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中国某城市肺结核治愈患者结核病防治知晓情况的横断面研究

A Cross-Sectional Study on Awareness of Tuberculosis Control Among Post-Treatment Tuberculosis Patients in a City in China.

作者信息

Jing Rui, Dong Hui, Huang Kun, Liu Zhong, Xue Ran, Dong Yiran, Jiao Mei, Li Na, Guo Yumei, Liu Yun, Zhang Wenqian, Sun Hongyun

机构信息

Institute for Tuberculosis Control, Jinan Center for Disease Control and Prevention, Jinan, People's Republic of China.

Tuberculosis Control Division, Licheng Center for Disease Control and Prevention, Jinan, People's Republic of China.

出版信息

Infect Drug Resist. 2024 Mar 15;17:1041-1049. doi: 10.2147/IDR.S448823. eCollection 2024.

DOI:10.2147/IDR.S448823
PMID:38511153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10951719/
Abstract

PURPOSE

This study aimed to investigate awareness of tuberculosis control among post-treatment tuberculosis patients, in order to provide a basis for future preventive and control work in this population.

PATIENTS AND METHODS

A cross-sectional descriptive study was conducted on post-treatment patients with tuberculosis in seven districts of Jinan City between July 2021 and December 2022. A face-to-face or telephone interviews using structured questionnaires for the research subjects were conducted by data collectors. Analyses were carried out first for all subjects, and then separately for male and female subjects.

RESULTS

A total of 837 valid questionnaires were collected, of which 495 were males and 342 were females. The awareness rate of the core TB knowledge was 82.46%. The ≥65 year group in the total group (OR=0.43, 95% CI: (0.28, 0.68)), male (OR=0.47, 95% CI: (0.27, 0.83)) and female group (OR=0.40, 95% CI: (0.19, 0.86)) was lower than that of the control group. Educational level and monthly income are the main factors of TB cognition in total group. People with university or higher education (OR=2.05, 95% CI: (1.38, 3.05)) and with a monthly income of ≥6,000 (OR=1.89, 95% CI: (1.10, 3.25)) had a higher awareness rate. The group with current residence in the city was more aware than the reference group.

CONCLUSION

In the future, the communication of the main transmission route, suspicious symptoms, and cure of TB needs to be strengthened for the post-treatment TB patients. The elderly, those with secondary school education or below, agricultural workers and low-income people are the groups with weak knowledge of TB, and they are also the groups that need to be focused on health education. The above information should be focused on the above groups of people in order to educate them in a way that is easily acceptable to them.

摘要

目的

本研究旨在调查结核病治愈患者对结核病防治的知晓情况,为今后该人群的预防控制工作提供依据。

患者与方法

2021年7月至2022年12月,对济南市7个区的结核病治愈患者进行横断面描述性研究。数据收集者采用结构化问卷对研究对象进行面对面或电话访谈。首先对所有受试者进行分析,然后分别对男性和女性受试者进行分析。

结果

共收集有效问卷837份,其中男性495份,女性342份。结核病核心知识知晓率为82.46%。总人群中≥65岁组(OR=0.43,95%CI:(0.28,0.68))、男性组(OR=0.47,95%CI:(0.27,0.83))和女性组(OR=0.40,95%CI:(0.19,0.86))低于对照组。文化程度和月收入是总人群结核病认知的主要影响因素。大学及以上文化程度者(OR=2.05,95%CI:(1.38,3.05))和月收入≥6000元者(OR=1.89,95%CI:(1.10,3.25))知晓率较高。现居住在城市的人群知晓情况优于参照组。

结论

今后,应对结核病治愈患者加强结核病主要传播途径、可疑症状及治愈等方面的宣传。老年人、初中及以下文化程度者、农业劳动者和低收入者是结核病知识薄弱人群,也是健康教育需重点关注的人群。应针对上述人群,采用易于接受的方式开展健康教育。

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WHO's Global Tuberculosis Report 2022.世界卫生组织《2022年全球结核病报告》。
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