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山东大学学报 (医学版) ›› 2024, Vol. 62 ›› Issue (2): 101-107.doi: 10.6040/j.issn.1671-7554.0.2023.0863

• 公共卫生与管理学 • 上一篇    

济南市大一新生结核病防治知信行现状及行为影响因素

景睿1*,张文茜1*,董卉1,董怡然1,于胜男2,3,段勇4,闫芹4,赵传禄4,李秀君2,3,汪卫兵4   

  1. 1.济南市疾病预防控制中心结核病防制所, 山东 济南 250021;2.山东大学齐鲁医学院公共卫生学院生物统计学系, 山东 济南 250012;3.山东大学结核病控制研究中心, 山东 济南 250012;4.济南市长清区疾病预防控制中心, 山东 济南 250300
  • 发布日期:2024-03-29
  • 通讯作者: 汪卫兵. E-mail:1578856770@qq.com*共同第一作者

Current status of tuberculosis prevention and control knowledge, attitude and practice and the influencing factors of behavior among freshmen in colleges and universities in Jinan, Shandong Province

JING Rui1*, ZHANG Wenqian1*, DONG Hui1, DONG Yiran1, YU Shengnan2,3, DUAN Yong4, YAN Qin4, ZHAO Chuanlu4, LI Xiujun2,3, WANG Weibing4   

  1. 1. Department of Tuberculosis Control, Jinan Center for Disease Control and Prevention, Jinan 250021, Shandong, China;
    2. Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    3. Research Center for Tuberculosis Control, Shandong University, Jinan 250012, Shandong, China;
    4. Changqing District Center for Disease Control and Prevention, Jinan 250300, Shandong, China
  • Published:2024-03-29

摘要: 目的 了解济南市大一新生结核病防治知识知晓、态度和行为现状,分析结核病防治行为影响因素,为有针对性开展健康教育工作提供依据。 方法 采用多阶段分层整群抽样方法抽取8所驻地为济南市的高校,利用问卷星平台对7 564名大一新生进行问卷调查。调查内容包括基本信息、结核病防治核心知识知晓情况、结核病防治态度和行为、结核病防治知识获取渠道和偏好。采用Logistic回归分析影响该群体结核病防治行为的因素。 结果 济南市大一新生结核防治总知晓率为89.81%,其中“怀疑患病后正确做法”知晓率最高,为98.49%;“减免政策”知晓率最低,为79.71%。不同性别、专业、家人结核病史、本人结核病史的学生结核病知识知晓合格率存在差异(χ2值分别为12.427.636.807.27),差异均有统计学意义(P<0.05)。结核病防治正确态度持有率为68.77%,不同性别年龄专业同学朋友结核病史学生结核病态度持有情况存在差异2值分别为34.816.57324.4020.99),差异均有统计学意义(P<0.05);结核病防治正性行为发生率为92.50%,不同专业防治知识知晓情况防治态度持有情况的学生防治行为存在差异2值分别为77.8474.6727.79),差别均有统计学意义(P<0.01)。Logistic回归分析显示,非医学专业(OR=7.03,95%CI:4.11~12.02)是影响结核病防治行为的危险因素,知识知晓情况合格(OR=0.25,95%CI:0.17~0.37)、结核病防治态度正确(OR=0.78,95%CI:0.65~0.93)是影响结核病防治行为的保护因素(P均<0.05)。 结论 济南市大一新生结核病防治知信行情况较好,所学专业、防治知识知晓和态度情况是防治行为的主要影响因素。

