Survey of schistosomiasis KAP and influencing factors of behaviors among residents in Jiangsu Province

Abstract

To understand the schistosomiasis control knowledge, attitude, and practice (KAP), and influencing factors of behaviors among residents in Jiangsu Province, so as to provide the evidence for making effective health education and health promotion models. The probability proportionate to size sampling (PPS) and multi-stage sampling methods were adopted to sample the research objects. A questionnaire survey of schistosomiasis control KAP was conducted in the residents of 16 to 69 years old in schistosomiasis endemic areas of Jiangsu Province, and the results were statistically analyzed. The total awareness rate of the participants was 95.98% for schistosomiasis control knowledge. The correct rates of attitude and practice were 89.06% and 77.43%, respectively. The awareness/correct rates of knowledge, attitude and practice reduced in turns significantly (χ2 =1 282.96, P < 0.01). The knowledge awareness rate of fishermen and boatmen was 90.98%, but their attitude correct rate was only 53.81% ( χ2 =120.52, P < 0.01). The unconditional logistic regression analysis showed that with the education level increasing, their practice correct rate rose, and the participants with the college degree or above had a higher correct rate compared to illeterate ones (OR = 6.411, 95% CI: 4.896-8.395). The practice correct rate of the fisher-men and boatmen was only 5.1% of the rate of the farmers (OR = 0.051, 95% CI: 0.029-0.091). The total awareness rate of basic knowledge of schistosomiasis prevention and control in the residents of Jiangsu Province has reached the requirements in the "National Schistosomiasis Control Long-term Planning Outline (2004-2015)", but the correct rate of behaviors is low. The education level, occupation and residential areas affect the health behaviors of schistosomiasis prevention and control. Therefore, it is necessary to carry out targeted health promotion activities to promote the formation of healthy lifestyle and behaviors.