江苏省外来务工人员结核病防治知信行调查  

KAP about tuberculosis among migrant workers in Jiangsu province

作　　者：张珍[1] 张学宁[1] 张钰[1] 朱一[1] 高倩[1] 常军[2] 黄忠大[3] 陈勇[4] 朱立国[5] 郭海健[5] 王蓓[1] 

机构地区：[1]东南大学公共卫生学院流行病与卫生统计学系教育部环境医学工程重点实验室,江苏南京210009 [2]泰兴市疾病预防控制中心 [3]丹阳市疾病预防控制中心 [4]张家港市疾病预防控制中心 [5]江苏省疾病预防控制中心

出　　处：《中国公共卫生》2013年第4期475-477,共3页Chinese Journal of Public Health

基　　金：国家科技重大专项(2009ZX10004-904)

摘　　要：目的了解江苏省外来务工人员结核病防治知识、态度、行为现状,为采取干预措施提供参考依据。方法采用随机整群抽样方法在江苏省泰兴、丹阳、张家港市抽取18家建筑生产企业653名外来务工人员进行问卷调查。结果江苏省外来务工人员结核病防治知识总体知晓率和及格率分别为55.6%和58.5%;多因素logistic回归分析结果表明,已婚(OR=1.631)和最近半年接受过结核病防治知识宣传教育(OR=5.609)的外来务工人员知识及格率较高;653名外来务工人员中,5.5%选择与患肺结核的同事朋友疏远,17.2%会像便平常一样对待,77.2%会对其更加关心,同时注意自我保护;84.1%在怀疑自己或家人患肺结核后,选择去定点医院或疾病预防控制中心就诊治疗;72.3%会在冬春季经常开窗通风;65.4%表示不会随地吐痰;知识及格外来务工人员的正确态度持有率为84.3%,高于不及格外来务工人员的67.2%(χ2=26.429,P=0.000);结核防治知识及格外来务工人员就医行为、经常开窗通风行为和不随地吐痰行为的正确行为率分别为92.7%、80.9%和74.9%,均高于知识不及格外来务工人员的72.0%、60.1%和52.0%(均P=0.000);结核防治态度正确外来务工人员就医行为、经常开窗通风行为和不随地吐痰行为的正确行为率分别为89.7%、75.8%和70.4%,均高于态度不正确外来务工人员的65.1%、60.4%和48.3%(均P=0.000)。结论江苏省外来务工人员对结核病防治知识了解不全面;外来务工人员结核病防治知识的提高有利于其正确态度与行为的形成。Objective To investigate the knowledge, attitude and practice （KAP） about tuberculosis （TB） among migrant workers in Jiangsu province and to provide basis for health education. Methods A total of 653 migrant workers from 18 construction and manufacturing enterprises in Taixing, Danyang, Zhangjiagang cities of Jiangsu province were selected with cluster sampling. Results Total awareness rate for 6 knowledge items of TB in the migrant workers was 55.6%, with a qualified rate of 58.5%. Multivariate analyses showed that the married migrant workers had a higher pass- ing rate（odds ratio[OR] = 1.631,95% confidence interval [CI] = 1.158,2.297） and the workers receiving health edu- cation in the previous six months had higher passing rate （OR = 5.609,95 % CI：3.938,7.990）. There were interactive re- lationships among the knowledge, attitude and practice about TB in the migrant workers. Conclusion Migrant workers have a poor knowledge about TB. and health education on TB should be further strengthened in the workers.

关 键 词：结核病 防治 知识 态度 行为 外来务工人员 

分 类 号：R521[医药卫生—内科学]