Shajing Health Inspection Institute, Shenzhen, China.
South China University of Technology, Guangzhou, China.
Patient Educ Couns. 2021 Jun;104(6):1487-1493. doi: 10.1016/j.pec.2020.10.030. Epub 2020 Oct 28.
The present study tested the level of tuberculosis (TB) knowledge of Chinese parents whose children attended kindergarten, primary school, and middle school, and examined whether their TB knowledge and self-efficacy in TB management exhibited a curvilinear relationship with their intention to seek timely TB treatment and adhere to doctors' regimens if their children are infected with TB.
An online cross-sectional survey (N = 1129) was conducted. TB knowledge was assessed based on the manual provided by the Chinese Center for Disease Control and Prevention (CDC). Hierarchical polynomial regression was conducted to test the proposed curvilinear relationships.
Chinese parents lacked knowledge about risks of TB and how to prevent TB. TB knowledge and self-efficacy in TB management motivated Chinese parents to seek timely TB treatment and adhere to doctors' regimens, but too much knowledge and self-efficacy predicted both intentions negatively.
Excessive levels of self-efficacy in self-management and health knowledge could backfire.
Practitioners should elevate Chinese parents' perceptions of severity of TB and susceptibility to TB. Additionally, health education should not be limited to providing medical facts but offer guidance on how to access professional medical resources. Self-efficacy in self-management should not be elevated.
本研究测试了幼儿园、小学和中学儿童的中国家长的结核病（TB）知识水平，并检验了他们对 TB 管理的知识和自我效能是否与他们在孩子感染 TB 时及时寻求 TB 治疗和遵医嘱的意愿呈曲线关系。
进行了一项在线横断面调查（N=1129）。TB 知识是根据中国疾病预防控制中心（CDC）提供的手册进行评估的。分层多项式回归用于检验所提出的曲线关系。
中国家长缺乏关于 TB 风险和如何预防 TB 的知识。TB 知识和 TB 管理自我效能激发中国家长及时寻求 TB 治疗并遵医嘱，但过多的知识和自我效能对这两个意图产生负面影响。
自我管理和健康知识的过度自我效能可能会适得其反。
从业者应提高中国家长对 TB 的严重程度和易感性的认识。此外，健康教育不应仅限于提供医学事实，还应提供如何获取专业医疗资源的指导。自我管理的自我效能不应提高。
