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巴基斯坦对结核病的认知:一项全国性调查的结果

Perception of tuberculosis in Pakistan: findings of a nation-wide survey.

作者信息

Gilani Sara Ijaz, Khurram Muhammad

机构信息

Gallup Pakistan, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2012 Feb;62(2):116-20.

PMID:22755370
Abstract

OBJECTIVE

To assess knowledge about symptoms, diagnosis, treatment, transmission, and impact of tuberculosis in Pakistan.

METHODS

This nationwide survey was carried out by face to face interviews with 2742 men and women from December 2009 to June 2010. Multiple stage random area probability sampling was used for this purpose. Trained interviewers conducted interviews using structured questionnaire focusing knowledge, diagnosis, treatment, and impact of TB. Data was weighted to correspond with census distribution of population across rural and urban areas of all four provinces. SPSS 10 was used for data analysis.

RESULTS

Ninety percent (2478) of the respondents were familiar with the term TB. Common symptoms associated by respondents were cough (59%), haemoptysis (51%) and fever (40%). Majority (61%) mentioned that TB can be diagnosed by clinical examination by a doctor, 45% laboratory analysis of sputum, and 33% Xray chest as a diagnostic modality. Ninety-three percent were of the opinion that TB is treatable; 90% were in favour of treatment by doctor, and 16% by homeopathic or hakim treatment. About 91% favoured to continue TB treatment according to doctor's advice, 4% thought it can be stopped within 1-2 months of resolution of symptoms, while 73% regarded TB as a communicable disease. More than 33% respondents considered that TB affects education, occupation, getting married, and having children.

CONCLUSION

Pakistani population has deficient knowledge and misconceptions regarding symptoms, diagnosis, treatment, and impact of TB.

摘要

目的

评估巴基斯坦民众对结核病的症状、诊断、治疗、传播及影响的了解情况。

方法

2009年12月至2010年6月,通过对2742名男性和女性进行面对面访谈开展了这项全国性调查。为此采用了多阶段随机区域概率抽样法。训练有素的访谈员使用结构化问卷进行访谈,重点关注结核病的知识、诊断、治疗及影响。数据经过加权处理,以与四个省份城乡地区的人口普查分布情况相对应。使用SPSS 10进行数据分析。

结果

90%(2478名)的受访者熟悉结核病这个术语。受访者提到的常见症状有咳嗽(59%)、咯血(51%)和发热(40%)。大多数人(61%)提到结核病可通过医生的临床检查来诊断,45%提到通过痰液实验室分析,33%提到通过胸部X光作为诊断方式。93%的人认为结核病是可治疗的;90%的人赞成由医生进行治疗,16%赞成采用顺势疗法或哈基姆疗法。约91%的人赞成按照医生的建议继续进行结核病治疗,4%的人认为症状缓解后1 - 2个月就可以停药,而73%的人认为结核病是一种传染病。超过33%的受访者认为结核病会影响教育、职业、结婚和生育。

结论

巴基斯坦民众对结核病的症状、诊断、治疗及影响存在知识欠缺和误解。

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