Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field
Objectives: Schistosomiasis is a zoonotic infectious disease that seriously harms people’s physical and mental health. As early as 1985, the WHO suggested that health education and health promotion should be the focus of schistosomiasis prevention work. This study aimed to explore the effect of heal...
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MDPI AG
2023-05-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/8/5/267 |
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| author | Jiaxin Feng Xinyi Wang Xia Zhang Hehua Hu Jingbo Xue Chunli Cao Jing Xu Pin Yang Shizhu Li |
| author_facet | Jiaxin Feng Xinyi Wang Xia Zhang Hehua Hu Jingbo Xue Chunli Cao Jing Xu Pin Yang Shizhu Li |
| author_sort | Jiaxin Feng |
| collection | DOAJ |
| description | Objectives: Schistosomiasis is a zoonotic infectious disease that seriously harms people’s physical and mental health. As early as 1985, the WHO suggested that health education and health promotion should be the focus of schistosomiasis prevention work. This study aimed to explore the effect of health education on controlling the risk of schistosomiasis transmission after schistosomiasis blocking and to provide a scientific basis for the further improvement of intervention strategies after schistosomiasis interruption in China and other endemic countries. Methods: In Jiangling County, Hubei Province, China, one severe, one moderate, and one mildly endemic village were selected as the intervention group; two severe, two moderate, and two mildly endemic villages were selected as the control group. In towns with different epidemic types, a primary school was randomly selected for intervention. In September 2020, a baseline survey was carried out through a questionnaire survey to understand the knowledge, attitudes, and practices (KAP) of adults and students concerning schistosomiasis control. Next, two rounds of health education interventions for schistosomiasis control were carried out. The evaluation survey was conducted in September 2021 and the follow-up survey conducted in September 2022. Results: Compared with the baseline survey, the qualified rate of the KAP on schistosomiasis prevention of the control group in the follow-up survey increased from 79.1% (584/738) to 81.0% (493/609) (<i>p</i> > 0.05); in the intervention group, the qualified rate of the KAP on schistosomiasis control increased from 74.9% (286/382) to 88.1% (260/295) (<i>p</i> < 0.001). In the baseline survey, the qualified rate of the KAP of the intervention group was lower than that of the control group, and in the follow-up survey, the qualified rate of the KAP of the intervention group was 7.2% higher than that of the control group (<i>p</i> < 0.05). Compared with the baseline survey, the accuracy rates of the KAP of the intervention group’s adults were higher than those of the control group, with statistical significance (<i>p</i> < 0.001). Compared with the baseline survey, the qualified rate of the students’ KAP in the follow-up survey increased from 83.8% (253/302) to 97.8% (304/311) (<i>p</i> < 0.001). In the follow-up survey, the accuracy rate of the knowledge, attitudes, and practices of the students was significantly different from the baseline accuracy (<i>p</i> < 0.001). Conclusion: a health education-led risk control model of schistosomiasis can significantly improve schistosomiasis control knowledge among adults and students, establishing correct attitudes and leading to the development of correct hygiene habits. |
| first_indexed | 2024-03-11T03:15:41Z |
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| last_indexed | 2024-03-11T03:15:41Z |
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| spelling | doaj.art-b2f701c65984433c8e9bfd9fb96b92282023-11-18T03:34:14ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-05-018526710.3390/tropicalmed8050267Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the FieldJiaxin Feng0Xinyi Wang1Xia Zhang2Hehua Hu3Jingbo Xue4Chunli Cao5Jing Xu6Pin Yang7Shizhu Li8National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaJiangling Center for Disease Control and Prevention, Jingzhou 434000, ChinaJiangling Center for Disease Control and Prevention, Jingzhou 434000, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaNational Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, ChinaObjectives: Schistosomiasis is a zoonotic infectious disease that seriously harms people’s physical and mental health. As early as 1985, the WHO suggested that health education and health promotion should be the focus of schistosomiasis prevention work. This study aimed to explore the effect of health education on controlling the risk of schistosomiasis transmission after schistosomiasis blocking and to provide a scientific basis for the further improvement of intervention strategies after schistosomiasis interruption in China and other endemic countries. Methods: In Jiangling County, Hubei Province, China, one severe, one moderate, and one mildly endemic village were selected as the intervention group; two severe, two moderate, and two mildly endemic villages were selected as the control group. In towns with different epidemic types, a primary school was randomly selected for intervention. In September 2020, a baseline survey was carried out through a questionnaire survey to understand the knowledge, attitudes, and practices (KAP) of adults and students concerning schistosomiasis control. Next, two rounds of health education interventions for schistosomiasis control were carried out. The evaluation survey was conducted in September 2021 and the follow-up survey conducted in September 2022. Results: Compared with the baseline survey, the qualified rate of the KAP on schistosomiasis prevention of the control group in the follow-up survey increased from 79.1% (584/738) to 81.0% (493/609) (<i>p</i> > 0.05); in the intervention group, the qualified rate of the KAP on schistosomiasis control increased from 74.9% (286/382) to 88.1% (260/295) (<i>p</i> < 0.001). In the baseline survey, the qualified rate of the KAP of the intervention group was lower than that of the control group, and in the follow-up survey, the qualified rate of the KAP of the intervention group was 7.2% higher than that of the control group (<i>p</i> < 0.05). Compared with the baseline survey, the accuracy rates of the KAP of the intervention group’s adults were higher than those of the control group, with statistical significance (<i>p</i> < 0.001). Compared with the baseline survey, the qualified rate of the students’ KAP in the follow-up survey increased from 83.8% (253/302) to 97.8% (304/311) (<i>p</i> < 0.001). In the follow-up survey, the accuracy rate of the knowledge, attitudes, and practices of the students was significantly different from the baseline accuracy (<i>p</i> < 0.001). Conclusion: a health education-led risk control model of schistosomiasis can significantly improve schistosomiasis control knowledge among adults and students, establishing correct attitudes and leading to the development of correct hygiene habits.https://www.mdpi.com/2414-6366/8/5/267intervention strategiestransmission riskChinese experienceschistosomiasishealth education |
| spellingShingle | Jiaxin Feng Xinyi Wang Xia Zhang Hehua Hu Jingbo Xue Chunli Cao Jing Xu Pin Yang Shizhu Li Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field Tropical Medicine and Infectious Disease intervention strategies transmission risk Chinese experience schistosomiasis health education |
| title | Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field |
| title_full | Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field |
| title_fullStr | Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field |
| title_full_unstemmed | Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field |
| title_short | Effect of Health Education on Schistosomiasis Control Knowledge, Attitude, and Practice after Schistosomiasis Blocking: Results of a Longitudinal Observational Study in the Field |
| title_sort | effect of health education on schistosomiasis control knowledge attitude and practice after schistosomiasis blocking results of a longitudinal observational study in the field |
| topic | intervention strategies transmission risk Chinese experience schistosomiasis health education |
| url | https://www.mdpi.com/2414-6366/8/5/267 |
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