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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (9): 810-814.doi: 10.3969/j.issn.1000-6621.2014.09.013

• 论著 • 上一篇    下一篇

北京口岸出境人员结核病防治知识知晓情况调查分析

肖利力 曹姗姗 王瑾 赵嘉珩 吴思远   

  1. 100088 北京国际旅行卫生保健中心
  • 收稿日期:2014-04-08 出版日期:2014-09-10 发布日期:2014-11-28
  • 通信作者: 肖利力 E-mail:xiaoll1203@163.com
  • 基金资助:

    国家质检总局科技计划项目(2013IK219)

Investigation and analysis on the awareness of TB control and prevention knowledge among departure populations in Beijing

XIAO Li-li, CAO Shan-shan, WANG Jin, ZHAO Jia-heng, WU Si-yuan   

  1. Department of Immigration Medical Examination, Beijing International Travel Healthcare Center, Beijing 100088, China
  • Received:2014-04-08 Online:2014-09-10 Published:2014-11-28
  • Contact: XIAO Li-li E-mail:xiaoll1203@163.com

摘要: 目的 对北京口岸出境人员进行结核病防治知识知晓情况调查,为开展口岸结核病防控及其宣传教育提供依据。方法 采用《全国第五次结核病流行病学抽样调查现场知晓率调查问卷》设计的5条核心信息,及针对出境人员的检疫要求采用自行设计的6条信息,统计知晓率并分析影响因素。调查采用整群抽样,对2013年1月1日至12月31日经我部门进行出境体检的5290名体检者进行结核病防治知识知晓一对一问卷调查。5290份调查问卷全部收回有效,有效率100.00%。5条核心信息知晓情况采用二项分布Z检验、秩和检验,自行设计6条信息知晓情况采用F检验和t检验。以P<0.05为差异有统计学意义。结果 (1)5条核心信息总知晓率为63.14%(16700/26450)。核心信息知晓情况的影响因素分别与性别、户籍、学历和职业等相关,其中男性(65.41%,7950/12155)高于女性(61.21%,8750/14295)(Z=-6.428,P<0.05)、15~岁年龄组(61.33%,5336/8700)低于其他年龄组[30~岁年龄组为64.01%(5518/8620),45~岁年龄组为64.01%(4468/6980),60岁年龄组为64.09%(1378/2150)](Z=14.503,P<0.05);大专及以上学历人群(64.72%,9465/14625)高于其他学历人群[小学组为59.09%(650/1100),初高中+中专为61.24%(6568/10725)](Z=25.718,P<0.05);城市户籍人群(63.72%,14475/22715)高于农村户籍人群(59.57%,2225/3735)(Z=-4.01,P<0.05);医务人员(75.22%,346/460)高于其他职业人群[管理技术人员为67.80%(4644/6850),劳务人员为60.31%(7678/12730),留学生为62.73%(2942/4690),商务人员为63.37%(1090/1720)](Z=114.227,P<0.05)。(2)自行设计6条信息中“肺结核患者在迁徙中有病情加重及传播的风险”知晓率较高(65.52%,3466/5290),“疑似肺结核时需要进行痰检”的知晓率较低(38.90%,2058/5290)。调查结果显示年龄和职业是知晓率的影响因素(F=7.703, F=8.047,P值均<0.05)。(3)调查对象结核病防治知识来源的媒体偏好主要是医务人员面对面讲解56.90%(3010/5290),电视44.05%(2330/5290)和报纸43.78%(2316/5290)。结论 北京口岸出境人员结核病核心信息及口岸检疫相关要求的知晓率均有待提高,应进一步加大对该人群相关知识的宣传力度。宣教方式以医务人员面对面讲解为优。

关键词: 结核, 肺/预防和控制, 移民(移出和移入), 觉知, 问卷调查

Abstract: Objective To investigate the public awareness on TB control and prevention in the Beijing departure population, so as to develop basis for education of TB control and prevention in these populations.  Methods Using 5 core information from questionnaire of awareness rate survey of The Fifth National Epidemiological Sampling Survey and 6 self-designed questions targeting quarantine requirements for outgoing personnel, based on cluster sampling, one-on-one inquiry was performed on the 5290 exiting travelers examined in our department from 1st January to 31st December, 2013. All the 5290 inquiries are returned and valid, validation rate 100.00%. The 5 key concepts are analyzed using Z test and rank-sum test of binomial distribution, and the 6 self-designed questions using F test and t test. P<0.05 is considered as statistically significant.  Results  (1)Total awareness rate for the 5 core information is 63.14%(16 700/26 450), which was correlated with gender, urban/rural residence, education level and occupation, males(65.41%, 7950/12 155) had a higher awareness than females(61.21%, 8750/14 295)(Z=-6.428,P<0.05), the awareness in the age group from 15 to 29 years old(61.33%, 5336/8700) was lower than that in 30 to 44 group (64.01%, 5518/8620), 45 to 59 group (64.01%, 4468/6980) and above 60 group (64.09%, 1378/2150)(Z=14.503,P<0.05). In terms of the awareness rate by education level, graduates and postgraduates had the higher awareness (64.72%, 9465/14 625) than primary-school group (59.09%, 650/1100) and middle-school group (61.24%, 6568/10 725)(Z=25.718,P<0.05). Urban residents (63.72%, 14 475/22 715) had a higher awareness than rural ones (59.57%, 2225/3735)(Z=-4.01,P<0.05). And medical personnel had higher awareness(75.22%, 346/460)than that in technicians (67.80%, 4644/6850), clerical workers (60.31%, 7678/12 730), oversea students (62.73%, 2942/4690) and business personnel (63.37%, 1090/1720)(Z=114.227,P<0.05). (2)Among the 6 self-designed questions the awareness(65.52%,3466/5290) of ‘TB patients develop severe during migration and have the risk of spread the disease’ was the highest, whereas the awareness(38.90%, 2058/5290) of the question ‘suspect TB patient need a sputum test’ was the lowest. The respondents’ age and occupation are the influence factors on the awareness of TB control and prevention (F=7.703, F=8.047, P<0.05). (3)The respondents’ main media sources of their TB knowledge were mainly medical staff face to face briefings 56.90%(3010/5290), television 44.05%(2330/5290) and newspapers 43.78%(2316/5290). Conclusion The awareness of tuberculosis core information and tuberculosis knowledge specific to quarantine requirements for Beijing port departure population needs to be improved, we should further strengthen publicity on relevant knowledge in this population. Face to face explain by medical personnel is the best publicity way.

Key words: Tuberculosis, pulmonary/prevention &, control, Emigration and immigration, Awareness, Questionnaires