摘要
目的了解重庆市荣昌区肺结核核心知识知晓情况,为调整肺结核的健康教育宣传措施提供科学依据。方法2020年,采用多阶段随机抽样的方法在重庆市荣昌区随机抽取6个乡镇/街道,从每个乡镇/街道中选择2个村庄/社区,按照年龄分布情况,从每个样本村庄/社区中随机选取100例常住居民作为调查对象开展问卷调查,调查内容包括人口学基本特征、肺结核核心知识知晓情况、宣传教育情况。采用EpiData 3.1软件双录入数据,采用SPSS 22.0软件进行χ^(2)检验和Logistic回归分析,以P<0.05为差异具有统计学意义。结果共调查600例,均为汉族,男性306例(51.00%);平均年龄为(55.56±16.36)岁。核心信息总知晓率为64.23%,全部知晓率为24.00%,5条核心信息的知晓率分别为60.50%、77.83%、73.50%、59.00%和50.33%,对肺结核是否能够治好的知晓率最低。随着年龄的增长,总知晓率呈下降趋势(χ^(2)趋势=83.41,P<0.001),文盲与半文盲总知晓率最低(42.65%),离退休人群总知晓率最低(49.66%)。多因素Logistic回归分析结果显示,65~74岁组(OR=0.65,95%CI:0.53~0.82),≥75岁组(OR=0.71,95%CI:0.54~0.94)全部知晓率低;初中及同等学力(OR=3.11,95%CI:1.21~8.04)、高中及同等学力(OR=4.13,95%CI:1.61~10.60)、大专及以上(OR=4.06,95%CI:1.55~10.68)全部知晓率高;商业/服务业(OR=2.21,95%CI:1.15~4.25)全部知晓率高、离退休人员(OR=0.69,95%CI:0.57~0.84)全部知晓率低。结论重庆市荣昌区在今后的工作中应加强老年人、受教育程度低、离退休人群对结核病预防和愈后的健康教育宣传。
Objective To understand the the awareness rate of key messages related tuberculosis in Rongchang District,and to provide scientific basis for adjusting the health education and propaganda of tuberculosis.Methods A multi-stage random sampling method was used to select six towns/streets,and two villages/communities were selected from each town/street in 2020.According to the age distribution,100 permanent residents were randomly selected from each village/community as the subjects of investigation.The contents of the survey included basic demographic characteristics,key knowledge of tuberculosis,propaganda and education.The double entry method was used to enter data into Epidata 3.1,and SPSS 22.0 software was used forχ^(2) test and Logistic regression analysis.P<0.05 was considered to be statistically significant.Results A total of 600 cases were investigated,they were all Han nationalities.There were,which including 306 males(51.00%),and an average age was(55.56±16.36)years old.The total awareness rate of key messages was 64.23%,and the overall awareness rate was 24.00%.The awareness rate of five key messages was 60.50%,77.83%,73.50%,59.00%,and 50.33%,respectively.The awareness rate of whether tuberculosis can be cured was the lowest.With the growth of age,the total awareness rate showed a downward trend(χ^(2) trend=83.410,P<0.001),the awareness rate of illiterate and semi-illiterate was the lowest(42.65%),and the total awareness rate of retired people was the lowest(49.66%).Multivariate Logistic regression analysis showed that the overall awareness rate was low in the 65-74 years old group(OR=0.654,95%CI:0.525-0.815)and the≥75 years old group(OR=0.710,95%CI:0.535-0.944).Overall awareness rate of junior high school and equivalent education(OR=3.111,95%CI:1.209-8.044),senior high school and equivalent education(OR=4.126,95%CI:1.606-10.597),junior college and above(OR=4.063,95%CI:1.545-10.681)was high;Business/service industry(OR=2.208,95%CI:1.147-4.249)had a high overall awareness rate,while all retired people(OR=0.689,95%CI:0.568-0.835)had a low overall awareness rate.Conclusions In the future,health education and publicity on prevention and rehabilitation of tuberculosis should be strengthened among the elderly,people with low education level and retired people in Rongchang District.
作者
邓亚莲
熊华利
谢加伟
邱建平
蒋惠
杨莉
DENG Yalian;XIONG Huali;XIE Jiawei;QIU Jianping;JIANG Hui;YANG Li(Rongchang District Center for Disease Control and Prevention,Chongqing 402460,China.)
出处
《职业卫生与病伤》
CAS
2023年第3期147-153,共7页
Occupational Health and Damage
基金
重庆市荣昌区卫生健康委科技计划项目(项目编号:荣卫发[2020]第7号)。
关键词
肺结核
核心知识
知晓率
健康教育
pulmonary tuberculosis
key knowledge
awareness rate
health education
