Abstract:

Objective: To understand the knowledge, attitude and practice of tuberculosis prevention and control among parents of senior high school and below students in Beijing, and to analyze the influencing factors of practice, so as to provide reference for carrying out health education for tuberculosis prevention and control on campus. Methods: During August to September, 2021, the parents of new students of senior high school and below in Beijing, whose children were screened by “Beijing New Student Tuberculosis Screening Program”, were selected to participate in an online survey about knowledge, attitude and practice towards tuberculosis prevention and control with informed consent. Statistical analysis and logistic regression analysis were used to analyze the status and the influencing factors. Results: A total of 51142 questionnaires were obtained, among which 29571 were filled by parents who took more than 60 seconds to answer, thus were included in analysis. The median (interquartile range) of total score, knowledge score, attitude score, behavior score of the parents were 25.0 (20.0, 27.0), 4.0 (3.0, 5.0), 8.0 (6.0, 8.0), 13.0 (10.0, 15.0) respectively, and the pass rate of them were 75.87% (22435/29571), 80.19% (23712/29571), 86.42% (25556/29571), and 64.42% (19051/29571), respectively. Multivariate logistic regression analysis showed that, for tuberculosis prevention behavior score, compared with fathers, pass rate of mothers was higher (OR (95%CI): 0.90 (0.85-0.96)); compared with the parents of students in primary school and below, unpass rate of the parents of junior and senior middle school students was higher (OR (95%CI): 1.63 (1.52-1.75) and OR(95%CI): 1.43 (1.32-1.55)); compared with parents with junior middle school education and below, parents with college education and above had higher pass rate (OR (95%CI)=0.72 (0.63-0.81)); compared with parents working for government/institutions/enterprises, parents working in agricultural sector/military or retired had lower pass rate (OR (95%CI): 3.48 (3.18-3.82)); compared with the parents having the first child in school, the parents having non-first child in school had lower pass rate (OR(95%CI): 1.15 (1.08-1.23)); compared with parents who failed in knowledge and attitude scores, the parents who got passed had higher pass rate in behavior score (OR(95%CI): 0.16 (0.15-0.18), OR(95%CI): 0.08 (0.07-0.09)). Conclusion: The parents of new students in Beijing had certain knowledge about tuberculosis control, and had a positive attitude towards tuberculosis control in campus. However, there were still incorrect tuberculosis prevention behaviors. We should conduct targeted health education and behavior guidance for parents who are father, having junior high school education and below, working in agricultural sector/military or retired, parents whose first child are about to enter junior and senior school, and parents with a lack of knowledge and attitude towards tuberculosis.

Key words: Tuberculosis,pulmonary, Health knowledge,attitudes,practice, Questionnaires, Factor analysis,statistical