武汉市大学生结核病防控知信行现状及防控行为相关因素分析

  目的  了解武汉市大学生结核病防控知识、态度及行为现状与结核病防控行为形成的因素，为分类开展结核病防控健康教育提供参考依据。  方法  参照中国疾病预防控制中心设计的《大学生结核病防控知信行问卷调查表》，采用判断抽样法抽取武汉市22所大专院校，通过问卷星平台对15 272名大学生进行问卷调查，采用多因素Logistic回归分析结核病防控行为形成的影响因素。  结果  大学生结核病防控知信行总知晓率为79.69%，其中核心知识知晓率为79.28%，及格率为92.46%；正确态度持有率为89.69%，及格率为90.56%；正确行为形成率为72.11%，及格率为96.62%。单因素分析显示，不同性别、年级、父亲学历、母亲学历、患者接触史、结核病史、核心知识知晓和态度认知情况大学生防控行为形成及格率差异均有统计学意义(χ2值分别为91.83，10.28，137.46，103.49，16.50，47.37，1 992.54，1 138.22，P值均＜0.05)；多因素Logistic回归分析显示，女性(OR=1.86), 父亲学历为小学、初中、高中、大专或本科生(OR值分别为2.94，3.05，3.17，3.24)，无结核病史(OR=3.32)，核心知识知晓及格(OR=9.91)，态度持有得分及格(OR=7.35)均与大学生结核病防控行为呈正性相关(P值均＜0.05)。  结论  大学生结核病防控知信行总知晓率尚未达标且不够全面，性别、有无结核病史、防控核心知识知晓率、态度持有情况以及父亲学历是大学生结核病防控行为的主要影响因素。

Knowledge,attitudes and practices regarding tuberculosis prevention and control: analysis of influencing factors of prevention and control behavior among college students in Wuhan,China

  Objective  To determine the knowledge, attitudes and practices (KAP) regarding tuberculosis prevention and control among college students in Wuhan, China, while analyzing the factors affecting tuberculosis prevention behavior.  Methods  Referring to the National KAP Questionnaire for Tuberculosis Prevention and Control among College Students, which was designed by China Center for Disease Control and Prevention, 22 colleges and universities in Wuhan were selected using a judgment sampling method, and a questionnaire survey was carried out through the online questionnaire platform. The formation of tuberculosis prevention and control behavior among this population was analyzed by single factor and multi-factor Logistic regression.  Results  The total awareness rate of KAP regarding tuberculosis prevention and control among college students in Wuhan was 79.69%; the awareness rate of core knowledge was 79.28%, and the passing rate was 92.46%. The correct attitude holding rate was 89.69%, while the passing rate was 90.56%. In respect to correct behavior, the formation rate was 72.11%, with a passing rate of 96.62%. The multivariate Logistic regression analysis showed that the following factors were more likely to promote tuberculosis prevention and control behaviors that met the target: female college students (OR=1.86); college students whose father had a primary school education level, junior high school and equivalent, high school and equivalent, and junior high school students (OR=2.94, 3.05, 3.17, 3.24); no history of tuberculosis (OR=3.32); the passing knowledge of core knowledge (OR=9.91), and the passing attitude holding score (OR=7.35)(P < 0.05).  Conclusion  The overall awareness rate of KAP regarding tuberculosis prevention and control among college students in Wuhan is acceptable, the mainly influenced factors are gender, history of tuberculosis, awareness rate of core knowledge about prevention and control, attitudes and cognition, and parents' educational background.