Study On Health Education Intervention In Soil-transmitted Nematodes Areas

objective: Soil-transmitted nematodiasis is a widespread parasitic disease which is caused by soil-transmitted nemtodes.The disease is highly epidemic in China,especially in rural areas.Soil-transmitted nematodiasis endangers people's health and affects social and economic development.According to the result of the human parasite investigation conducted in 2005,the infection rate of soil-transmitted nemtodes was 19.56% in China,and the estimated number of infected people reached 129 million.It has been shown that the land helminthes infection was still at high level,and China is one of most severe epidemic area all over the world.Through health education,we can correct the way of inappropriate labor,and fundamentally reduce the infection rate of soil-transmitted nematodes.This study was conducted in Wutongqiao District of Leshan city in Sichuan Province.Through the investigation of soil transmitted nematode infections and the resident population health education questionnaire survey to ascertain the health knowledge and behavior of the local population,and then carry out health education and interventions of soil-transmitted nematodiasis,and evaluate the effectiveness of interventions on soil nematode disease source local health education.Therefore,we might provide a rationale strategy for the soil-transmitted nematodiasis prevention and health education in the future.Methods: The data of this study were derivedfrom the project of the demonstration base of health education for soil transmitted nematode in Sichuan.Based on the questionnaire formed by the knowledge bank of soil transmitted nematode health education provided by China CDC,the survey was conducted in 2012 and 2015 respectively,and the infection rate of soil transmitted nematode in rural residents was investigated.The project had collected data on the infection level of soil transmitted nematode and the awareness of health knowledge and behaviors of rural residents.The data are put into the computer by EpidataV3.1 software twice,and the database was checked according to the requirements.SPSS20.0software was used to make statistical description and analysis.The ratio of single factor analysis was compared with chi square test,and multivariate logistic regression was used in multifactor analysis.The test level was bilateral test,a=0.05.Results: In this study,a total of 2957 people were investigated and1602 effective questionnaires were obtained.Before the intervention,the soil nematode infection rates between the two groups were basically consistent.The difference of soil-transmitted nematodes related health knowledge awareness rate and correct behavior rate of the 2 groups was not statistically significant.After the intervention,the infection rate of soil-transmitted nematodes in intervention group decreased significantly.The health knowledge rate and the correct behavior rate were significantly higher in intervention group compared with the control group.The individual knowledge and behavior correct rate had significantly improved in intervention group.The risk factors of healthknowledge and correct behavior of soil transmitted nematode disease were analyzed.It is showed that men,age and education level are low in health knowledge and correct behavior.There is a positive correlation between knowledge about soil-transmitted nematodiasis and right behavior,and many analysis results indicate that intervention in village health education intervention is effective.Conclusion: Through the intervention of health education,we can effectively reduce the infection rate of soil transmitted nematodes,and improve the awareness rate of qualified knowledge about soil transmitted nematodes,and the qualified rate of health behaviors.Therefore,we must strengthen soil-transmitted nematodiasis health education propaganda,promote health education.