江苏江西2省农村地区不同人群结核病知信行调查分析  

Study on knowledge,attitudes,and practice related to tuberculosis among different populations in rural areas in Jiangsu and Jiangxi Provinces

作　　者：肖筱[1,2] 周昌明[1,2] 蒋伟利[1,2] 孙建胜[3] 孟旭[4] 邱林西[5] 赵琦[1,2] 徐飚[1,2] XIAO Xiao;ZHOU Changming;JIANG Weili;SUN Jiansheng;MENG Xu;QIU Linxi;ZHAO Qi;XU Biao(School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]公共卫生安全教育部重点实验室,上海200032 [3]徐州市疾病预防控制中心,江苏徐州221003 [4]赣州市疾病预防控制中心,江西赣州341000 [5]江西省疾病预防控制中心,江西南昌330029

出　　处：《中国健康教育》2018年第2期142-146,共5页Chinese Journal of Health Education

基　　金：国家自然基金(C81202256);江西省科技厅项目(2014BDH80030)

摘　　要：目的了解江苏、江西农村地区不同人群结核病相关知识信念及行为现状,为新阶段的结核病防控工作提供基础资料。方法按照1∶1对照原则纳入3组(糖尿病、糖尿病共患结核病、结核病)患者,采用自行设计的调查问卷,收集相关知信行信息进行分析讨论。结果共筛选1404例结核病患者,发现DM-TB患者97例。结核病知识主要条目8题的总知晓率54.3%,总合格率(答对5题及以上)51.5%。女性认知较男性差(OR=3.013,95%CI:1.555~5.839),不识字/少识字(OR=4.018,95%CI:1.410~11.453)、仅接受义务教育(OR=2.427,95%CI:1.103~5.340)的调查对象认知较高中及以上文化程度差。糖尿病共患结核病患者(OR=2.410,95%CI:1.199~4.848)、男性(OR=2.795,95%CI:1.401~5.578)、认知不及格(OR=1.808,95%CI:1.024~3.191)相对于单纯糖尿病患者、女性、认知及格更易对结核病患者持消极态度。知识的主要获取途径为听别人说(50.9%)及医疗机构(37.8%),结核病知识获取的途径越多则认知越好,Spearman相关系数为0.310,P<0.05。结论江苏、江西农村地区不同人群的结核病知识掌握欠佳,态度行为较消极,当地相关部门应利用多渠道层次开展结核病宣传工作,糖尿病共患结核病的预防工作需要加强。Objective To understand the status of knowledge,attitudes,and practice(KAP)related to tuberculosis(TB)among different population in rural areas in Jiangsu and Jiangxi Provinces,and provide basic information for developing the strategy of TB related health education and promotion.Methods Casecontrol study was conducted to collect information.Three group subjects,including diabetes,diabetes with TB,and TB,were investigated with selfdesigned questionnaire by clinical doctors.Results Totally,97 diabetes with TB patients were diagnosed among 1404 TB patients.The total awareness of 8 main items of TB knowledge was 54.3%,while the qualified rate was 51.5%.The women’s TB knowledge was significantly worse than that of men(OR=3.013,95%CI:1.555-5.839).And the awareness of illiteracy person(OR=4.018,95%CI:1.410-11.453),and educated less than 9 years(OR=2.427,95%CI:1.103-5.340)were worse than that of who were educated more than 12 years.Diabetes with TB(OR=2.410,95%CI:1.199-4.848),male(OR=2.795,95%CI:1.401-5.578),unqualified patients(OR=1.808,95%CI:1.024-3.191)were more likely to have negative attitude towards TB patients.The major access to get TB knowledge were medical institutions(37.8%)and listening to others(50.9%).The more access to gain knowledge,the better cognition(Spearman correlation coefficient was 0.310,P<0.05)they had.Conclusion TB KAP were poor in rural areas in Jiangsu Province and Jiangxi Province.Local authorities should use multichannel levels to carry out propagation work on TB,prevention work on diabetes cooccurrence with TB needs to be strengthened.

关 键 词：结核病 糖尿病共患结核病 防控 知信行 

分 类 号：R193[医药卫生—卫生事业管理] R521[医药卫生—公共卫生与预防医学]