从国家家庭健康调查中了解印度结核病患病率和知识变化趋势的相关情况。
An insight from National Family Health Surveys on changing trends in prevalence and knowledge regarding T.B. in India.
机构信息
Department of Community Medicine, KS Hegde Medical Academy, Nithyanandanagar Post, Deralakatte, Mangalore, Karnataka, 575018, India.
Department of Community Medicine, KS Hegde Medical Academy, Nithyanandanagar Post, Deralakatte, Mangalore, Karnataka, 575018, India.
出版信息
Indian J Tuberc. 2024 Oct;71(4):437-443. doi: 10.1016/j.ijtb.2023.08.008. Epub 2023 Aug 14.
BACKGROUND/OBJECTIVES: Addressing gaps in knowledge about T.B. is a vital component of T.B.'s elimination to achieve the End T.B. strategy by 2025 in India. The present study compares the correct knowledge regarding T.B. by analysis of the nationally-representative secondary data of NFHS-4 (2015-16) and NFHS-5 (2019-20) data in India.
METHODS
NFHS-4 and NFHS-5 secondary data on eleven T.B.-related questions analysis was done after seeking permission to use datasets from the Demographic and Health Surveys (DHS) program-sociodemographic details and Responses exported and analysed using M.S. Excel. Descriptive variables were represented as frequency and percentages. Z tests for proportions were used to compare and determine differences between NFHS-4 and NFHS-5 knowledge. Statistical significance was set at a p-value of <0.05.
RESULTS
The correct knowledge regarding T.B. significantly rose from 457,399 (56.3%) in NFHS-4 to 507,517 (61.4%) in NFHS-5. However, a significant increase in incorrect knowledge about the other modes of transmission of T.B. and T.B. courtesy stigma in households from 95,985 (13.4%) in 2015-16 to 113,978 (14.9%) in 2019-20 was observed.
CONCLUSIONS
The correct knowledge of T.B. has significantly increased from NFHS-4 (2015-16) to NFHS-5 (2019-20). However, there is a significant increase in incorrect knowledge regarding the modes of transmission and stigmatising attitudes towards T.B. through improvement in the communication efforts in the National T.B. Elimination Programme (NTEP).
背景/目的：填补结核病知识空白是实现 2025 年印度消除结核病目标的重要组成部分，该目标是实现终止结核病战略的一部分。本研究通过分析印度全国代表性的 NFHS-4（2015-16 年）和 NFHS-5（2019-20 年）数据，比较了结核病相关知识的正确认知。
方法
在获得人口与健康调查（DHS）项目数据集使用许可后，对 NFHS-4 和 NFHS-5 中与 11 个结核病相关问题的二级数据进行分析，获取社会人口学细节和应答内容，并使用 Microsoft Excel 导出和分析。描述性变量表示为频率和百分比。使用 Z 检验比较和确定 NFHS-4 和 NFHS-5 知识之间的差异。统计显著性设定为 p 值<0.05。
结果
结核病相关知识的正确认知从 NFHS-4 的 457399（56.3%）显著上升到 NFHS-5 的 507517（61.4%）。然而，在家庭中结核病其他传播途径和结核病礼貌污名的错误认知却显著增加，从 2015-16 年的 95985（13.4%）增加到 2019-20 年的 113978（14.9%）。
结论
从 NFHS-4（2015-16 年）到 NFHS-5（2019-20 年），结核病的正确认知显著增加。然而，通过国家结核病消除计划（NTEP）中沟通工作的改进，结核病传播途径和对结核病的污名化态度方面的错误认知却显著增加。
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