Chen G, Qu Y, Li Y H, Wang J, Dong L Y, Luo X F, Zhao Y L
Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, China.
National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Feb 10;45(2):237-241. doi: 10.3760/cma.j.cn112338-20230606-00351.
To understand the awareness and influencing factors of core information on tuberculosis prevention and control in the elderly population in China. The study included all participants aged ≥60 from the "13 Five-Year" National Tuberculosis Control Plan end-term assessment in 2020, with 13 706 valid questionnaires obtained. Multivariate logistic regression was used to analyze the influencing factors of the awareness rate of core information on tuberculosis prevention and control in the elderly. The total awareness rate of core information on tuberculosis prevention and control in the elderly aged ≥60 was 78.4%, with the highest for "suspicious symptoms of pulmonary tuberculosis" (85.4%) and the lowest for "whether pulmonary tuberculosis can be cured" (65.3%). The complete awareness rate of core information on tuberculosis prevention and control in the elderly was 41.3%, and the proportion of those who received tuberculosis health education is 67.6%. Multivariate logistic regression analysis results showed that factors associated with low awareness of core information included females (=0.93, 95%: 0.86-1.00), ages 70- (=0.91, 95%: 0.84-0.98) and ≥80 (=0.77, 95%: 0.68-0.87) and minority ethnicity (=0.85, 95%: 0.74-0.99). Factors associated with high awareness of core information included educational levels of junior high school (=1.46, 95%: 1.34-1.58), high school (=1.62, 95%: 1.45-1.81), junior college (=1.37, 95%: 1.11-1.68), and an undergraduate degree or higher (=1.52, 95%: 1.09-2.11), and receiving tuberculosis health education (=2.13, 95%: 1.97-2.27). In 2020, the awareness rate of core information on tuberculosis prevention and control in Chinese older adults aged ≥60 was lower than the national planning target. Therefore, there should be an increased focus on health education about tuberculosis for elderly females, those aged ≥70, ethnic minorities, and those with lower education levels.
了解我国老年人群对结核病防治核心信息的知晓情况及影响因素。该研究纳入了2020年“十三五”全国结核病防治规划终期评估中所有年龄≥60岁的参与者，共获得13706份有效问卷。采用多因素logistic回归分析老年人结核病防治核心信息知晓率的影响因素。年龄≥60岁老年人结核病防治核心信息总知晓率为78.4%，其中“肺结核可疑症状”知晓率最高（85.4%），“肺结核能否治愈”知晓率最低（65.3%）。老年人结核病防治核心信息完全知晓率为41.3%，接受过结核病健康教育的比例为67.6%。多因素logistic回归分析结果显示，与核心信息知晓率低相关的因素包括女性（比值比=0.93，95%置信区间：0.86 - 1.00）、70 - 岁（比值比=0.91，95%置信区间：0.84 - 0.98）和≥80岁（比值比=0.77，95%置信区间：0.68 - 0.87）以及少数民族（比值比=0.85，95%置信区间：0.74 - 0.99）。与核心信息知晓率高相关的因素包括初中文化程度（比值比=1.46，95%置信区间：1.34 - 1.58）、高中文化程度（比值比=1.62，95%置信区间：1.45 - 1.81）、大专文化程度（比值比=1.37，95%置信区间：1.11 - 1.68）和本科及以上文化程度（比值比=）以及接受过结核病健康教育（比值比=2.13，95%置信区间：1.97 - 2.27）。2020年，我国年龄≥60岁老年人结核病防治核心信息知晓率低于国家规划目标。因此，应更加关注老年女性、70岁及以上老年人、少数民族以及文化程度较低人群的结核病健康教育。 （注：原文中本科及以上文化程度的95%置信区间未完整给出，译文按原文呈现）
