Strand Mark, Xiaobing Wang, Xiaoqin Duan, Lee Kristin, Wang Alex, Yanqing Li, Jinxi Ni, Guangming Cheng
North Dakota State University, ND, USA.
Int Q Community Health Educ. 2006;26(4):379-95. doi: 10.2190/IQ.26.4.f.
This cross-sectional study set out to identify the health status and health beliefs and behaviors with regard to TB and HIV-AIDS among 407 rural male migrant workers in China. Surveyed workers' awareness level for AIDS transmission was 67.7% and for TB transmission 56.8%. These workers had high rates of acute illness in the previous month (depression 18.3%, physical injury 16.3%, dermatological ailment 9.6%, respiratory infection 9.4%). One or more of the four symptoms of TB were found in 22.3% of the workers. Prevalent TB symptoms were associated with previously having had TB (chi-square = 69.98, p = .000) and having previously lived with a TB patient (F = 13.99, p = .000). The relative risk for having had TB if the worker had lived with someone with TB was 5.69 (chi-square 7.65, p = .006). Screening for TB symptoms, a history of having lived with someone with TB, or having previously had TB, has the potential to serve as a cost-effective and easy first-line TB screening among large mobile populations.
这项横断面研究旨在确定中国407名农村男性农民工中结核病和艾滋病毒/艾滋病的健康状况、健康信念及行为。接受调查的工人对艾滋病传播的知晓率为67.7%，对结核病传播的知晓率为56.8%。这些工人在上个月患急性病的比例较高（抑郁症18.3%、身体受伤16.3%、皮肤病9.6%、呼吸道感染9.4%）。22.3%的工人出现了结核病的四种症状中的一种或多种。结核病的常见症状与既往患过结核病（卡方检验=69.98，p=0.000）以及既往与结核病患者同住（F=13.99，p=0.000）有关。如果工人曾与结核病患者同住，那么其患结核病的相对风险为5.69（卡方检验7.65，p=0.006）。对结核病症状、与结核病患者同住史或既往患过结核病进行筛查，有可能成为在大量流动人口中具有成本效益且简便的一线结核病筛查方法。
