重庆市某三峡库区中学生肺结核病相关知识及影响因素分析

目的了解重庆市某库区贫困县中学生肺结核病相关知识掌握情况及其影响因素。方法采用自行设计调查问卷,在重庆市某库区县4所乡镇中学采取随机整群抽样方法抽查1639名初一和高一学生进行肺结核病相关知识调查,并运用χ2检验及多因素logistic逐步回归法分析其影响因素。结果库区中学生肺结核病相关知识总的知晓率为31.1%,平均得分为5.95±3.47。多因素非条件logistic逐步回归分析结果显示:影响知识得分的主要因素为年级、性别、城乡、父亲文化程度、家人是否曾患结核病、家庭经济状况6个因素(P<0.05)。调查对象肺结核病相关知识主要来自广播、电视(69.4%),书刊、报纸(56.9%)和预防结核病教育的宣传单或小册子(44.7%)。结论加强结核病相关知识健康教育、提高父母的文化素养、积极发展当地经济是提高库区学生结核病知识知晓率的关键。

The study on pulmonary tuberculosis knowledges and its influencing factors among middle school students of Three-Gorges reservoir in Chongqing

Objective To investigate the pulmonary tuberculosis knowledge and its influencing factors among middle school students of Three-Gorges Reservoir poverty county in Chongqing, in order to provide basis for health education of tuberculosis knowledges. Methods 1639 middle school students were randomly collected and surveyed by self-developed questionnaire, which mainly concerned about tuberculosis relevant knowledge. χ~2 test and logistic stepwise regression analysis were utilized to study the major factors affecting pulmonary tuberculosis knowledge of middle school students. Results Overall awareness rates on tuberculosis relevant knowledge of Middle school students in the reservoir area were 31.1%. Average scores of tuberculosis relevant knowledge were 5.95 ± 3.47. Multivariate non-conditional logistic regression analysis identified that 6 factors had significant influence on score of knowledge part ( P < 0.05), including grade, gender, home location, education level of father, family tuberculosis history, and family economic status. The students' knowledge were mainly learned from broadcasting, TV programs (69.4%), books, magazines, newspapers (56.9% ), and tuberculosis preventive education booklet or leaflets (44.7% ). Conclusion The key steps of promoting middle school students overall awareness rate on tuberculosis relevant knowledge should include enhancement of relevant health education, the improvement of parental educational level, and the development of economy.