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目的通过对学生进行重点传染病、慢性病防治知识教育,探讨其对家长相关知识和健康行为建立所起的影响。方法在余杭区高中、初中和小学3个层次学校中各抽取1所高中、1所初中及1所小学,并在抽取的学校的同年级中随机抽取高二、初二和小学五年级各2个班,1个班为教育班,另1个班为对照班,教育班进行课堂健康教育,通过对照等方法,观察二级传播效果。结果二级传播后,小学教育班家长的健康知识知晓率较二级传播前提高了18.32%(P<0.05),比相应对照班家长的健康知识知晓率提高了19.05%(P<0.05);小学生教育班家长麻疹防治知识较二级传播前提高了27.71%,糖尿病防治知识较二级传播前提高了18.99%,差异均有统计学意义;中学教育班家长乙肝、糖尿病防治知识二级传播后与传播前比较有明显提高,差异有统计学意义;高中教育班家长高血压、糖尿病防治知识二级传播后与传播前比较也有明显提高,差异有统计学意义。结论学生二级传播是健康教育的有效方式。
Objective To educate students about key communicable diseases and chronic disease prevention and control and explore their impact on the establishment of parents’ knowledge and health behaviors. Methods One high school, one junior high school and one primary school were selected from three levels of high school, junior high school and primary school in Yuhang district. Two schools of high school, junior middle school and fifth grade Class, one class for the education class, another class for the control class, education classes for classroom health education, through the control and other methods to observe the secondary transmission effect. Results After two - stage transmission, parents’ awareness of health knowledge was 18.32% (P <0.05) higher than that before secondary education, and 19.05% (P <0.05) higher than that of corresponding control parents. Pupil education class parents measles prevention and control than before the two-stage transmission increased by 27.71%, diabetes prevention and control knowledge than the two before transmission increased by 18.99%, the differences were statistically significant; secondary education class parents hepatitis B, diabetes prevention and control of secondary transmission Compared with the pre-transmission level, the difference was statistically significant. There was also a significant difference between the two levels of hypertension and diabetes prevention and control knowledge in parents of high school education group after they were compared with before pre-transmission, the difference was statistically significant. Conclusion Secondary transmission of students is an effective way of health education.