耿梦杰, 王丽萍, 张丽杰, 曾令佳, 任翔, 张翠红, 李中杰. 山西省大同市左云县农牧民布鲁氏菌病知识和危险行为调查[J]. 疾病监测, 2019, 34(1): 57-61. DOI: 10.3784/j.issn.1003-9961.2019.01.014
引用本文: 耿梦杰, 王丽萍, 张丽杰, 曾令佳, 任翔, 张翠红, 李中杰. 山西省大同市左云县农牧民布鲁氏菌病知识和危险行为调查[J]. 疾病监测, 2019, 34(1): 57-61. DOI: 10.3784/j.issn.1003-9961.2019.01.014
Mengjie Geng, Liping Wang, Lijie Zhang, Lingjia Zeng, Xiang Ren, Cuihong Zhang, Zhongjie Li. Awareness of brucellosis related knowledge and prevalence of risk behaviors in farmers and herdsmen in Zuoyun, Shanxi[J]. Disease Surveillance, 2019, 34(1): 57-61. DOI: 10.3784/j.issn.1003-9961.2019.01.014
Citation: Mengjie Geng, Liping Wang, Lijie Zhang, Lingjia Zeng, Xiang Ren, Cuihong Zhang, Zhongjie Li. Awareness of brucellosis related knowledge and prevalence of risk behaviors in farmers and herdsmen in Zuoyun, Shanxi[J]. Disease Surveillance, 2019, 34(1): 57-61. DOI: 10.3784/j.issn.1003-9961.2019.01.014

山西省大同市左云县农牧民布鲁氏菌病知识和危险行为调查

Awareness of brucellosis related knowledge and prevalence of risk behaviors in farmers and herdsmen in Zuoyun, Shanxi

  • 摘要:
    目的 了解山西省大同市左云县农牧民的布鲁氏菌病(布病)防控相关知识知晓情况、可能的感染危险行为,为针对性开展布病健康宣教提供参考。
    方法 采用分层二阶段随机抽样方法,在左云县抽取农牧民,通过自行设计的调查问卷对农牧民的布病防控知识和高危行为情况开展现况调查。 利用χ2检验分析曾患布病农牧民和未患过布病农牧民布病感染常识、高危行为和防护措施使用的差异。
    结果 在491名应答的被调查对象中,70.47%的人知道感染布病会出现关节、肌肉疼痛,41.96%的人知道布病有发热症状,12.63%的人对布病的常见症状完全不了解。 82.06%的农牧民认为给牲畜接生可能感染布病,56.08%认为宰杀牲畜可能感染布病,41.65%的被调查对象认为吃没煮熟的牛、羊内脏和肉可能感染布病。 在接生羊羔时,77.17%的人从不戴口罩,64.84%的人从不戴手套;处理家畜流产物时,81.99%的人从不戴口罩,72.04%的人从不戴手套。 虽然左云县2016年开展过布病健康宣教,但仍有41.55%的人回答未接受过布病相关健康教育。 不同文化程度农牧民对布病感染常识回答的正确率之间差异有统计学意义(χ2=16.360,P<0.05);曾患布病人群日常生活中饮生奶比例与未患布病人群饮生奶比例分别为56.25%和43.75%,差异有统计学意义(χ2=7.914,P<0.05)。
    结论 左云县农牧民对布病的知识知晓率较低,距离规划目标很远,对布病的自我防护意识淡薄,具有布病感染危险行为的农牧民比例高,感染布病的风险较高。应加强针对农牧民的健康宣教,提高该人群的布病防护意识。

     

    Abstract:
    Objective To understand the awareness of brucellosis related knowledge and the prevalence of risk behaviors in farmers and herdsmen in Zuoyun county of Shanxi province, and provide reference for public health education about brucellosis prevention and control.
    Methods Farmers and herdsmen were selected in Zuoyun through stratified two-staged sampling, A self-designed questionnaire was used to collect the information about their awareness of brucellosis related knowledge, prevalence of risk behavior and self-protection. The differences in the knowledge awareness and risk behavior prevalence between farmers or herdsmen who had suffered from brucellosis and those who had never suffered from brucellosis were analyzed with χ2 test.
    Results Among the 491 subjects surveyed, 70.47% knew that brucellosis will lead to muscle pain, 41.96% knew the fever symptom of brucellosis, 12.63% had no knowledge about the common symptoms of brucellosis. 82.06% believed the delivery of livestock might lead to the infection with Brucella, 56.08% thought slaughtering livestock might lead to the infection, 41.65% believed eating undercooked beef and mutton might lead to the infection. When delivering the lambs, 77.17% of the subjects surveyed never wore masks, 64.84% never wore protective gloves; when dealing with livestock apoblema, 81.99% never wore masks, 72.04% never wore protective gloves. Although the local health department have conducted the health education of brucellosis knowledge, but 41.55% of the subjects surveyed answered receiving no health education about brucellosis. The differences in the correct answer rate among farmers and herdsmen with different education background were significant (χ2=16.360, P<0.05); the rate of drinking raw milk was 56.25% in those who had suffered from brucellosis and 43.75% in those who had never suffered from brucellosis, the difference were significant (χ2=7.914, P<0.05).
    Conclusion This survey indicated the local farmers and herdsmen had low awareness of brucellosis related knowledge, which was much lower than the expected, they usually took no protection measures in contacting livestock. It is necessary to strengthen the health education about brucellosis prevention and control in local farmers and herdsmen to improve their self-protection and reduce the prevalence of brucellosis.

     

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