2012年陕西省碘缺乏病健康教育项目效果评价.docVIP

2012年陕西省碘缺乏病健康教育项目效果评价 　　摘要：目的：评价健康教育干预在碘缺乏病防治中的作用，为防治工作提供科学依据。方法：2012年8月一2013年2月，在陕西省随机抽取36个县开展碘缺乏病健康教育，分别在每个项目县各抽取3个项目乡。每个乡在中心小学校4-6年级开展学校健康教育活动；选择3个村，开展社区健康教育。在基线调查和效果评估调查中，每个项目乡各抽取1所中心小学校，每个小学校各抽取1个班级5年级学生30名，在每所学校所在地各抽取15名育龄妇女。在健康教育前和教育后，对学生和育龄妇女进行碘缺乏病防治知识知晓率问卷调查，对调查结果进行分析，了解健康教育效果。结果：健康教育前和教育后共调查了11328人。其中5年级学生碘缺乏病防治知识知晓率由基线调查时的73.34%（7273/9921），上升到效果评估时的93.35%（9261/9921，χ2=1433.754，P0.05）；家庭主妇知晓率由72.78%（5144/7068）上升到91.28%（6457/7047，χ2=820.877，P0.05）。结论：健康教育干预提高了学生和育龄妇女对碘缺乏病防治知识知晓率，开展健康教育项目促进了目标人群对碘缺乏病防治知识的了解，增强了病区群众自我防护意识。 　　关键词： 碘缺乏病； 健康教育； 效果评估 　　中图分类号：R 591 文献标识码：B 文章编号： 　　Abstract： Objective To evaluate the effects of a health education Project on prevention and control of iodine deficiency disorders （IDD）， which will provide scientific basis for future prevention and treatmentwork. Methods From August 2012 to February 2013，36 project counties were randomly selected in Shaanxi province， and 3 townships were chosen in each project county. School health education action was carried out among 4 to 6 grade students in main elementary schools of every township， while community health educationwas carried out in 3selected villages. Sureys on knowledge of IDD control were conducted in the 36 project counties before and after the health educational activities. All investigation was conducted using combined unified questionnaire in 36 counties on target population. Before and after the health educational activities，questionnaire surveys on knowledge of IDD were conducted in each project county.Thirty students in one class of grade 5 in the central primary school were selected，and 15 women of childbearing age near the central primary school were selected too. Results A total of 11328 persons were investigated before and after the health education.After health education，the rate of knowledge on iodine deficiencv disorders increased from 73.34%（7273/9921） to 93.35%（9261/9921，χ2=1433.754，P0.05） among primary school students，and 72.78%（5144/7068） to 91.28%（645