关键词: 结核,肺, 学生, 知信行, 横断面研究, 影响因素

Abstract: Objective To investigate the current status of tuberculosis(TB)prevention and control knowledge, attitude and practice and the influencing factors of behavior among freshmen in colleges and universities in Jinan, Shandong Province, in order to provide basis for health promotion. Methods A total of 7,564 freshmen from 8 colleges and universities were selected with multi-stage stratified cluster sampling method, and surveyed with questionnaire using WJX platform. The questionnaire included basic information, core knowledge of TB control, TB prevention and control behavior, access to knowledge and preferences for TB control. The influencing factors were analyzed with Logistic regression. Results The total awareness rate of TB was 89.81%, the awareness rate of “the right things to do if you suspect TB” was the highest(98.49%), and the awareness rate of “remission policy” was the lowest(79.71%). Students with different gender, major, family history, personal history had statistically significant differences in the pass rate of TB knowledge(χ2=12.42, 7.63, 6.80, 7.27; P<0.01). The correct attitude of TB prevention and control was 68.77%. There were statistically significant differences in the attitude of students with different gender, age, major, TB history of classmates and friends(χ2=34.81, 6.57, 324.40, 20.99; P<0.05). The incidence of positive behavior of TB prevention and control was 92.50%. The behavioral of students differed significantly by different majors, knowledge and attitude(χ2=77.84, 74.67, 27.79; P<0.01). Logistic regression analysis showed that non-medical major(OR=7.03, 95%CI: 4.11-12.02)was the risk factor affecting TB prevention and control behavior, while knowledge(OR=0.25, 95%CI: 0.17-0.37)and attitude(OR=0.78, 95%CI: 0.65-0.93)were the protective factors. Conclusion Freshmen in Jinan have sufficient knowledge, attitude and practice of TB prevention and control. The major, knowledge and attitude are the main influencing factors of prevention and control behavior.

Key words: Tuberculosis, pulmonary, Students, Knowledge, attitude and practice, Cross-section study, Influencing factors

中图分类号: 

