农村居民结核病知识和社会耻辱感研究  

Study on the awareness and stigma of tuberculosis in rural China

作　　者：严非[1] 张本[2] 桓世彤[2] 王伟[1] 翁仲华[1] 赵丰曾[3] 龚幼龙[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]卫生部国外贷款办公室,北京100009 [3]中国疾病预防控制中心结核病控制中心,北京100050

出　　处：《中国健康教育》2006年第8期612-614,共3页Chinese Journal of Health Education

基　　金：卫生部疾病预防控制司、卫生部贷款办、中国疾病预防控制中心主持,英国DFID资助

摘　　要：目的了解农村居民有关结核病的知识和耻辱感,为推行健康促进策略提供依据。方法定量与定性研究相结合,对象包括肺结核病人、可疑症状者及社区居民。结果被调查对象结核病认知存在“六低一高”现象,即:对肺结核的传染性、治愈关键措施、病程、结核病专业防治机构和免费项目认知低,社会耻辱感程度较高。这是影响结核病早期发现、病人及时就诊、诊断和治疗的重要原因。结论知识的贫困和经济的贫困一样都是结核病的重要危险因素,应通过健康促进提高个人对结核病的有关卫生知识水平和社会对结核病病人的理解。Objective To understand awareness and stigma of TB patients, suspects and residents on TB, and provide reference for health promotion strategy. Methods Structure questionnaire, individual interview and focus group discussion were applied. Results The study showed six-low and one-high awareness on knowledge and attitude of tuberculosis; they were low in recognition of TB, low knowledge on infection, treatment, length of episode, TB dispensary and TB control free-project; ‘one high＇ was social stigma or discrimination from family or society. This is one of the obstacle factors impacted case finding and treatment. Conclusion Low knowledge and poverty were both key risk factors of TB, health education and promotion should be strengthened to improve public knowledge and attitude.

关 键 词：结核病 知识 耻辱感 

分 类 号：R521[医药卫生—内科学]