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目的通过了解德州市德城区公共场所健康促进策略的效果,为今后开展公共场所从业人员结核病健康促进工作提供依据。方法对在2014年5—6月到德城区疾病预防控制中心健康检查门诊查体的公共场所从业人员进行结核病知识问卷调查。结果共调查836人,95.81%的调查对象认为肺结核会传染,93.66%的知道肺结核能治好,对“如果患了肺结核病去哪里就诊”和“咳嗽、咳痰多长时间应考虑肺结核病”这两个问题的知晓率分别为67.46%和58.25%。对结核病防治核心信息总知晓率为80.31%,其中男性为82.82%,女性为78.06%,其差异有统计学意义(χ~2=23.79,P<0.05);不同年龄组的核心信息总知晓率不同,30~39岁组知晓率最高,达89.86%;50~65岁组最低,为65.98%;其差异有统计学意义(χ~2=210.67,P<0.05);文化程度越高知晓率越高,大专及以上为91.06%,其差异有统计学意义(χ~2=203.32,P<0.05);工龄愈长知晓率越高,>5年为91.64%,差异有统计学意义(χ~2=265.51,P<0.05);管理相对规范的大型公共场所从业人员比小型场所的核心信息总知晓率高(χ~2=3 18.99,P<0.05)。通过“现场培训宣传”渠道获取防治信息的比例最高,为85.53%。结论德城区公共场所健康促进策略已见成效,但不均衡,今后应注重宣传的对象、方式及内容。
Objective To understand the effects of health promotion strategies in public places in Decheng, Decheng, and provide the basis for future work on tuberculosis health promotion in public places. Methods From May to June 2014, a questionnaire survey on TB knowledge was conducted among practitioners in public places who went to the health examination clinic of Decheng District CDC. Results A total of 836 people were surveyed, 95.81% of the respondents thought that tuberculosis would be transmitted, 93.66% knew that tuberculosis could be cured, and “how long should they have cough or expectoration if they have tuberculosis?” Tuberculosis “awareness of these two issues were 67.46% and 58.25%. The total awareness of the core information of tuberculosis prevention and control was 80.31%, of which 82.82% for males and 78.06% for females, the difference was statistically significant (χ ~ 2 = 23.79, P <0.05). The total awareness of core information of different age groups The difference was statistically significant (χ ~ 2 = 210.67, P <0.05); the higher the level of education was, the higher the awareness rate was (89.86%); the lowest was 65.98% in the age group of 50-65 years The higher the level of education, 91.06% of junior college or above, the difference was statistically significant (χ ~ 2 = 203.32, P <0.05) ~ 2 = 265.51, P <0.05). The total awareness rate of core information in large-scale public places with relatively normative management was higher than that in small places (χ ~ 2 = 3 18.99, P <0.05). The highest proportion of access to prevention and control information through the ”on-site training and publicity" channel was 85.53%. Conclusions The health promotion strategy in public places in Decheng District has achieved some success but is not balanced. The targets, methods and contents of publicity should be emphasized in the future.