摘要目的 了解杭州市城乡居民手卫生现状,提出相应健康促进建议.方法 采用等容抽样方法,按照城市居民、农村居民、机关事业单位人员、城市学生、农村学生、企业职工六类人群,每类人群从杭州市下辖的13个区、县(市)中各抽取50人,共计3 337人;依据WHO推荐的正确洗手标准,开展问卷调查,调查内容包括:人口学特征、手卫生防病知识、什么情况下洗手、洗手方式、六步洗手法使用情况等.数据分析采用非条件logistic回归分析和x2检验.结果 杭州市城乡居民正确洗手率为35.84％;其中,城市居民为41.45％,农村居民为27.06％;城市社区居民最高(48.15％),农村学生最低(20.00％);居民对手卫生预防疾病的认识率为35.06％,其中,城市居民为36.25％,农村居民为33.21％;居民正确洗手影响因素为所在城区、城乡、性别、年龄、手卫生预防疾病知识了解度;居民认识手卫生可预防疾病的影响因素为所在城区、性别、年龄、文化程度.结论 杭州市居民正确洗手率较低,城乡差异显著,副城区居民手卫生知识、行为均有待提高,同时,学生群体手卫生状况急需改善.

abstractsObjective To investigate the hand hygiene status of urban and rural residents in Hangzhou City of Zhejiang Province to provide scientific base for health promotion.Methods Urban residents,rural residents,personnel in government institutions,urban students,rural students and enterprise workers were enrolled in this investigation.By using constant volume sampling method,fifty individuals in each group were recruited from 13 districts of Hangzhou City,and a total of 3 337 people filled in the questionnaire,which included demographic characteristics,knowledge of hand hygiene and hand washing.Logistic regression analysis and x2 test were used for data analysis.Results Correct hand-washing was found in 35.84％ urban and rural residents (urban vs.rural:41.45％ vs.27.06％).Awareness rate of hand hygiene was 35.06％.The influencing factors of proper hand washing were location,gender,age,educational level and understanding of hand hygiene.The influencing factors of awareness of hand hygiene were location,gender,age and educational level.Conclusion Hangzhou citizens had a relatively lower rate of proper hand washing,and significant difference was found between urban and rural residents; the study suggested that para-urben residents need to improve their knowledge and behavior of hand hygiene.Meanwhile,the students urgenty need to improve their hand hygiene