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目的了解古蔺县中小学生地氟病防治知识知晓情况和健康教育需求情况,为探索可行的健康教育策略提供参考依据。方法采用多阶段随机抽样的方法对古蔺县地氟病轻中重病区的4 036名中小学生进行燃煤型氟中毒防治相关知识需求情况的问卷调查。结果调查对象中,学生地氟病健康教育总需求率为88.4%。学生地氟病防治知识需求途径的前3位分别为医生54.7%、广播电视40.8%和学校老师38.5%。单因素及多因素分析发现,学生健康教育知识来源途径种数(OR=1.20)、不同性别(OR=1.55)、家庭居住地不同(OR=1.93)、不同知识得分情况(OR=1.84)对中小学生地氟病的防治知识需求有影响。结论古蔺县地氟病区中小学生地氟病防治知识健康教育需求度高,迫切需要有关部门加强健康教育。
Objective To understand the knowledge of prevention and treatment of ground fluorosis in Gulin primary and secondary school students and the demand of health education, so as to provide reference for exploring feasible health education strategies. Methods A multi-stage random sampling method was used to investigate the knowledge-based needs of 4036 school-age primary and secondary school students in the light, moderate and severe endemic fluorosis in Gulin county. Results In the survey, the total demand rate of health education for students with dexamethasone was 88.4%. The top 3 channels of knowledge and demand for prevention and treatment of ground-based fluorosis were 54.7% for doctors, 40.8% for radio and television and 38.5% for school teachers. Univariate and multivariate analyzes showed that the number of sources of health education knowledge (OR = 1.20), gender (OR = 1.55), family residence (OR = 1.93), and different knowledge scores Primary and secondary school students have an influence on the prevention and treatment of earth-flu disease. Conclusion There is a high demand for knowledge of health education on prevention and treatment of ground-water-borne diseases in primary and secondary school students in Gul-de-wu district of Gulin County. It is urgently necessary for relevant departments to strengthen health education.