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目的在出现人禽流感疫情后,广州市政府加强健康宣教,通过分析涉禽食品从业人员对政府防控措施的态度变化和自身防病行为改变情况,提出防控及健康宣教的改进措施,为政府今后处理突发公共卫生事件提供参考依据。方法疫情发生前后选择广州市涉禽食品从业人员2 554人作为调查对象,通过自制的问卷开展面对面调查,通过Logistic回归控制人口学特征进行比较。结果 2014年与2013年相比,对政府防控措施及疫情信息公布的满意度上升,怕感染H7N9禽流感的担心度下降,疫情主动搜索下降,而网络超越电视、报纸成为主要手段,从业人员倾向于不再购买鸡、鸭、鹅等禽类来吃(OR=2.06,P<0.001)以及减少前往肉菜市场(OR=1.23,P=0.021),流感疫苗接种的比例下降(OR=0.80,P=0.021)。结论对政府防控措施满意度高,流感疫苗的接种率低,除及时处理好疫情外政府今后应加大利用新型媒体等网络平台公布疫情信息和开展健康宣教,提高涉禽食品从业人员的防病认知和知识,促进形成科学有效的防病行为改变。
Objective After the outbreak of human bird flu, the Guangzhou municipal government stepped up its health education mission. By analyzing the change of attitudes toward government prevention and control measures and the change of self-prevention behaviors among the staff engaged in wading food, the government put forward improvement measures for prevention and control and health education. In the future to provide a reference for handling public health emergencies. Methods Before and after the epidemic, 2 554 employees involved in food trade in Guangzhou were selected as the survey subjects. The questionnaires were used to conduct face-to-face investigations and the demographic characteristics were compared by Logistic regression. Results Compared with 2013, the level of satisfaction with government prevention and control measures and the publication of epidemic situation information increased with the fears of being infected with H7N9 bird flu and with the active search of the epidemic declining. However, the network surpassed television and newspapers as the main means of employment. (OR = 2.06, P <0.001) and decreased to the meat market (OR = 1.23, P = 0.021). The proportion of influenza vaccination declined (OR = 0.80, P = 0.021). Conclusions The government is highly satisfied with the government’s prevention and control measures and the vaccination rate of influenza vaccines is low. In addition to handling the epidemic in time, the government should increase the use of new media and other network platforms to disseminate the epidemic information and carry out health education so as to improve the prevention and control of epidemic diseases Cognition and knowledge to promote the formation of a scientific and effective disease prevention behavior change.