广州市部分高校大学生结核病防治知识知晓情况调查

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目的了解广州市大学生结核病知识知晓情况、对待结核病患者的态度以及获取结核病知识的主要途径,为更好地开展学校结核病健康教育提供参考依据。方法采用分层随机整群抽样的方法在广州市10所高校中共抽取47个班级的学生,采用自行设计调查表进行问卷调查,共调查1588名,合格问卷1534份,导入SPSS13.0软件进行统计分析。采用卡方检验比较组间差别,采用logistic回归模型进行影响因素的多因素分析,以P<0.05为差异有统计学意义。结果在合格的1534份调查问卷中,高校学生对结核病核心信息的总知晓率为62.9%(4824/7670),其中减免治疗政策的知晓率为27.1%(416/1534),核心信息全部知晓者仅占总人数的13.4%(206/1534)。22.9%(351/1534)的学生对待结核病患者表现出疏远态度。高校学生的知识知晓率与性别(男:59.3%,2321/3915;女:66.3%,2490/3755;χ2=38.73,P<0.001)、生源地(城镇:63.8%,2544/3985;农村:61.5%,2265/3685;χ2=5.95,P=0.015)、父母职业(务农或无业:59.8%,1648/2755;非农业:63.8%,3138/4915;χ2=9.02,P=0.003)及亲友有无结核病史(有:69.9%,619/885;无:61.7%,4189/6785;χ2=20.16,P<0.001)关系密切;对待结核病患者的态度与年级组(低年级:21.4%,294/1373;高年级:35.4%,57/161;Waldχ2=15.83,P<0.001)、生源地(城镇:26.9%,214/797;农村:18.6%,137/737;Waldχ2=17.96,P<0.001)和亲友有无结核病史(有:37.3%,66/177;无:21.0%,285/1357;Waldχ2=19.74,P<0.001)三者有关联,其OR值(95%CI值)分别为2.07(1.45~2.96)、0.58(0.46~0.75)和0.46(0.33~0.63)。结论广州市高校学生结核病知识知晓率比较低,学校应联合社会各界开展针对性的宣传教育活动,加强大学生对结核病防治知识的掌握,有利于全社会结核病的防治。 Objective To understand the knowledge of tuberculosis among undergraduates in Guangzhou, the attitudes toward tuberculosis patients and the main ways to acquire knowledge of tuberculosis so as to provide a reference for better carrying out health education of tuberculosis in schools in Guangzhou. Methods A stratified random cluster sampling method was used to collect 47 classes of students from 10 colleges and universities in Guangzhou. A total of 1588 students were surveyed and 1534 qualified questionnaires were collected. SPSS13.0 software was used for statistical analysis analysis. Chi-square test was used to compare the differences between groups, using multivariate logistic regression model to multivariate analysis of factors, P <0.05 was considered statistically significant. Results Among the 1534 valid questionnaires, 62.9% (4824/7670) of the total TB knowledge of college students was informed, of which 27.1% (416/1534) were aware of the relief treatment policy and all those who knew all the core information Only 13.4% of the total (206/1534). 22.9% (351/1534) of students showed an alienation towards tuberculosis patients. Knowledge of college students and the gender awareness of gender (male: 59.3%, 2321/3915; female: 66.3%, 2490/3755; χ2 = 38.73, P <0.001) 61.5%, 2265/3685; χ2 = 5.95, P = 0.015), parental occupations (59.8%, 1648/2755; non-agriculture: 63.8%, 3138/4915; χ2 = 9.02, P = 0.003) There was a close relationship between the incidence of tuberculosis (69.9%, 619/885; no: 61.7%, 4189/6785; χ2 = 20.16, P <0.001) / 1373; high grade: 35.4%, 57/161; Waldχ2 = 15.83, P <0.001), provenance (26.9%, 214/797 in urban areas: 18.6% in rural areas, 137/737; Waldχ2 = 17.96, P <0.001 ) And their relatives or friends with or without a history of tuberculosis (37.3%, 66/177; no: 21.0%, 285/1357; Waldχ2 = 19.74, P <0.001). The OR values ​​(95% CI) 2.07 (1.45-2.96), 0.58 (0.46-0.75) and 0.46 (0.33-0.63). Conclusions The knowledge rate of tuberculosis among college students in Guangzhou is relatively low. Schools should unite with all walks of life in carrying out targeted publicity and education activities to enhance their knowledge of tuberculosis prevention and control and to prevent and control TB in the whole society.
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