摘要
目的掌握江苏、江西两省农村地区结核病患者结核病相关知信行（KAP）及其可能的影响因素,为新阶段的结核病防控工作提供基础资料。方法采用自行设计的调查问卷,在研究现场结防定点门诊连续调查1年新诊断登记的活动性结核病患者。结果调查对象结核病8道核心题目总知晓率为58.1%,总合格率61.0%。相比于江西省、男性患者,江苏省（OR=1.614,95%CI：1.243-2.095）、女性（OR=1.422,95%CI：1.065-1.897）患者不合格率较高,大专及以上文化程度患者的知晓率高于初中（OR=2.903,95%CI：1.405-5.999）、小学及以下（OR=4.750,95%CI：2.237-10.084）、不识字/少识字（OR=5.507,95%CI：2.445-12.404）文化程度患者。15.3%患者会主动了解肺结核知识,16.0%会主动传播肺结核知识。7.1%的被调查者表示会与身边肺结核患者断绝来往,42.2%的被调查者表示会与身边的肺结核患者尽量保持距离,江苏省患者（OR=2.147,95%CI：1.653-2.787）和结核病知识答题不合格患者（OR=1.646,95%CI：1.268-2.136）相比于江西省、答题合格患者更加容易对身边的结核病患者持消极态度。结论江苏、江西省结核病知识掌握欠佳,依然存在消极态度行为,当地相关部门应区分重点人群、渠道及内容进行多层次结核病宣传工作。
Objective To understand the status of knowledge,attitude and practice（ KAP） among rural tuberculosis（ TB） patients in east China,find influence factors of KAP,and provide basic evidence for TB prevention and control in new stage. Methods A self-designed questionnaire was used to collect data. All newly diagnosed active TB patients registered in study sites were recruited in a year. Results The total awareness rate of TB 8 key message was 58. 1%,the total qualified rate was 61. 0%. Compared to Jiangxi Province and male patients,the patients who were in Jiangsu Province（ OR= 1. 614,95% CI： 1. 243-2. 095） or females（ OR = 1. 422,95% CI： 1. 065-1. 897） were with higher unqualified rates. The patients with college degree and above had higher awareness rate compared to lower education groups,illiterate patients（ OR = 5. 507,95% CI： 2. 445-12. 404）,primary school patients（ OR = 4. 750,95% CI： 2. 237-10. 084）,middle school patients（ OR = 2. 903,95% CI： 1. 405-5. 999）. The proportion of initiatively learning and spreading the knowledge of TB were 15. 3% and 16. 0% respectively. 7. 1% of respondents would cut off connections with TB patients around and 42. 2% of them would keep distance with them. Patients in Jiangsu Province（ OR = 2. 147,95% CI： 1. 653-2. 787） and unqualified patients（ OR = 1. 646,95% CI： 1. 268-2. 136） were more easily to have negative attitude towards TB patients compare to patients in Jiangxi Province and qualified patients. Conclusion The status of tuberculosis KAP were poor in East rural China,and the attitude was negative,local authorities should distinguish the key crowds,channels and content,use multi-channel levels to carry out propagation work on tuberculosis.
出处
《中国健康教育》
北大核心
2016年第3期195-198,220,共5页
Chinese Journal of Health Education
基金
国家自然基金(C81202256)
