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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (8): 33-17.

• 论著 • 上一篇    下一篇

多部门合作开展结核病防治健康促进活动的效果评价

周扬1; 吕书红2; 于兰3; 王晓梅4; 司马雅芸1; 陈磊3; 虞浩1; 李小宁1; 许卫国1; 周林3;   

  1. 1.江苏省疾病预防控制中心; 2.中国健康教育中心; 3.中国疾病预防控制中心结核病预防控制中心; 4.中国全球基金结核病项目办;
  • 出版日期:2010-08-20 发布日期:2010-08-20
  • 基金资助:

    中国全球基金结核病项目实施性研究(TB08-011)

Effect evaluation of health promotion activities through multi-sectoral cooperation on case detection improvement

Zhou Yang1; Lv Shuhong2; Yu Lan3; Wang Xiaomei4; Sima Yayun1; Chen Lei3; Yu Hao1; Li Xiaoning1; Xu Weiguo1; Zhou Lin3   

  1. 1. Jiangsu Provincal Center for Disease Control and Prevention; Nanjing 210009; China; 2.China Health Education Center; Beijing 100011; 3. National Center for TB Control and Prevention; China CDC; Beijing 102206; 4.China GFATM TB Control Program office; Beijing 100055;
  • Online:2010-08-20 Published:2010-08-20
  • Contact: Xu Weiguo E-mail:xwguo@jscdc.cn

摘要: 目的 评价多部门合作在农村地区开展结核病健康促进活动的效果。 方法 综合项目报表数据,同时在我国中部和西部各一个项目省地区开展村民、患者的随机专项问卷调查,并对相关项目资料进行统计分析。 结果项目地区选择的合作部门排在前4位的是妇联、教委、宣传部门和村委会,分别有69.7%、63.7%、60.7%和59.2%的项目县认为合作的效果较好。宣传家户覆盖率86.1%,接受过面对面宣传的村民中有78.8%的村民接受过妇联干部的宣传。接受过宣传的村民对6项结核病相关问题的知晓率要高于未接受过宣传的村民,分别为67.8%和52.3% (P<0.01)。患者就医行为调查发现主动就诊者中有66.1%的患者是因村医或妇联宣传而就诊。 结论 农村地区多部门合作开展健康促进活动提高了村民的结核病知晓率,促进了可疑者的主动就医行为,在结核病防治工作起重要作用。

关键词:  结核, 肺/预防和控制, 健康促进

Abstract: Objective To evaluate the effect of health promotion activities through multi-sectoral cooperation in rural areas.  Methods Data from project report and random sample questionnaire investigation in one western and one central province, and related project implementation information were analyzed.  Results The top four cooperation sections were women’s federation, education commission, publicity department and village committee. 69.7%, 63.7%, 60.7% and 59.2% project counties recognized their cooperation effect with these four sections respectively. The household coverage rate of publicity was 86.1%. 78.8% of villagers had ever received face to face publicity by women’s federation. Awareness rate of 6 items question related to TB knowledge was higher in these population rather than those who had not received publicity, 67.8% versus 52.3% (P<0.01). The survey on medical care seeking behavior showed that 66.1% of patients who sought medical care by themselves were due to publicity of village doctors or women’s federation.  Conclusion s Health promotion activities through multi-sectoral cooperation increased TB awareness rate in rural areas, and promoted seeking care behaviors of TB suspects, improved case detection rate of new smear positive PTB cases, and played important role in TB control prevention.

Key words: pulmonary tuberculosis/prevention and control, health promotion