| Objectives：The purpose of this study was to explore the awareness rate of knowledgeabout schistosomiasis, such as the source of infection, route of transmission, preventivemeasures, attitude of schistosomiasis prevention, and adopt the behaviors for blockingschistosomiasis transmission for the residents in Jiangli and Shishou County whereschistosomiasis is popular in Hubei Province. The outcome can provide a scientific basis todraw up the integrated intervention strategies for the prevention of schistosomiasis andrecommended that the relevant government departments to take appropriate policy supportin accordance with the actual situation of the residents.Methods: In November,2011,1216person range from8to65year old were receivedface to face questionnaire survey by cross-sectional study in Shishou and Jiangling country,two schistosomiasis high-risk areas in Hubei province. Investigators talk to each subjects insimple words, all answers were filled as what the subjects said, and then collected aftercarefully checked.Results:(1)Among all the1216resident,50.33%are male,while49.67%are female, they are rangefrom6to65year old, average age is42.69±15.30years old,they are949people withschistosomiasis in the type three village,267people in the type four village. The resistantare not highly educated, among them70.07%are farmers, and their incomes are mainlycome from farming, about41.53%of them with a per capita income range from500-1000RMB. (2)Drinking and domestic use water of the resistant are tap water, well water, pondwater,lake water and spring water, while drinking water are mainly tap water (53.78%) andbottled water (29.44%), domestic use water (including wash clothes,washing vegetable andtake bath) are mainly tap water and well water. The difference between water distributionand epitomic village is statistically significant（P<0.0001.(3) In this study, we calculated the score of the eleven questions about schistosomiasis.Wefound that different gender, age, education levels, occupation and economic sources haddifferent score(P<0.05).If the score was above six, we defined it as pass, otherwise asfail.Multivariate adjusted odds ratios and95%confidence intervals were calculated usingunconditional logistic regression,gender0.521(0.359~0.755), age1.033(1.015～1.051), percapita monthly income1.357(1.118～1.648).(4)There are six questions about preventing attitude of schistosomiasis. In general thestatus of students is better than residents. The stool of human and animal is mainly asfertilizer for vegetables. But in different epidemic areas, the way of dealing with stool isdifferent(χ~2=19.52，P<0.0001vs χ~2=46.05，P<0.0001）.In the type three villages, thepercent of the subjects who always or ever defecated in field is7.28%, while the fourth typevillage is3.76%. And the third type village is statistically more than fourth type village(χ~2=65.85，P<0.0001).(5) In this study, there was65(5.35%) said they did not heard of the eight policies that thegovernment taken to prevention and control schistosomiasis, but other878(74.66%)persons satisfiying with the implementation of these policies. Only59.07%of the studysubjects got a government support.Conclusions：The knowledge, attitude, belief and practice on schistosomiasis of theresidents and students still have a gap with the target in National long-term planningfarmwork of schistosomiasis prevention and control. In order to prevent the resuregence of schistosomiasis, we should take different effective health educations and comprehensiveprevention and control interventions against different populaiton. |
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