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埃塞俄比亚成年人中与结核病知识相关的社会经济因素

Socioeconomic Factors Associated with Knowledge on Tuberculosis among Adults in Ethiopia.

作者信息

Gelaw Sifrash Meseret

机构信息

Unit 12 A, Tuscany Condo, Ayala Avenue 6751, Makati City, 1226 Metro Manila, Philippines; 24th Floor Citibank Tower, Paseo De Roxas 8741, Makati City, 1226 Metro Manila, Philippines.

出版信息

Tuberc Res Treat. 2016;2016:6207457. doi: 10.1155/2016/6207457. Epub 2016 Feb 1.

DOI:10.1155/2016/6207457
PMID:26949546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4753341/
Abstract

Background. Ethiopia is among highly tuberculosis affected countries. This might be related to low level of awareness on the disease in the population. The objective of the study was to determine the level of tuberculosis knowledge and socioeconomic factors associated with it. Methods. The 2011 Ethiopia health and demographic survey data were used. Overall tuberculosis knowledge score was computed to evaluate the outcome variable. Multivariable logistic regression was employed to identify independent socioeconomic factors associated with low tuberculosis knowledge. Results. The overall tuberculosis knowledge was low, 44.05% (95% CI: 42.05-46.24%) among women and 32.3% (95% CI: 30.34-34.32%) among men. Rural women (AOR = 1.22) and youth, no formal education (women: AOR = 3.28, men: AOR = 7.42), attending only primary education (women: AOR = 1.95, men: AOR = 3.49), lowest wealth quintiles (women: AOR = 1.4, Men: AOR = 1.28), unskilled female manual workers (AOR = 4.15), female agricultural employee (AOR = 2.28), and lack of access to media (women: AOR = 1.52, men: AOR = 1.71) are significantly associated with low tuberculosis knowledge. Conclusion. The level of tuberculosis knowledge among adults in Ethiopia is low and varied by socioeconomic groups. Tuberculosis control programs should consider appropriate strategies for tuberculosis education, promotion, communication, and social mobilization to address the rural women, youths, the poor, less educated people, and unskilled workers.

摘要

背景。埃塞俄比亚是结核病高负担国家之一。这可能与民众对该疾病的认知水平较低有关。本研究的目的是确定结核病知识水平及其相关的社会经济因素。方法。使用2011年埃塞俄比亚健康与人口调查数据。计算总体结核病知识得分以评估结果变量。采用多变量逻辑回归来确定与低结核病知识相关的独立社会经济因素。结果。总体结核病知识水平较低,女性为44.05%(95%置信区间:42.05 - 46.24%),男性为32.3%(95%置信区间:30.34 - 34.32%)。农村女性(调整后比值比[AOR]=1.22)、青年、未接受正规教育者(女性:AOR = 3.28,男性:AOR = 7.42)、仅接受小学教育者(女性:AOR = 1.95,男性:AOR = 3.49)、最贫困财富五分位数人群(女性:AOR = 1.4,男性:AOR = 1.28)、非技术女性体力劳动者(AOR = 4.15)、女性农业雇员(AOR = 2.28)以及无法接触媒体者(女性:AOR = 1.52,男性:AOR = 1.71)与低结核病知识显著相关。结论。埃塞俄比亚成年人的结核病知识水平较低,且因社会经济群体而异。结核病控制项目应考虑采取适当的结核病教育、推广、沟通和社会动员策略,以应对农村女性、青年、贫困人口、受教育程度较低者和非技术工人。

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