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结核病患病率、传播知识及其与儿童疫苗接种的关联

Tuberculosis prevalence, knowledge of transmission and its association with vaccination of children.

作者信息

Das Anisha, Lakhan Tejal, Unisa Sayeed

机构信息

Department of Statistics and Biostatistics, Florida State University, USA.

Department of Bio-statistics and Demography, International Institute for Population Sciences, Mumbai, India.

出版信息

J Infect Prev. 2021 Nov;22(6):259-268. doi: 10.1177/17571774211012777. Epub 2021 Jun 22.

DOI:10.1177/17571774211012777
PMID:34880948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8647637/
Abstract

BACKGROUND

Understanding the perceptions of patients regarding tuberculosis (TB) will enable better design of a comprehensive, client-oriented program for the disease.

METHODS

This study was conducted district-wise across India in 2015-2016 as part of the National Family Health Surveys (NFHS).

RESULTS

We discovered that the prevalence of TB remains significantly high, with quite a high percentage of people being unaware of the exact cause of disease proliferation. The majority of people believed that touching or sharing utensils can be a source of TB. This perception affected the participants' responses about seeking diagnosis and treatment. However, it is a good sign that most people knew that TB is a curable disease that can be prevented to some extent if immunization with the Bacillus Calmette-Guérin (BCG) vaccine is done at the correct stage. So, a large section of the population had their children vaccinated. In addition, they would go for diagnosis if they had symptoms suggestive of the disease.

CONCLUSION

Findings from this study are indicative of the fact that a large population is aware that health facilities can make a significant contribution to the treatment of tuberculosis. There is a need to further investigate how this information could potentially be used to enhance early seeking of appropriate services among TB patients.

摘要

背景

了解患者对结核病的认知将有助于更好地设计针对该疾病的全面、以患者为导向的项目。

方法

作为全国家庭健康调查(NFHS)的一部分,2015 - 2016年在印度各地区开展了本研究。

结果

我们发现结核病的患病率仍然很高,相当大比例的人不知道疾病传播的确切原因。大多数人认为接触或共用器具可能是结核病的一个来源。这种认知影响了参与者关于寻求诊断和治疗的回答。然而,一个好的迹象是,大多数人知道结核病是一种可治愈的疾病,如果在正确阶段接种卡介苗(BCG)疫苗,在一定程度上是可以预防的。所以,很大一部分人口为他们的孩子接种了疫苗。此外,如果他们有提示该疾病的症状,就会去寻求诊断。

结论

本研究结果表明,大量人群意识到卫生设施对结核病治疗可做出重大贡献。有必要进一步调查如何利用这些信息来促进结核病患者更早地寻求适当服务。

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本文引用的文献

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Knowledge, beliefs, and perceptions of tuberculosis among community members in Ntcheu district, Malawi.马拉维恩彻乌区社区成员对结核病的认知、信念和看法。
J Multidiscip Healthc. 2018 Aug 16;11:375-389. doi: 10.2147/JMDH.S156949. eCollection 2018.
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Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries.结核病污名作为健康的社会决定因素:低发病国家相关研究的系统图谱综述。
Int J Infect Dis. 2017 Mar;56:90-100. doi: 10.1016/j.ijid.2016.10.011. Epub 2016 Oct 27.
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Knowledge and perception about tuberculosis among children attending primary school in Ntcheu District, Malawi.马拉维恩彻乌区小学生对结核病的认知与看法
J Multidiscip Healthc. 2016 Mar 24;9:121-31. doi: 10.2147/JMDH.S97409. eCollection 2016.
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Integrating a social determinants of health approach into public health practice: a five-year perspective of actions implemented by CDC's national center for HIV/AIDS, viral hepatitis, STD, and TB prevention.将健康的社会决定因素方法纳入公共卫生实践:美国疾病控制与预防中心国家艾滋病毒/艾滋病、病毒性肝炎、性传播疾病和结核病预防中心五年行动展望
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The social determinants of tuberculosis: from evidence to action.结核的社会决定因素:从证据到行动。
Am J Public Health. 2011 Apr;101(4):654-62. doi: 10.2105/AJPH.2010.199505. Epub 2011 Feb 17.
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Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia.埃塞俄比亚西南部农村社区肺结核疑似患者的结核病知识、求医行为和对结核病的污名感知。
PLoS One. 2010 Oct 11;5(10):e13339. doi: 10.1371/journal.pone.0013339.
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