  • R1
[1] World Health Organization. Global tuberculosis report 2022 [EB/OL].(2022-10-27)[2023-09-26]. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022.
[2] Du G, Li C, Liu Y, et al. Study on the influencing factors of knowledge, attitudes and practice about tuberculosis among freshmen in Jiangsu, China: a cross-sectional study[J]. Infect Drug Resist, 2022, 15: 1235-1245. doi: 10.2147/IDR.S351541.
[3] 孙明雷, 赵娟, 王晨, 等. 学校结核病疫情流行状况及防控策略[J]. 中国学校卫生, 2021, 42(10): 1444-1448. SUN Minglei, ZHAO Juan, WANG Chen, et al. School tuberculosis epidemic and strategies for prevention and control[J]. Chinese Journal of School Health, 2021, 42(10): 1444-1448.
[4] 陈卉, 张灿有, 张慧, 等. 2004—2021年全国学校肺结核疫情分析[J]. 中国防痨杂志, 2022, 44(8): 768-776. CHEN Hui, ZHANG Canyou, ZHANG Hui, et al. Analysis on the epidemic situation of pulmonary tuberculosis in schools in China from 2004 to 2021[J]. Chinese Journal of Antituberculosis, 2022, 44(8): 768-776.
[5] 景文展, 黄紫玥, 刘清悦, 等.大学生健康素养相关知识及影响因素分析[J]. 中国学校卫生, 2016, 37(6): 859-862. JING Wenzhan, HUANG Ziyue, LIU Qingyue, et al. Health literacy and its influencing factors among university students[J]. Chinese Journal of School Health, 2016, 37(6): 859-862.
[6] 赵凤芹, 张雁, 张永强, 等. 大学生志愿者对某高校新生结核病知信行干预效果评价[J].中国健康教育, 2021, 37(6): 558-561. ZHAO Fengqin, ZHANG Yan, ZHANG Yongqiang, et al. Evaluation of the effect of college student volunteers knowledge, belief and behavior intervention on tuberculosis among freshmen[J]. Chinese Journal of Health Education, 2021, 37(6): 558-561.
[7] 魏倩,王仕昌,王美花,等.2017年山东省新生入学及教职工结核病筛查现况调查[J]. 预防医学论坛, 2020, 26(12): 903-907. WEI Qian, WANG Shichang, WANG Meihua, et al. Analysis on current situation of tuberculosis screening among freshmen and teaching and administrative staff, Shandong Province, 2017[J]. Preventive Medicine Tribune, 2020, 26(12): 903-907.
[8] 唐文婧,韦桂欢.广西某高校入学新生结核病防治知识知晓率的调查[J].中国校医, 2018, 32(10): 766.
[9] 马千慧, 尚希钰, 纪鑫毓, 等. 北京市两所中学在校学生结核病防治核心知识知晓率调查[J]. 中国防痨杂志, 2022, 44(11): 1213-1217. MA Qianhui, SHANG Xiyu, JI Xinyu, et al. Investigation on the core knowledge of tuberculosis prevention and control among students in two middle school in Beijing[J]. Chinese Journal of Antituberculosis, 2022, 44(11): 1213-1217.
[10] 吴腾燕, 冯启明, 潘健, 等.大学新生结核病防治核心知识知晓情况及其影响因素分析[J]. 内科, 2021, 16(3): 328-331. WU Tengyan, FENG Qiming, PAN Jian, et al. Awareness of core knowledge of tuberculosis prevention and treatment and the analysis of its influencing factors for college freshmen[J]. Internal Medicine, 2021, 16(3): 328-331.
[11] 叶子, 杨娟, 郭鹏, 等. 贵阳市大学生结核病防治知信行调查分析[J]. 中国防痨杂志, 2023, 45(3): 265-270. YE Zi, YANG Juan, GUO Peng, et al. Investigation and analysis of knowledge, attitude and practices of tuberculosis prevention and control among college students in Guiyang City[J]. Chinese Journal of Antituberculosis, 2023, 45(3): 265-270.
[12] 魏倩, 王仕昌, 曹传兵. 2020年山东省公众结核病防治核心信息知晓率调查结果分析[J].中国防痨杂志, 2021, 43(7): 741-746. WEI Qian, WANG Shichang, CAO Chuanbing. Analysis of the investigation results on the public awareness rate of key massages of tuberculosis prevention and treatment in Shandong in 2020[J]. Chinese Journal of Antituberculosis, 2021, 43(7): 741-746.
[13] 金瑾, 景睿. 山东省2013年学生肺结核疫情特征分析[J]. 中华流行病学杂志, 2015, 36(8): 871-874. JIN Jin, JING Rui. Epidemiologic feature of pulmonary tuberculosis in students from Shandong Province[J]. Chinese Journal of Epidemiology, 2015, 36(8): 871-874.
[14] 郭建丽, 徐勤, 刘玉清. 北京市海淀区33所大学新生的结核感染状况调查[J]. 中华预防医学杂志, 2006, 40(5): 355-358. GUO Jianli, XU Qin, LIU Yuqing. Investigation on freshmens tuberculosis infection in 33 universities in Beijing[J]. Chinese Journal of Preventive Medicine, 2006, 40(5): 355-358.
[15] Bao H, Liu K, Wu Z, et al. Tuberculosis outbreaks among students in mainland China: a systematic review and meta-analysis[J]. BMC Infect Dis, 2019, 19(1): 972. doi: 10.1186/s12879-019-4573-3.
