Objective: To evaluate the effect of peer education on knowledge, attitude and practices towards schistosomiasis control among primary school students in endemic foci of Wuhan City.
Methods: Yucai Hankou Primary School in Jiang' an District, Wuhan City was selected in 2021, and all students at grades 4 and 5 were sampled using a cluster sampling method to receive peer education about schistosomiasis. The changes of knowledge, attitude and practices towards schistosomiasis control were compared before and after peer education to evaluate the effect of peer education on knowledge, attitude and practices towards schistosomiasis control.
Results: The overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors increased from 51.50%, 93.70% and 92.99% before peer education to 86.50%, 98.98% and 98.72% after peer education among primary school students, respectively (χ2=149.457, 21.692 and 20.691, all P values < 0.05). The overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors were 49.19%, 92.20% and 92.72% among Grade 4 primary school students and 53.83%, 95.21% and 93.28% among Grade 5 primary school students prior to peer education (χ2 = 1.214, 2.034 and 0.096, all P values > 0.05), and increased to 75.93%, 98.09% and 97.59% among Grade 4 primary school students and 97.16%, 99.87% and 99.87% among Grade 5 primary school students after peer education, respectively (χ2 = 40.798, 9.572, 7.207, 133.194, 9.678 and 14.926, all P values < 0.05). The overall awareness of schistosomiasis control knowledge and the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors were 51.25%, 76.92% and 77.97% among male primary school students and 51.80%, 94.42% and 95.70% among female primary school students prior to peer education, the differences in the overall proportion of correct attitudes towards schistosomiasis control and correct schistosomiasis-related behaviors between male primary school students and female primary school students were significant (χ2 = 30.462 and 33.416, both P values < 0.05), and increased to 86.23%, 98.25% and 97.79% among male primary school students and 86.83%, 99.85% and 99.85% among female primary school students after peer education (χ2 = 0.081, 3.529 and 3.335, all P values > 0.05), respectively.
Conclusions: Peer education is effective to improve the knowledge, attitude and practices towards schistosomiasis control among primary school students in endemic foci of Wuhan City, which may be more effective to improve the awareness of schistosomiasis control knowledge and proportion of correct schistosomiasis-related behaviors among primary school students at high grades.
［摘要］ 目的探讨同伴教育对武汉市血吸虫病流行区小学生血吸虫病防治知信行的十预效果。方法 2021年以武 汉市江岸区育才汉口小学为研究现场, 整群抽取该校所有4 ~ 5年级学生为研究对象, 进行血吸虫病同伴教育十预。比 较十预前后小学生血吸虫病防治知信行变化, 评价同伴教育十预效果。结果 十预前, 所有小学生血吸虫病防治知识总 知晓率、血防态度和相关行为正确率分别为51.50%、93.70%、92.99%, 十预后分别上升至86.50%、98.98%、98.72%, 差异 均有统计学意义(χ2 = 149.457、21.692、20.691, P均< 0.05)。十预前, 四年级小学生血吸虫病防治知识知晓率、态度和相 关卫生行为正确率分别为49.19%、92.20%和92.72%, 五年级小学生分别为53.83%、95.21%和93.28%, 四、五年级小学生 血吸虫病防治知识知晓率、态度和相关卫生行为正确率差异均无统计学意义(χ2 = 1.214、2.034、0.096, P均>0.05);十预 后, 四年级小学生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别上升至75.93%、98.09%和97.59%, 五年级 小学生分别上升至 97.16%、99.87%和99.87%, 差异均有统计学意义(χ2 = 40.798、9.572、7.207、133.194、9.678、14.926, P均<0.05)。十预前, 男生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别为51.25%、76.92%和77.97%, 女生分别为51.80%、4.42%和95.70%, 男、女生血吸虫病防治态度和相关卫生行为正确率差异均有统计学意义 (χ2 = 30.462、33.416, P均< 0.05);十预后, 男生血吸虫病防治知识知晓率、态度和相关卫生行为正确率分别上升至 86.23%、98.25%和97.79%, 女生分别上升至 86.83%、99.85%和99.85%, 差异均无统计学意义 (χ2 = 0.081、3.529、3.335, P > 0.05)。结论 同伴教育对于武汉市血吸虫病流行区小学生血吸虫病防治知信行具有较好改善效果, 可能 更有助于改善小学高年级学生血吸虫病防治知识水平和相关卫生行为。.
Keywords: Knowledge, attitude and practice (KAP); Peer education; Primary school student; Schistosomiasis; Wuhan City.