| ObjectiveAs a part of the"Luxembourg-WHO-Shandong project on rural health personneltraining and Non-communicable disease control ", the main purpose of this research isto evaluate the intervention effect of health education on relevant knowledge, attitudeand behavior of chronic diseases in mid-western rural area of Shandong province.MethodWe launched a project on chronic disease control in mid-western rural area ofShandong province during2007-2010. The baseline survey on relationship betweenhypertension and diet, smoking, obesity was performed in2007, using multi-stagerandom sampling method, in8counties of mid-western rural area of Shandongprovince. A total of20087participants aged25and above completed in the survey.Health education focusing on balance diet, physical activity promotion and tobaccocontrol was performed among intervention population. The final evaluation surveyusing same questionnaire was performed in2010, classified in intervention (4071participants) and control (2145participants) group. Control group was selected from non-intervention town in same county. Intervention and control group share the samebaseline data in2007for evaluation. Using the Difference-in-Difference method toevaluate the effect of the intervention, and use the net effect to show the range of theintervention, by comparing the changes on the relevant knowledge, attitudes andbehaviors of chronic diseases before and after intervention to evaluate the interventioneffect.Result1.The knowledge about high blood pressure and diabetes increased significantly:the net increase of the awareness of hypertension related to diet, smokingand obesityare respectively24.5%,24.3%and23.2%; the net increase of the awareness ofdiabetes related to diet, smokingand obesity are respectively13.0%,15.3%and17.6%。2.After intervention,the net increase that the people would like to know theknowledge of high blood pressure and diabetes mellitus is15.1%, the net increase thatthe people often actively acquire some hygiene knowledge is6.8%,the way to acquirehygiene knowledge are mainly TV and the doctor.3.After intervention, the net decrease of smoking rate is3.8%, the net increase ofquit-smoking rate is3.5%,the net increase that people are willing to quit smoking is5.5%, the net increase that the people advise others to give up smoking is1.9%,andthe people stop smoking because of the prevention of disease is8.1%.4.After intervention, the intake of kinds of food appear net increase,such as thefood grains, potatos, lean meat, poultry, seafood and aquatic products, dairy and itsproducts, eggs, bean products, fresh vegetables and fruit, nuts and tea,but the intake ofseafood and aquatic products, dairy and its products and fresh fruit are still obviouslydeficiencies,there are still large gaps to the recommended intake.5. After intervention, the net reduction of the salt intake per capita every day is 1.32grams, the net decrease of the oil intake per capita every day is4.61grams, theproportion that conform to the standard of WHO that the intake of salt and oil daily percapita are6grams and25grams are increased significantly, but there are still largegaps to the recommended intake of WHO.6. The net increase of Physical exercise rate is1.9%, but the body physicalactivity is still inadequate, the mian exercise way are walking and running.7.Mental and psychological conditions such as severity of depression, the degree of lifestress and sleep improved after the intervention.ConclusionHealth education interventions have a positive effect to improve the chronicdisease-related knowledge, attitudes and behaviors of mid-western rural area ofShandong province, but compare to the knowledge and attitudes,there have a certain lagwith behavior change,to long-term lifepractice slowly changes,it needed to be changed slowly inthe long life practice. |
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