湖北省结核病防治重大专项示范区结核病防治知识知晓率调查及影响因素分析

目的了解湖北省结核病防治重大专项示范区内公众结核病防治知识知晓率情况,为示范区内制定结核病健康促进策略提供依据。方法采用分层整群抽样方法,对2个示范区内2751名常住居民结核病防治知识进行问卷调查,统计分析采用单因素分析和二分类Logistic回归分析。结果调查对象的结核病防治知识总体知晓率为71.8%,其中女性为70.2%,65岁以上者为65.1%,小学及以下文化程度者为56.5%,农林渔业人员及无业者知晓率为68.1%,均低于相应其他组别人群,差异均有统计学意义(P<0.01)。非条件Logistic回归分析中文化程度和职业是结核病防治知识全部知晓率的影响因素,中学、大专及以上者的结核病防治知识全部知晓率高于小学及以下者(OR分别为2.041和1.952)专业技术及管理人员高于农林渔业人员及无业者(OR=1.623)。结论今后应针对不同人群和知晓率不高的结核病信息,有针对性地开展健康教育活动。

Survey on awareness and influential factors about prevention and treatment of tuberculosis on the Compre- hensive Demonstration Area of Hubei

Objective To understand the extent of public awareness of tuberculosis （TB） in Wuhan, where was the comprehensive demonstration district of TB comprehensive prevention and control, and provide relevant references for adapting appropriate health promotion measures in future. Methods Through stratified cluster sampling method, 2751 local residents had been surveyed for acknowledgement in the treatment and prevention of TB, single factor analysis and binary logistic regression were used for statistic analysis. Results The general rate of TB knowledge awareness was 71.8%, awareness rate in female was 70.2%, and 65. 1% for elderly above 65 years old, 56. 5% for people with primary education or less constituted, 68.1% for rural population and unemployed constituted, respectively. All of those percentages were lower than those other sroups （P 〈 0.01 ）. By multivariate analysis, education level and occupation were found associated with general TB knowledge awareness. The awareness rates of people with secondary education, junior education or above were higher than people with primary education or less （ OR = 2. 041, OR = 1. 952, respectively）. The superiority had higher rate of general TB knowledge awareness than rural population and unemployed （ OR = 1. 623）. Conclusion TB health promotion should be simplified, targeted and popularized on different population in order to wider publicity on TB.