Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (2): 101-107.doi: 10.6040/j.issn.1671-7554.0.2023.0863

• Public Health & Management Sciences • Previous Articles     Next Articles

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

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

CLC Number: 

  • 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.
[1] SONG Yiming, WANG Jiafeng, HAN Xiaojuan, DU Yifeng. Brain maintenance and cognitive function: measurement, influencing factors and mechanism [J]. Journal of Shandong University (Health Sciences), 2026, 64(1): 1-7.
[2] XU Xinying, YAN Wei, SHI Xinglong, YUE Fang, LYU Jing, QIAO Yingyi, ZHANG Yuqi, CHENG Chuanlong, ZUO Hui, LI Xiujun. Epidemiological characteristics and influencing factors of hand, foot and mouth disease in Binzhou City, Shandong Province, China [J]. Journal of Shandong University (Health Sciences), 2026, 64(1): 118-125.
[3] SUN Shuangshuang, ZHANG Shuaijie, ZHANG Botao, YUAN Ying, YU Yuanyuan, XUE Fuzhong. Influencing factors of acute ischemic stroke in population during 18-50 years old: a real-world study analysis [J]. Journal of Shandong University (Health Sciences), 2025, 63(9): 40-46.
[4] WANG Ning, HAO Xiumei, NIU Xiang, HUANG Jinming, XU Jingya. Status and influencing factors of health check-up services utilisation among middle-aged and elderly populations with hyperglycaemia, dyslipidaemia, and hypertension in China [J]. Journal of Shandong University (Health Sciences), 2025, 63(7): 82-91.
[5] ZHANG Yongyuan, WANG Qingliang, LIAN Xuehong. Structural changes and influencing factors of hospitalization expenses for rare diseases patients in a tertiary general hospital in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2025, 63(5): 111-119.
[6] QIAO Jiarui, YOU Xinyu, JIA Xue, WANG Wenhua, LIU Shaozhuang, YI Xiangren, WANG Baozhen. Relationship between diet and physical and mental health among senior high school students in Shandong Province, China [J]. Journal of Shandong University (Health Sciences), 2025, 63(4): 10-18.
[7] CHEN Yingyi, YOU Qian, WANG Yi, ZHANG Fan, LI Feng, JI Shuming, XU Haoyuan, RAO Zhiyong. Development and validation of a prediction model for muscle mass loss in office workers [J]. Journal of Shandong University (Health Sciences), 2025, 63(4): 26-35.
[8] MU Hongjie, LU Wei, LYU Juncheng. Analysis of the current status for residents depression, anxiety symptoms, mental health literacy and influencing factors of mental health literacy [J]. Journal of Shandong University (Health Sciences), 2025, 63(12): 105-111.
[9] LIU Feng, MA Caixia, LI Chunyan, CHENG Haiying, JIN Leyu, LIU Zhong, LI Xuewen. Incidence and influencing factors of influenza-like illness among college students in Jinan during the influenza peak period in November 2023 [J]. Journal of Shandong University (Health Sciences), 2024, 62(7): 91-97.
[10] FENG Xuqiang, GAO Ping, SUN Chao, TAO Lin,YAN Genquan, LENG Bing. Clinical efficacy and influencing factors of tigecycline in treatment of infectious diseases [J]. Journal of Shandong University (Health Sciences), 2024, 62(12): 11-20.
[11] SUN Xiao, MA Chuanwei, ZHAO Min, XI Bo. Current status and influencing factors of professional cognition and identity among preventive medicine undergraduates [J]. Journal of Shandong University (Health Sciences), 2024, 62(12): 109-116.
[12] YU Feiping, LI Xin, SI Mingshu, ZHANG Dan, SU Yonggang. Medical college students knowledge of the integrated elderly care and medical services, and their employment willingness to elderly care [J]. Journal of Shandong University (Health Sciences), 2024, 62(11): 105-114.
[13] LIU Fengqi, GAO Feng, XUE Caicai, QIAO Xiumei, WANG Jinhong. Influencing factors of PC12 cell injury induced by high glucose and the protective effects of catalpol [J]. Journal of Shandong University (Health Sciences), 2023, 61(7): 34-39.
[14] HAN Luyi, TIAN Xueying, GAO Qi, SHE Kaili, CAO Yunxian, WEI Shushu, Ding Shujun, LI Xiujun. MaxEnt modeling to analyze influencing factors of severe fever with thrombocytopenia syndrome and predict the potential distribution in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2023, 61(4): 103-110.
[15] ZHENG Liang, SUN Minghao, SHI Yuan, YU Shengnan, WANG Zhiqiang, LI Xiujun. Spatio-temporal distribution and influencing factors of hantavirus hemorrhagic fever with renal syndrome in Shandong Province, 2011—2019 [J]. Journal of Shandong University (Health Sciences), 2023, 61(11): 104-110.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!