Evaluation of the effect of health education on clonorchiasis in primary schools in Xinfeng County of Jiangxi Province

doi:10.12140/j.issn.1000-7423.2020.05.008

Abstract

Abstract:

Objective To evaluate the effect of health education on clonorchiasis among primary school students in endemic areas. Methods This study was implemented in Xinfeng County, Jiangxi Province from 2017 to 2019. Three townships were selected in Xinfeng County, the demonstration area for integrated control for clonorchiasis, from each township two villages were selected to serve as the control and the intervention group, respectively. The baseline survey was conducted to understand the awareness of the transmission route and harmfulness of Clonorchis sinensis among the primary school students and villagers in the control group and the intervention group, as well as their attitude towards eating raw fish and the behavior of eating raw freshwater fish. In villages of the intervention group, comprehensive health education measures were carried out in primary schools, including watching a cartoon about the prevention and control of clonorchiasis once a semester, preparing a blackboard bulletin, writing a composition about clonorchiasis, and carrying out a propaganda activity for parents. No intervention measures were taken in the control group. In 2019, the effect of health education in students and villagers was evaluated in the intervention group and the control group using the same method as the baseline survey. Results In the control group and intervention group, 298 and 254 students, as well as 147 and 168 villagers participated in the baseline survey and evaluation survey. The students’ awareness rate of the transmission route and harmfulness of clonorchiasis in the intervention group increased from 44.49% (113/254) and 0 before intervention to 79.13% (201/254) (P < 0.01) and 23.22% (59/254) (P < 0.01) after intervention; the willingness of not eating raw fish increased from 75.2% (191/254) to 94.09% (239/254) (P < 0.01), and the behavioral rate of eating raw fish was 2.36% (6/254) and 0.39% (1/254) (P > 0.05), respectively. In the control group, the awareness rate of transmission route and harmfulness of clonorchiasis among the students increased from 11.41% (34/298) and 0.33% (1/298) to 53.02% (158/298) (P < 0.01) and 22.48% (67/298) (P < 0.01), respectively; the rate of willingness of not eating raw fish decreased from 95.64% (285/298) to 91.28% (272/298) (P < 0.05); the rate of eating raw fish was 1.34% (4/298) and 1.01% (3/298) (P > 0.05), respectively. In the intervention group, the villagers’ awareness rate of transmission route was 18.45% (31/168) and 26.19% (44/168) (P > 0.05), and the awareness rate of harmfulness of clonorchiasis increased from 4.17% (7/168) to 16.07% (27/168) (P < 0.05); the rate of willingness of not eating raw fish was 95.83% (161/168) and 94.05% (158/168) (P > 0.05), and the behavior of eating raw fish decreased from 35.12% (59/168) to 15.48% (26/168) (P < 0.05). In the control group, the villagers’ awareness rate of clonorchiasis transmission route decreased from 56.46% (83/147) to 39.46% (58/147) (P < 0.05), the awareness rate of harmfulness increased from 3.4% (5/147) to 9.52% (14/147) (P < 0.05); the rate of willingness of not eating raw fish increased from 82.31% (121/147) to 94.56% (139/147) (P < 0.05); the behaviorial rate of eating raw fish decreased from 23.13% (34/147) to 6.8% (10/147) (P < 0.05). Conclusion The health education on clonorchiasis in primary schools can improve the students’ knowledge on the prevention and control of clonorchiasis, strengthen the perception of not eating raw fish in the future, and meantime also reduce the occurrence of eating raw fish among adults, playing evident role in improving the awareness rate among adults.

Key words: Clonorchiasis, Health education, Primary school students

CLC Number:

R532.23

ZHU Ting-jun, QIAN Men-bao, CHEN Ying-dan, CHEN Zhe, GE Jun, ZENG Xiao-jun, YUAN Chang-hong, LAN Ming-xing, LI Shi-zhu. Evaluation of the effect of health education on clonorchiasis in primary schools in Xinfeng County of Jiangxi Province[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2020, 38(5): 574-579.

Figures/Tables 1

References 18

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