Chen Wei, Li Yang, Yang Haiqin, Ehiri John, Chen Zaiping, Liu Ying, Wang Mei, Liu Shili, Tang He, Li Ying
Department of Tuberculosis Control, Center of Disease Control and Prevention, GuiYang, China.
Department of Social Medicine and Health Service management, Third Military Medical University, Chongqing, Chongqing, China.
BMJ Open. 2016 Sep 26;6(9):e013534. doi: 10.1136/bmjopen-2016-013534.
Knowledge about tuberculosis (TB) is important for TB control, and China's national TB control guidelines emphasise TB health promotion. A 2010 national TB epidemiology survey showed that the general public had limited knowledge and awareness of TB.
To assess the level of TB knowledge after 5 years of TB health promotion in Guizhou Province, one of the regions with the highest TB burden in China.
A community-based, cross-sectional survey of 10 237 residents of Guizhou Province from June to August 2015. Multiple logistic regression models were used to examine factors associated with core TB knowledge and TB health education among respondents.
Overall, residents of Guizhou Province had inadequate knowledge of TB. The overall awareness of TB was 41.5%. Less than 30% of respondents were familiar with China's policy of free treatment for TB or knew that the disease could be cured. Factors associated with core TB knowledge included gender, age, ethnicity, education, occupation, region, and having received TB health education. Women, older adults, people employed in non-government institutions, and those living in counties with low TB burdens had little access to TB health education, whereas people with higher education levels had greater access. Respondents' sources of TB knowledge did not necessarily match their preferred channels for delivery of TB health education.
Our findings indicate that TB health education should be further strengthened in China and other countries with a high TB burden. TB health education programmes require further formative and implementation research in order to improve programme effectiveness.
结核病防治知识对于结核病防控至关重要，中国国家结核病防治指南强调结核病健康促进。2010年全国结核病流行病学调查显示，公众对结核病的知识和认识有限。
评估在中国结核病负担最高的地区之一贵州省开展5年结核病健康促进工作后的结核病知识水平。
2015年6月至8月对贵州省10237名居民进行的一项基于社区的横断面调查。采用多重逻辑回归模型来研究受访者中与结核病核心知识及结核病健康教育相关的因素。
总体而言，贵州省居民对结核病的知识掌握不足。结核病总体知晓率为41.5%。不到30%的受访者熟悉中国的结核病免费治疗政策或知道该病可治愈。与结核病核心知识相关的因素包括性别、年龄、民族、教育程度、职业、地区以及是否接受过结核病健康教育。女性、老年人、非政府机构从业人员以及生活在结核病负担低的县的居民获得结核病健康教育的机会很少，而受教育程度较高的人获得机会更多。受访者的结核病知识来源不一定与他们偏爱的结核病健康教育传播渠道相匹配。
我们的研究结果表明，在中国及其他结核病负担高的国家应进一步加强结核病健康教育。结核病健康教育项目需要进一步开展形成性研究和实施研究，以提高项目效果。
