| Objective:This study aims to assess the knowledge,attitude and practice about hepatitis C of rural residents in a county of liaoning province,in order to provide related evidence for formulating the measures and intervention of health education for the treatment and prevention on hepatitis C.Through analyze the documents related to the hepatitis C health education in and abroad,the researcher abstracted the indicators which can reflect the evaluation of the hepatitis C related health education.Then we set down the weight of the indicator.Based on this,the Evaluation Indicator System for hepatitis C Related Health Education effect was constructed,which is suitable for the actual situation of rural residents in a county.The research will put a theoretical foundation for evaluate the hepatitis C health education,and it’ll also do some good for preventing hepatitis C.Methods:1.Using the method of multi-stage cluster sampling,the high prevalence of hepatitis C’s five town(Baishan,Heishui,Yushulinzi,rectify and Zhangjiayingzi)were sampled in the first sampling stage.In the second sampling stage,a total of 10 village were sampled from the selected five town,by random sampling.In final sampling stage,1200 residents were sampled from the people who were participating in a hepatitis C medical,by adopting the method of systematic sampling randomly.Utilizing the software(SPSS 17.0,Excel 2007,Yaahp10.3)to input the data,analyzed by the method of t-test,analysis of variance and multivariate linear regression analysis to analyze the influencing factors.2.Through collecting、packing up and analyzing the documents,the study abstracted the indicators which can reflect the evaluation of the hepatitis C related health education.Utilizing the special panel discussion and Delphi method,the study established the primary evaluation system.The weight of the indicator was calculated combing Delphi method and percentage weight method.Using SPSS 17.0,Excel 2007 and Yaahp10.3 to conduct the data entry and statistical analysis.Results:1.There were 1108 valid questionnaires for the survey,the efficient was 92.33%.Females was 564(50.90%)higher than that of males 544(49.10%).The population of Baishan town,Changlong town,Heishui,Yushulinzi,Zhangjiayingzi were 230(20.78%),221(19.95%),218(19.68%),222(20.04%),217(19.58%);The average age of the population was 53.99±7.83,the number of person of 35～44 group,45～54 group was 144(13.00%),376(33.94%),588(53.07%).The number of person who had liver disease was 436(39.35%).The condition of knowledge about prevention and cure of hepatitis C:The total awareness rate of Jianping county rural residents was 59.69%,which was low level.None of people’s answer for the 16 options of the questionnaire were all correct.Generally the residents had poor knowledge of transmitted knowledge of hepatitis C.The knowledge-"sharing towels,clothes and razor","mother-to-fetus transmission","sexual transmission" and "drug injection"awareness rate was low which was 19.95%,27.08%,22.20%and 26.70%.The difference about different characteristics(age,sex)of the residents in the knowledge of the of prevention hepatitis C awareness rate was statistically significant(F=30.75,t=6.05,P<0.05).Multiple regression analysis showed that the older the awareness rate is lower,the males of awareness rate was higher than the females.The residents in the non-transmission of knowledge of hepatitis C is also not high.The knowledge-"hepatitis C is caused by what","is it infectious hepatitis C","hepatitis C can be cured?" of awareness rate is low,less than 40%;The condition of the attitude for hepatitis C prevention of:the local residents’ attitude to hepatitis C prevention and control is not positive.59.75%,46.21%of the residents had chosen " willing to take the initiative to do liver disease screening"," willing take the initiative to understand hepatitis C knowledge ".There is more than 70%of residents had chosen " willing to continue to work with friends who had HCV infection "," it is necessary to do propaganda about hepatitis C to family,friends ","it is necessary to add HCV screening in routine physical examination".The males were maore positiver than females about the attitude of hepatitis C prevention(t=3.93,P<0.05),the attitude of person had the liver disease were more positiver than no-liver-disease person(t=5.94,P<0.05);The condition of hepatitis C prevention related behavior:the local residents’behavior remains to be transformed,chosen "if you use a condom","regular liver disease inspection" only accounted for 6.41%,25.00%,and 21.93%of local residents had the experience of injectable drugs for yourself;The conditonof local residents’requirements of hepatitis C prevention knowledge:The ways of local residents to obtain hepatitis C prevention knowledge were "television,radio ","health department","friends",which the number were 310(27.98%),398(35.92%),270(24.37%)respectively.The local residents were willing to accept the mode of education,which was "brochure","medical personnel make lectures on",the number of people were 492(44.40%),respectively,600(54.15%).There 960(83.12%)people would like to spread knowledge of prevention and control of hepatitis C to others,and there 921(83.12%)people willing to participate in free hepatitis C health education.2.Construct a hierachical index system composed of four groups,namely namely predisposing,enabling,reinforcing facters and change of behaviors about hepatitis C-related health education,including 4 first grade indexes,11 second grade indexes,29 grade indexes.Through the Delphi method and analytic hierarchy process,the percentage weight method and multiplication method to calculate the weights of every index.The weights of the first class indicators following:0.2593,0.1549,0.2033,0.3821.The weights of the first class indicators following:0.0860,0.0886,0.0847,0.0506,0.0506,0.0537,01037,0.0996,0.1329,0.1252,0.1240.The outcome of two rounds of Delphi consulting expert showed:the enthusiasm coefficient of specialists were 80%and 100%,respectively;the degree of specialist authority were higher and the average value were 0.7750 and 0.6846;the coordination coefficient of specialists’opinion were 0.202 and 0.531(significance),0.248 and 249(operability),0.246 and 0.300(sensitivity),which were small fluctuation(P<0.05).Conclusion:The population had less knowledge about the prevention and control of hepatitis C in rural districts with high-prevalence of hepatitis C in a county of Liaoning Province,their attitude and practice for hepatitis C prevention should be improved and transformed.With the high demand for hepatitis C,so health education of hepatitis C knowledge especially transmission ways is necessary for focusing on those who elders,female population,to decrease the incidence of hepatitis C;Overall,the index system has reasonable structure and comprehensive contents,reflecting the core idea of hepatitis C related health education of evaluation.The experts in Delphi Consulation are highly positive,representative,authoritative and coordinated.The number of two rounds of experts is reasonable.There is an good concentration on the idea of experts. |
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