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缅甸 15-49 岁一般人群中结核病传播正确知识和自我报告结核病流行率的决定因素。

Determinants of correct knowledge on tuberculosis transmission and self-reported tuberculosis prevalence among general population aged 15-49 years in Myanmar.

机构信息

Mahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

Independent Researcher, Yangon, Myanmar.

出版信息

PLoS One. 2023 Aug 18;18(8):e0290470. doi: 10.1371/journal.pone.0290470. eCollection 2023.

Abstract

INTRODUCTION

Myanmar has been identified as one of the tuberculosis (TB) high-burden countries and having an understanding of TB transmission is vital for personal infection prevention as well as preventing transmission to others. This study aimed to identify the determinants of correct knowledge on TB transmission and self-reported TB prevalence among general population in Myanmar.

METHODS

This is a cross-sectional study using secondary data from Myanmar demographic and health survey 2015-16. The determinants of correct knowledge on TB transmission mode and self-reported prevalence of TB were assessed using multivariable logistic regression models. Weighted estimates were provided in all analyses to account for the multistage sampling design used in the survey.

RESULTS

Among the respondents, less than half (44.6%, 95% CI: 43.9, 45.4) had the overall correct knowledge about TB transmission and misconceptions. Older age group, female gender, those with higher education and higher socioeconomic status, and exposed to mass media at least once a week, residents from the delta and lowland region or plain areas were more likely to have correct knowledge about TB transmission. The overall prevalence rate of self-reported TB was 2.6% (95%CI: 2.4, 2.9) and the prevalence was higher among older age group and males.

CONCLUSION

Our study highlights the need for targeted efforts to improve awareness and understanding of TB transmission among general population in Myanmar. The study suggests the implementation of appropriate, innovative, and comprehensive targeted TB education and communication strategies.

摘要

简介

缅甸被确定为结核病(TB)高负担国家之一,了解结核病传播对于个人感染预防以及防止传播给他人至关重要。本研究旨在确定缅甸普通人群中结核病传播正确知识和自我报告结核病患病率的决定因素。

方法

这是一项使用 2015-16 年缅甸人口与健康调查的二次数据进行的横断面研究。使用多变量逻辑回归模型评估了结核病传播模式正确知识和自我报告结核病患病率的决定因素。在所有分析中都提供了加权估计值,以考虑到调查中使用的多阶段抽样设计。

结果

在受访者中,不到一半(44.6%,95%CI:43.9,45.4)对结核病传播有总体正确的认识和误解。年龄较大、女性、受教育程度较高和社会经济地位较高、每周至少接触一次大众媒体、来自三角洲和低地地区或平原地区的居民更有可能对结核病传播有正确的认识。自我报告结核病的总患病率为 2.6%(95%CI:2.4,2.9),年龄较大和男性的患病率更高。

结论

我们的研究强调了需要针对缅甸普通人群开展有针对性的努力,以提高他们对结核病传播的认识和理解。该研究建议实施适当、创新和全面的结核病教育和宣传策略。

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