常州市貧血婦女健康教育干預(yù)效果評價

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1、常州市貧血婦女健康教育干預(yù)效果評價【摘要】目的了解江蘇省常州市婦女貧血狀況及對鐵缺乏和鐵強(qiáng)化醬油知識、態(tài)度、行為(KAP)情況，探討有效健康教育干預(yù)措施并評價其效果。方法于2004年采取隨機(jī)整群抽樣對常州市2個區(qū)4個鄉(xiāng)鎮(zhèn)的1017名20～60歲婦女進(jìn)行血紅蛋白檢測以及鐵缺乏和鐵強(qiáng)化醬油KAP問卷調(diào)查。在社區(qū)健康教育基地開展鐵缺乏和鐵強(qiáng)化醬油知識健康教育干預(yù)1年后，對同一檢測點的1250名20～60歲的婦女再次進(jìn)行血紅蛋白檢測以及鐵缺乏和鐵強(qiáng)化醬油KAP問卷調(diào)查，評價干預(yù)效果。結(jié)果2004年常州市被調(diào)查的婦女貧血率3

2、9.53%，鐵缺乏和鐵強(qiáng)化醬油知識平均知曉率58.30%，正向態(tài)度率為75.13%，鐵強(qiáng)化醬油食用率為35.25%。健康教育干預(yù)1年后，婦女的貧血率下降為28.56%，其中2次調(diào)查相同婦女的貧血率從63.89%下降為30.00%；鐵缺乏和鐵強(qiáng)化醬油知識知曉率比干預(yù)前提高33.60%；正向態(tài)度率比干預(yù)前提高17.12%；鐵強(qiáng)化醬油食用率比干預(yù)前提高42.50%；差異均有統(tǒng)計學(xué)意義(Ｐ＜0.01，干預(yù)指數(shù)均＞1。結(jié)論在社區(qū)健康教育基地開展鐵缺乏和鐵強(qiáng)化醬油知識的健康教育是降低婦女貧血率的有效措施。【關(guān)鍵詞】婦女貧血率鐵

3、強(qiáng)化醬油知識、態(tài)度、行為健康教育效果評價EvaluationonefficacyofhealtheducationonimprovementofanemiaamongwomenTANLifeng.CHENXiaoyue，QINLixia，etal.CenterforDiseaseControlofChangzhou(Changzhou213003，China)Abstract：ObjectiveTounderstandthesituationofwomenanemiarateandKAP(knowledge，

4、attitudeandpractice)aboutirondeficiencyandNaFeDTAfortifiedsoysauceinChangzhou，andtoevaluateeffectsoftheeffectivehealtheducationofirondeficiencyandNaFeEDTAfortifiedsoysauce.MethodsIn2004，byrandomgroupsampling1017womenaged20to60infourvillagesandtownsoftwodistric

5、tsinChangzhouwereselected.Thedetectionofhemoglobin,baselinesurveyaboutKAPtoirondeficiencyandNaFeEDTAfortifiedsoysauce，andthentheinterventionbycommunityhealtheducationaboutirondeficiencyandNaFeEDTAfortifiedsoysaucewerecarriedout.Afteroneyear，1250womenaged20to60

6、inthesamevillagesandtownswereselectedandthedetectionofhemoglobin,thesurveyaboutKAPtoirondeficiencyandNaFeEDTAfortifiedsoysauceconducted.ResultsAftertheinterventioncorrectrateansweringtoacknowledgeaboutirondeficiencyandNaFeEDTAfortifiedsoysaucesignificantlyincr

7、easedto33.60%(Ｐ＜0.01)，andthepositiveattituderatetoirondeficiencyandNaFeEDTAfortifiedsoysaucesignificantlyincreasedto17.12%(Ｐ＜0.01)，andtheediblerateofNaFeEDTAfortifiedsousaucesignificantlyincreasedto42.50%(Ｐ＜0.01).Alltheinterventionindexesareabove1.Inthemeantim

8、e，womenanemiaratesignificantlydecreasedfrom39.53%to28.56%(Ｐ＜0.01).Furthermore，anemiarateofthewomenfollowed-upsignificantlydecreasedfrom63.89%to30.00%(Ｐ＜0.01).ConclusionItwouldbeave