目的调查辖区铁路职工对健康教育知识掌握情况,并对健康促进效果进行评价。方法采用多阶段随机抽样的方法,抽取辖区内2694名铁路职工,随机分为干预组(1389人)和对照组(1305人),进行健康教育知识面对面问卷调查,再用问卷调查表评价健康促进效果。结果干预前健康教育知识知晓率分别为37.38%和36.79%,干预后分别为68.42%和37.36%,干预组干预前后比较差异有统计学意义(χ~2=627.89,P<0.05)。干预前后铁路职工对待健康教育的态度比较,差异有统计学意义(P<0.05)。结论北京铁路局天津铁路辖区职工对健康教育知识知晓率较低,健康促进对提高铁路职工健康教育知识知晓率效果明显。通过健康促进,职工对健康教育的态度有了较大的转变。 Objective To investigate the knowledge of health workers and workers in railway area and to evaluate the health promotion effect. Methods A total of 2694 railroad workers in the area were randomly divided into intervention group (1389) and control group (1305) by using multistage random sampling method. The questionnaire was used to evaluate the health promotion effect. Results Before the intervention, the awareness rate of health education was 37.38% and 36.79%, respectively, and 68.42% and 37.36% respectively after intervention. The intervention group had statistically significant difference before and after intervention (χ ~ 2 = 627.89, P <0.05). The attitude of railway workers to health education before and after intervention was statistically significant (P <0.05). Conclusion The awareness rate of health education knowledge among workers in Tianjin Railway Administration Bureau of Beijing Railway Bureau is low, and the effect of health promotion on raising the awareness rate of railway staff health education is obvious. Through health promotion, employees have a greater change in attitudes toward health education.