目的：了解北京市成年人群对人感染H7 N9禽流感疫情的相关知识的知晓情况及态度状况，为相应的防控和健康教育工作提供参考。方法2013年4月17-19日应用分层随机抽样方法在北京市各区县共抽取432个班级的中小学生，每名学生的一名家长接受问卷调查，共16954名学生家长有效地完成调查。问卷调查主要包括基本情况、对人感染H7 N9禽流感相关知识知晓情况与态度、膳食和洗手行为的变化、对政府目前采取防控措施的满意度、对此次人感染H7N9禽流感的紧张程度、希望了解的禽流感内容等。结果北京市90.86%（15167/16693）的人群知道已经确诊的人感染H7N9禽流感病例多数是与禽接触感染；71.19%（12041/16915）的人群和66.08%（11176/16914）的人群知晓传播途径为接触传播和呼吸道传播；86.06%（14580/16942）的人群和81.34%（13780/16942）的人群选择易感人群为禽类养殖人员和禽类宰杀人员。在参与回答政府各项措施满意度的16869人中，14057人（83.33%）满意疫情信息发布；12189人（72.26%）满意防控知识普及；10371人（61.48%）满意密切接触者的疾病排查；9237人（54.76%）满意可疑禽鸟的处理；8187人（48.53%）满意诊疗费用纳入医保；8064人（47.80%）满意医院诊疗水平。被调查者中选择不紧张和有点紧张的分别占35.16%（5920/16838）和46.87%（7892/16838），选择紧张及以上的占17.97%（3026/16838）。对于希望了解的禽流感内容，被调查者前5位的选择依次为最新疫情动态（75.83%）、个人预防措施（62.57%）、传播途径（61.79%）、政府防控举措（60.43%）和疫苗进展（44.48%）。北京市出现首例人感染H7N9禽流感后不同禽类食品使用者和不同洗手情况者对传染源的知晓情况、对此次疫情的关注程度和紧张程度比较，差异均有统计学意义（ P<0.05）。结论北京市成年人群面对疫情时具备良好的防控意识和相对较高的健康素养水平，对疫情的知晓程度、关注度以及对政府措施的满意程度都比较高。%Objective To assess the knowledge and attitude of human H7N9 avian influenza infection among adult population in Beijing,to provide references for health education and disease prevention and control. Methods During 17-19 A-pril 2013,432 classes of middle schools and primary schools in Beijing were sampled by stratified random sampling method,the studentsˊparents were investigated by questionnaire,and eventually 16 954 questionnaires were effective. Questionnaires were basic information,the knowledge and attitude of human H7N9 avian influenza infection,change of the poultry eaters and hand-washing population,the satisfaction with the governmentˊs measures,the degree of nervous,the information respondents want to know. Results In Beijing,90. 86% adults(15 167/16 693)knew poultry was the main source of human H7N9 avian influenza infection. 71. 19%(12 041/16 915)and 66. 08%(11 176/16 914)people knew the route of H7N9 avian influenza infection transmission were contact and respiratory tract respectively. 86. 06%(14 580/16 942)and 81. 34%(13 780/16 942)respond-ents selected poultry cultivation population and cullers as susceptible group. Among 16 869 subjects who answered the satisfaction with the governmentˊs measures,14 057(83. 33%)were satisfied with information release,12 189(72. 26%)were satisfied with knowledge popularization,10 371(61. 48%)were satisfied with early test of close contacts,9 237(54. 76%)were satis-fied with treatment of suspected poultry,8 187(48. 53%)were satisfied with medical cost was included into medical insurance, and 8 064( 47. 80%)were satisfied with diagnosis and treatment level. 35. 16%( 5 920/16 838 )respondents selected " not nervous",46. 87%(7 892/16 838)selected " a little nervous",and only 17. 97%(3 026/16 838)selected " medium or high degree of nervous" . As for the information respondents want to know,the top five selections were the latest epidemic devel-opment(75. 83%),personal preventive measures(62. 57%),route of transmission(61. 79%),the governmentˊs measures (60. 43%)and vaccine development(44. 48%). Since the first case of human H7N9 avian influenza infection in Beijing was discovered,there were significant differences in awareness,the degree of concern and tension among different poultry eaters and hand-washing population(P<0. 05). Conclusion The adult population in Beijing had good awareness and relative high level of health literacy in preventing the emergent infectious disease,the cognition and attention extent of epidemic situation,and sat-isfaction degree for governmentˊs measures were relative high.
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