Hoa Nguyen Phuong, Thorson Anna E K, Long Nguyen Hoang, Diwan Vinod K
National Institute of Tuberculosis and Respiratory Diseases, Hanoi, Vietnam.
Scand J Public Health Suppl. 2003;62:59-65. doi: 10.1080/14034950310015121.
Good general lay knowledge of tuberculosis (TB), its cause and treatment is considered important for both prompt healthcare seeking and adherence to treatment. The main aim of this study was to describe the knowledge of TB among med and women with a cough for more than three weeks and to see how their health seeking related to TB knowledge.
A population-based survey was carried out within a demographic surveillance site in Vietnam. The study population included 35,832 adults aged 15 years or over. Cough cases were identified at household level and structures interviews were carried out with all cases of cough in person.
A total of 559 people (1.6%) reported coughing with a duration of three weeks or longer (259 men and 300 women). A large proportion of individuals with a cough for more than three weeks had limited knowledge of the causes, transmission modes, symptoms, and curability of TB. Men had a significantly higher knowledge score than women (3.04 vs 2.55). Better knowledge was significantly related to seeking healthcare and seeking hospital care. More men than women did not take any health care action at all.
Health education for TB thus seems to be useful, but efforts must be made to ensure that both men and women in different socioeconomic contexts can access the information.
对于肺结核（TB）及其病因和治疗方法，具备良好的大众常识被认为对于及时寻求医疗保健和坚持治疗都很重要。本研究的主要目的是描述咳嗽超过三周的男性和女性对结核病的了解情况，并观察他们寻求医疗保健的行为与结核病知识之间的关系。
在越南的一个人口监测点开展了一项基于人群的调查。研究人群包括35832名15岁及以上的成年人。咳嗽病例在家庭层面被识别出来，并对所有咳嗽病例进行了面对面的结构化访谈。
共有559人（1.6%）报告咳嗽持续时间达三周或更长（男性259人，女性300人）。很大一部分咳嗽超过三周的人对结核病的病因、传播方式、症状和可治愈性了解有限。男性的知识得分显著高于女性（3.04对2.55）。更好的知识水平与寻求医疗保健和寻求住院治疗显著相关。完全没有采取任何医疗保健行动的男性比女性更多。
因此，针对结核病的健康教育似乎是有用的，但必须努力确保不同社会经济背景下的男性和女性都能获取相关信息。
