Zhang Z B, Xue Z X, Ma M M, Li Y H, Luo D M, Song X L, Chao X F, Wang G, Nazibam Nurmamat, Ayxamgul Bawudun, Sulayman Mahat, Wu X J, Zhou Z Y, Sun B S, Wang Y Z, Wang M
Office of Director; Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Immunization Programme Section, Shufu Center for Disease Control and Prevention, Kashgar 844100, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Jun 10;38(6):715-720. doi: 10.3760/cma.j.issn.0254-6450.2017.06.005.
To investigate the knowledge, attitude and practice (KAP) to chronic diseases and associated influencing factors in Uygur adults in Kashgar of southern Xinjiang, and provide basic information for developing ethnic specific prevention and control strategies for chronic diseases. With stratified cluster random sampling, investigations, including questionnaire survey, physical examination and laboratory tests were performed among local residents who were aged ≥18 years and selected in Shufu county in southern Xinjiang. KAP scores were calculated and unconditional logistic regression models were used to analyze influencing factors. A total of 4 772 Uygur adults were surveyed. The awareness rate of chronic disease related knowledge ranged from 4.32 to 56.04, while the awareness rate of preventive measures were from 1.76 to 85.18 and the participation rate of prevention program varied from 4.00 to 97.99. The average KAP score was 15.90±4.20 and the rate of total KAP was 47.86. Multi-factor analysis suggested the pass rate of total KAP score increased with educational level. Other factors positively associated with 'KAP score pass rate' were commercial insurance investment, hypertension, family history of common chronic diseases, female and abdominal obesity, while overweight was negatively associated with the KAP score pass rate. The KAP level on chronic diseases was low in Uygur adults in Kashgar. It is necessary to continuously implement ethnic targeted health education and health promotion campaigns, especially in low education level, low income level, overweight and male groups.
为了解新疆南部喀什地区维吾尔族成年人对慢性病的知识、态度和行为（KAP）及相关影响因素，为制定针对该民族的慢性病防控策略提供基础资料。采用分层整群随机抽样方法，对新疆南部疏附县≥18岁的当地居民进行调查，包括问卷调查、体格检查和实验室检测。计算KAP得分，并采用非条件logistic回归模型分析影响因素。共调查4772名维吾尔族成年人。慢性病相关知识知晓率为4.32%～56.04%，预防措施知晓率为1.76%～85.18%，预防项目参与率为4.00%～97.99%。KAP平均得分为15.90±4.20，总KAP率为47.86%。多因素分析显示，总KAP得分及格率随文化程度升高而增加。与“KAP得分及格率”呈正相关的其他因素有商业保险投入、高血压、常见慢性病家族史、女性和腹型肥胖，而超重与KAP得分及格率呈负相关。喀什地区维吾尔族成年人慢性病KAP水平较低。有必要持续开展针对该民族的健康教育和健康促进活动，尤其是针对文化程度低、收入水平低、超重和男性群体。