[16] Zhao Y, Ehiri J, Li D, et al. A survey of TB knowledge among medical students in Southwest China: is the information reaching the target?[J]. BMJ Open, 2013, 3(9): e003454. doi: 10.1136/bmjopen-2013-003454.
[17] Wu T, He H, Wei S, et al. How to optimize tuberculosis health education in college under the new situation? Based on a cross-sectional study among freshmen of a medical college in Guangxi, China[J]. Front Public Health, 2022, 10: 845822. doi: 10.3389/fpubh.2022.845822.
[18] 国家卫生健康委, 国家发展改革委,教育部, 等. 关于印发遏制结核病行动计划(2019-2022年)的通知[EB/OL].(2019-05-31)[2023-09-11]. https://www.gov.cn/gongbao/content/2019/content_5437149.htm.
[19] 张正斌, 杨云, 李丽, 等. 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[J]. 中国学校卫生, 2023, 44(3): 361-365. ZHANG Zhengbin, YANG Yun, LI Li, et al. Knowledge, attitudes and practices regarding tuberculosis prevention and control: analysis of influencing factors of prevention and control behavior among college students in Wuhan, China[J]. Chinese Journal of School Health, 2023, 44(3): 361-365.
[20] Hossain S, Zaman K, Quaiyum A, et al. Factors associated with poor knowledge among adults on tuberculosis in Bangladesh: results from a nationwide survey[J]. J Heal Popul Nutr, 2015, 34(1): 1-7.
[21] Onyeonoro UU, Chukwu JN, Oshi DC, et al. Assessment of tuberculosis-related knowledge, attitudes and practices in Enugu, South East Nigeria[J]. J Infect Dis Immun, 2014, 6(1): 1-9.
[22] 魏倩, 王仕昌, 娄蕾, 等. 山东四所大学学生结核病防治知识知晓率调查分析[J]. 中国防痨杂志, 2013, 35(7): 516-520. WEI Qian, WANG Shichang, LOU Lei, et al. Analysis of awareness rate of tuberculosis control and prevention among students in four universities in Shandong Province[J]. Chinese Journal of Antituberculosis, 2013, 35(7): 516-520.
[23] Mekonnen A, Collins JM, Klinkenberg E, et al. Tuberculosis knowledge and attitude among non-health science university students needs attention: a cross-sectional study in three Ethiopian universities[J]. BMC Public Health, 2020, 20(1): 631. doi: 10.1186/s12889-020-08788-1.
[24] Ou Y, Luo Z, Mou J, et al. Knowledge and determinants regarding tuberculosis among medical students in Hunan, China: a cross-sectional study[J]. BMC Public Health, 2018, 18(1): 730. doi: 10.1186/s12889-018-5636-x.
[25] Puspitasari IM, Sinuraya RK, Aminudin AN, et al. Knowledge, attitudes, and preventative behavior toward tuberculosis in university students in Indonesia[J]. Infect Drug Resist, 2022, 15: 4721-4733. doi: 10.2147/IDR.S365852.
[26] Datiko DG, Habte D, Jerene D, et al. Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: findings from a national cross-sectional survey[J]. PLoS One, 2019, 14(10): e0224196. doi: 10.1371/journal.pone.0224196.
[27] 丁书姝, 文育锋, 丁蕾, 等. 大学生结核病相关知识、态度调查及相关性研究[J]. 湖北科技学院学报(医学版), 2018, 32(1): 20-23. DING Shushu, WEN Yufeng, DING Lei, et al. The study of knowledge and attitude and its correlation about tuberculosis among the college students[J]. Journal of Hubei University of Science and Technology(Medical Sciences), 2018, 32(1): 20-23.
[28] 罗兴能, 贾红莲, 刘雄娥, 等. 重庆市大学生结核病防治知识知晓率及健康促进现状[J].中国学校卫生, 2014, 35(7): 998-1000. LUO Xingneng, JIA Honglian, LIU Xionge, et al. Knowledge, attitude and practice of tuberculosis and related health education among colleges in Chongqing[J]. Chinese Journal of School Health, 2014, 35(7): 998-1000.
[29] 路彬, 赵骞. 大学生肺结核病防治知识与信念和行为调查[J]. 疾病预防控制通报, 2019, 34(4): 89-91.
[30] 田华, 王岱君. 依托微信群开展大学生结核病防治健康教育效果评价[J]. 中国学校卫生, 2017, 38(5): 680-682. TIAN Hua, WANG Daijun. Effects of the health education of tuberculosis prevention and control among college students based on Wechat group[J]. Chinese Journal of School Health, 2017, 38(5): 680-682.
[31] Idris NA, Zakaria R, Muhamad R, et al. The effectiveness of tuberculosis education programme in Kelantan, Malaysia on knowledge, attitude, practice and stigma towards tuberculosis among adolescents[J]. Malays J Med Sci, 2020, 27(6): 102-114.
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