目的 了解青海省成年人棘球蚴病防治知识知晓水平，为精准防控提供依据。 方法 2021年3—8月，在青海省8个市（州）34个县（区）各抽取1 000名18~80岁成年人开展棘球蚴病防治知识知晓水平调查，内容包括棘球蚴病的传染源、传播途径、易感人群、主要症状和国家优惠政策等5方面9小题，答对1题计1分，答对6题以上判定为合格。同时收集被调查者的人口学资料，包括年龄、性别、民族、教育程度、职业、家庭月收入、地区类型、参加棘球蚴病知识健康宣教。计算棘球蚴病防治知识知晓率和合格率，采用单因素和多因素分析棘球蚴病防治知识合格率的影响因素。使用SPSS 23.0对数据进行统计分析。 结果 本次调查共发放问卷37 400份，回收有效问卷33 359份，回收率为89.2%。棘球蚴病防治知识总知晓率为64.2%，合格率为57.2%（19 076/33 359）。知晓率位居前3的地区分别为西宁市（70.5%）、海西州（68.9%）和果洛州（68.0%）；合格率位居前3的地区为西宁市（68.8%，2 617/3 803）、果洛州（67.4%，1 844/2 734）和海西州（65.4%，2 811/4 299）；海东市的知晓率和合格率均最低，分别为58.3%和46.6%（2 525/5 422）。单因素分析结果显示，年龄、民族、教育程度、职业、家庭月收入、地区类型、参加棘球蚴病知识健康宣教等7个因素对青海省成年人棘球蚴病防治知识合格率差异有统计学意义（χ² = 7.15、35.30、251.00、676.29、179.30、10.86、2 704.80，P < 0.05）。多因素分析结果显示，影响青海省成年人棘球蚴病防治知识合格率的主要因素为民族（以汉族为对照，藏族OR = 0.87，95% CI：0.82~0.93；回族OR = 0.84，95% CI：0.77~0.91）、教育程度（以小学及以下组为对照，初高中OR = 1.16，95% CI：1.10~1.23；大学及以上OR = 1.39，95% CI：1.27~1.53）、职业（以无业人员为对照，农民OR = 1.38，95% CI：1.27~1.49；牧民OR = 1.67，95% CI：1.53~1.82；机关/事业单位人员OR = 2.28，95% CI：2.01~2.59）、家庭月收入（以≤ 1 000元为对照，1 001~3 000元组OR = 1.10，95% CI：1.04~1.17；> 5 000元组OR = 1.15，95% CI：1.04~1.26）、地区类型（以农业区为对照，牧业区OR = 1.12，95% CI：1.05~1.19）和参加棘球蚴病相关知识健康教育情况（以否为对照，是OR = 3.41，95% CI：3.25~3.58）。 结论 青海省成年人棘球蚴病防治知识知晓水平不高，影响合格率的主要因素为民族、教育程度、职业、家庭月收入、地区类型和参与棘球蚴病知识健康教育。

Objective To understand the awareness of echinococcosis prevention and control knowledge among adults in Qinghai Province, and provide the basis for precise prevention and control. Methods From March to August 2021, adults aged 18 to 80 were selected from 34 counties (districts) in 8 cities (prefectures) of Qinghai Province to conduct a survey on the awareness of echinococcosis prevention and control knowledge. The questionnaire include 9 questions about the source of infection, transmission route, susceptible population, main symptoms and national preferential policies of echinococcosis. 1 correct answer counted as 1 point, and more than 6 correct answers were judged as qualified. At the same time, the participant’s demographic data were collected, including age, gender, nationality, education level, occupation, monthly family income, type of residential region, and participation in health education on echinococcosis. The awareness rate and pass rate of echinococcosis prevention and control knowledge were calculated, and the influencing factors of the pass rate of echinococcosis prevention and control knowledge were analysed by single-factor and multi-factor analysis. SPSS 23.0 was used for statistical analysis. Results A total of 37 400 questionnaires were distributed in this survey, and 33 359 valid questionnaires were recovered, with a recovery rate of 89.2%. The total awareness rate of echinococcosis prevention and control knowledge was 64.2%, and the pass rate was 57.2% (19 076/33 359). The top three areas with the highest awareness rate are Xining City (70.5%), Haixi Prefecture (68.9%) and Guoluo Prefecture (68.0%) respectively; these are also the top three areas with the highest pass rate are Xining City (68.8%, 2 617/3 803), Guoluo Prefecture (67.4%, 1 844/2 734) and Haixi Prefecture (65.4%, 2 811/4 299). Haidong City had the lowest awareness rate (58.3%) and qualified rate (46.6%, 2 525/5 422). The results of the univariate analysis showed that there was a significant difference between age, nationality, education level, occupation, monthly family income, regional type, participation in health education on echinococcosis knowledge and the pass rate of adult echinococcosis prevention and control knowledge in Qinghai Province (χ² = 7.15, 35.30, 251.00, 676.29, 179.30, 10.86, 2 704.80; P < 0.05). The results of the multifactor analysis showed that the main factors influencing the pass rate of adult hydatid disease prevention and control knowledge in Qinghai Province were: ethnic group (with Han as the control, Tibetan OR = 0.87, 95% CI: 0.82-0.93; Hui OR = 0.84, 95% CI: 0.77-0.91), an education level (with primary school and below groups as the control, Junior/Senior high school OR = 1.16, 95% CI: 1.10-1.23; university and above OR = 1.39, 95% CI: 1.27-1.53), Occupation (compared with unemployed, OR = 1.38 for farmers, 95% CI: 1.27-1.49; OR = 1.67 for herdsmen, 95% CI: 1.53-1.82; OR = 2.28 for officials/institutions, 95% CI: 2.01-2.59), monthly family income (compared with ≤ 1 000 yuan, OR = 1.10 for 1 001-3 000 yuan, 95% CI: 1.04-1.17; OR = 1.15 for > 5 000 yuan, 95% CI: 1.04-1.26), Regional type (agricultural area as a control, animal husbandry area OR = 1.12, 95% CI: 1.05-1.19) and participation in health education on hydatid disease related knowledge (compared with not, yes OR = 3.41, 95% CI: 3.25-3.58). Conclusion The awareness level of adult echinococcosis prevention and control knowledge in Qinghai Province is not high. The main factors affecting the pass rate are nationality, education level, occupation, family monthly income, regional type and participation in health education on echinococcosis knowledge.