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黄国华, 周跃华, 谢海彬. 肇庆市儿童狂犬病防治知识及相关行为调查[J]. 中国公共卫生, 2012, 28(8): 1084-1086. DOI: 10.11847/zgggws2012-28-08-24
引用本文: 黄国华, 周跃华, 谢海彬. 肇庆市儿童狂犬病防治知识及相关行为调查[J]. 中国公共卫生, 2012, 28(8): 1084-1086. DOI: 10.11847/zgggws2012-28-08-24
HUANG Guo-hua, ZHOU Yue-hua, XIE Hai-bin. Knowledge and behavior about rabies prevention among children in Zhao-qing municipality[J]. Chinese Journal of Public Health, 2012, 28(8): 1084-1086. DOI: 10.11847/zgggws2012-28-08-24
Citation: HUANG Guo-hua, ZHOU Yue-hua, XIE Hai-bin. Knowledge and behavior about rabies prevention among children in Zhao-qing municipality[J]. Chinese Journal of Public Health, 2012, 28(8): 1084-1086. DOI: 10.11847/zgggws2012-28-08-24

肇庆市儿童狂犬病防治知识及相关行为调查

Knowledge and behavior about rabies prevention among children in Zhao-qing municipality

  • 摘要: 目的 了解广东省肇庆市儿童狂犬病的危险行为、暴露后处置、防治知识、态度及获取知识途径等情况,为制订干预措施、进行宣传教育提供依据.方法 2008年5月采用分层随机抽样方法在肇庆市市区、县、乡镇、村4个不同级别地区的6所小学抽取1 251名儿童进行面访调查,并对结果进行分析.结果 近1年内犬伤暴露比例村组儿童暴露比例最高,为11.25%(44/391),其次为乡镇儿童,为9.11%(37/406),县区级和市区级儿童分别为5.49%(13/237)、2.3%(5/217),差异有统计学意义(χ2=18.073,P<0.001);多种容易导致犬伤暴露的危险行为在各地区儿童的分布差异均有统计学意义,村级和乡镇儿童的危险行为比县区和市区儿童多,且与猫狗玩耍的时间长;当被小狗或小猫咬伤或抓伤时,93.37%(1 168/1 251)的儿童会告诉家长,17.59%(220/1 251)会告诉校医,11.67%(146/1 251)会告诉老师;在近1年内有犬伤暴露史的儿童中,自行看医生、用肥皂水冲洗或酒精消毒的儿童分别占25.25%(25/99)、17.17%(17/99)、15.15%(15/99),有42.42%(42/99)的儿童暴露后不处理;受访儿童目前获取狂犬病防治知识的途径前3位分别是老师、家长、电视.结论 农村地区儿童犬伤暴露多于城市地区,且暴露机会多,但狂犬病防治知识知晓率低于城市地区,所以狂犬病宣传应以农村地区为主,内容应以危险行为、暴露的定义和暴露后的处理为主.

     

    Abstract: Objective To examine the risk behavior,post-exposure disposal,knowledge,attitude and knowledge sources related with rabies among children in Zhaoqing city and to provide basis for health education and intervention programs.Methods Stratified random sampling at city,county,township,and village-level was used to recruit 1 251 children from 6 primary schools in May 2008.Face-to-face interviews were used to collect information.Data were entered using Epidata and analyzed with SPSS.Results The history of exposure was different among the children in different districts(P < 0.01).The proportion of exposure was highest among children in villages(11.25%).The risk behaviors were more common and the time of playing with dogs and cats were longer among the childen in villages and townships compared to the children in the county or in the city.After bitten or scratched by dog or cat,many children went to visit a doctor or inform their caregivers.The children in the city had more knowledge about rabies than children in county or village(P < 0.01).The most common sources for knowledge on rabies was teachers,television and the family.Conclusion The exposures of dog bite or cat scratch were more common among children in countryside than those in urban areas.The knowledge on rabies were lower among children in countryside than those in urban areas.The health education programs should be targeted in countryside and the contents should focus on risk behaviors,the definition of exposure,and post-exposure disposal.

     

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