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马来西亚吉兰丹州结核病教育项目对青少年结核病知识、态度、行为及耻辱感的影响

The Effectiveness of Tuberculosis Education Programme in Kelantan, Malaysia on Knowledge, Attitude, Practice and Stigma Towards Tuberculosis among Adolescents.

作者信息

Idris Nur Aiza, Zakaria Rosnani, Muhamad Rosediani, Nik Husain Nik Rosmawati, Ishak Azlina, Wan Mohammad Wan Mohd Zahiruddin

机构信息

Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia.

出版信息

Malays J Med Sci. 2020 Dec;27(6):102-114. doi: 10.21315/mjms2020.27.6.10. Epub 2020 Dec 29.

DOI:10.21315/mjms2020.27.6.10
PMID:33447138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7785272/
Abstract

BACKGROUND

Tuberculosis (TB) is contagious and the transmission risk is high in congregate settings like school. Incidence of TB among adolescents is significantly high hence an education programme was developed to improve knowledge, attitude, practice and stigma (KAPS) among them.

METHODS

This school-based, non-randomised controlled study was conducted among secondary school students with a total of 236 respondents. The KAPS score were assessed before and 1 month after using self-administered validated KAPS questionnaire on TB. Analysis was done using repeated measures ANOVA.

RESULTS

The mean percentage score (SD) for baseline knowledge, attitude, practice and stigma score for the respondents were 54.0 (4.48), 65.6 (1.74), 70.0 (1.43) and 66.0 (6.88), respectively. There was a significant difference ( < 0.001) in the knowledge and stigma score for intervention group compared to control group, adjusted for gender, ethnicity and smoking status 4 weeks post-TB educational programme. However, with regards to attitude and practice score, there was no significant difference ( = 0.210 and = 0.243, respectively).

CONCLUSION

TB education programme was effective in improving knowledge and stigma related to TB. This health education programme can be used as one of the strategies for the prevention and control of TB in schools.

摘要

背景

结核病具有传染性，在学校等集体环境中传播风险很高。青少年结核病发病率显著较高，因此制定了一项教育计划，以提高他们在知识、态度、行为和耻辱感（KAPS）方面的水平。

方法

这项基于学校的非随机对照研究在中学生中进行，共有236名受访者。在使用经验证的结核病KAPS自填问卷之前和之后1个月评估KAPS得分。采用重复测量方差分析进行分析。

结果

受访者基线知识、态度、行为和耻辱感得分的平均百分比（标准差）分别为54.0（4.48）、65.6（1.74）、70.0（1.43）和66.0（6.88）。在结核病教育计划4周后，并对性别、种族和吸烟状况进行调整后，干预组与对照组在知识和耻辱感得分上存在显著差异（<0.001）。然而，在态度和行为得分方面，没有显著差异（分别为=0.210和=0.243）。

结论

结核病教育计划在提高与结核病相关的知识和耻辱感方面是有效的。这项健康教育计划可作为学校结核病预防和控制的策略之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/aaf541a00d27/10mjms27062020_oa8f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/58b6526be54b/10mjms27062020_oa8f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/de85acce7bbb/10mjms27062020_oa8f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/3899c8aad77d/10mjms27062020_oa8f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/4a6a24a2d247/10mjms27062020_oa8f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/d302bc91c491/10mjms27062020_oa8f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/aaf541a00d27/10mjms27062020_oa8f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/58b6526be54b/10mjms27062020_oa8f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/de85acce7bbb/10mjms27062020_oa8f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/3899c8aad77d/10mjms27062020_oa8f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/4a6a24a2d247/10mjms27062020_oa8f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/d302bc91c491/10mjms27062020_oa8f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664e/7785272/aaf541a00d27/10mjms27062020_oa8f6.jpg

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