.7和1.8～6.8。文化程度是影响目标人群掌握生殖道感染性传播疾病知识一个重要因素。结论综合性健康教育可提高目标人群的生殖道感染性传播疾病的知晓率

English Abstract:

Objective　To evaluate the effectiveness on comprehensive health education intervention prog ram regarding reproductive tract infections sexually transmitted diseases (RTIs STDs) among reproductiv e age population in the rural areas of China.Methods 　Data were generated from the Reproductive Health Family Planning Project implemented by the State Family Planning Committee and the Ministry o f Health from 1998 to 2002, which covered 32 counties in 22 provinces.A quasi-experimental design was used.Six counties were selected from 32 pro ject counties as intervention g roup, while 6 nonproject counties were taken as co ntrols which were similar in number o f population and economic level to the counties as selected.Subjects of the study were mothers with children under 3 years and men under 35 y ears of age.A to tal number of 675 mothers and men were interviewed using a structured questionnaire by strictly trained investigators.Logistic model was used to compare the difference of knowledge on RTIs S TDs between intervention group and control g roup.OR value was used to describe the degree of the difference.Results Over the 18 month intervention period, perso ns in the interv ention group had more knowledge of RTIs STDs than those in control group.Logistic reg ression analy sis indicated that intervention was significantly associa ted with better knowledg e o n factors as transmissio n, risks, symptoms, manag ement and prevention of RTIs S TDs with 95 %CI of OR as 2.4-6.4, 2.0-4.8, 3.0-6.4, 1.9-5.7 and 1.8-6.8 respectiv ely, after co ntrolling the demog raphic factors.Level of education was an impo rtant facto rinfluencing the subjects to receive knowledge on RTI s STDs.Conclusion　Comprehensive health educationintervention prog rams had sig nificant impact on knowledge about RTIs STDs among the targ et po pulatio n, indica ting that the Reproductive Health Family Planning Project implemented in the rural areas of China had been successful.

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