Investigation and analysis of knowledge, attitude and practices of tuberculosis prevention and control among college students in Guiyang City

doi:10.19982/j.issn.1000-6621.20220429

Abstract

Abstract:

Objective: To understand the knowledge, attitude and practices (KAP) towards tuberculosis prevention and control among college students in Guiyang City, and to provide reference for conducting timely and effective tuberculosis health education with innovative approaches in college. Methods: From March 7 to April 7, 2022, 2894 college students from Guizhou Medical University, Guizhou Institute of Technology and Guiyang University were randomly selected with multi-stage stratified cluster sampling method to carry out an electronic questionnaire survey on KAP towards tuberculosis prevention and control. Finally 2801 students were investigated, and a total of 2608 pieces of valid questionnaire were obtained. The questionnaire is a self-designed electronic questionnaire. χ² test and multivariable logistic regression analysis were used to explore the influencing factors of knowledge awareness rate. Results: The total awareness rate of knowledge concerning tuberculosis prevention and control among college students in Guiyang city was 69.14% (27048/39120), of which the awareness rate of core knowledge was 79.00% (10301/13040) and the awareness rate of extended knowledge was 64.21% (16747/26080). Univariable and multivariable logistic regression analysis showed that gender, grade and major were the influencing factors of awareness rate of core knowledge (χ²=12.376, 77.729, 38.480, all Ps<0.001) and extended knowledge (χ²=27.993, 21.616, 40.999, all Ps<0.001). Female (OR=1.462, 95%CI: 1.242-1.721), grade 3 (OR=1.291, 95%CI: 1.039-1.604), grade 4 or 5 (OR=2.697, 95%CI: 2.118-3.435) and medical (OR=1.880, 95%CI: 1.594-2.216) students had higher knowledge awareness rates than male, freshman (grade 1) and non-medical students, respectively. In terms of attitude and practices towards tuberculosis, 96.13% (2507/2608) of the students got high willingness on participating in the publicity activities of spreading tuberculosis prevention and control knowledge. Conclusion: College students have certain knowledge of tuberculosis prevention and control, and have relatively positive attitudes and practices towards tuberculosis prevention and control, but there are still insufficiencies. More accurate health education should be provided to male, junior and non-medical students.

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

CLC Number:

G479
R521

Ye Zi, Yang Juan, Guo Peng, Luo Jieya, Feng Yonghong, Kang Yingqian, Huang Jin. 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. doi: 10.19982/j.issn.1000-6621.20220429

Figures/Tables 4

影响因素	β值	s $x ˉ$ 值	Wald χ²值	P值	OR (95%CI)值
性别
男性					1.000
女性	0.380	0.083	20.836	<0.001	1.462 (1.242~1.721)
年级
大一					1.000
大二	-0.041	0.108	0.142	0.706	0.960 (0.777~1.187)
大三	0.256	0.111	5.328	0.021	1.291 (1.039~1.604)
毕业班	0.992	0.123	64.666	<0.001	2.697 (2.118~3.435)
专业
非医学					1.000
医学	0.631	0.084	56.433	<0.001	1.880 (1.594~2.216)

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调查内容	知晓学生数(名)	知晓率(%)
核心知识
肺结核主要传播途径	2539	97.35
肺结核典型症状	1283	49.19
肺结核是否能治愈	2380	91.26
出现肺结核可疑症状应到哪儿看病	2271	87.08
肺结核检查和治疗是否有免费政策	1828	70.09
核心知识总体情况	10301	79.00
延伸知识
肺结核是我国《传染病防治法》中规定的哪一类传染病	1573	60.31
肺结核是由什么引起的	2457	94.21
肺结核的伴随症状	1891	72.51
肺结核易感人群	770	29.52
抗结核治疗必须遵循什么原则	2090	80.14
治愈普通肺结核大约需要多长时间	1687	64.69
肺结核患者不坚持正规治疗的危害	1598	61.27
当地有哪些结核病定点医疗机构	780	29.91
预防肺结核健康的生活方式有哪些	2211	84.78
世界防治结核病日是哪一天	1690	64.80
延伸知识总体情况	16747	64.21
知识合计	27048	69.14
相关态度
是否愿意参与宣传肺结核相关知识(是)	2507	96.13
是否愿意主动和别人讲你所知道的肺结核相关知识(是)	2095	80.32
如果周围的同学或邻居得了肺结核,你是否更加关心和体贴他们(是)	2451	93.98
拿到有关预防肺结核的宣传资料后,你会阅读吗(是)	2102	80.60
是否希望学校开展有关结核病的健康教育宣传活动(是)	2320	88.96
态度合计	11475	88.00
相关行为
若患结核病,主动向学校报告(是)	2531	97.05
若患结核病,坚持带病上课(否)	2528	96.93
若患结核病,隐瞒病情(否)	2549	97.74
若患结核病,到专业定点医疗机构诊断治疗(是)	2408	92.33
在宿舍或家里会经常开窗通风(是)	2542	97.47
行为合计	12558	96.30

人口学特征	调查人数 (名)	核心知识				延伸知识
人口学特征	调查人数 (名)	知晓合格学生数(名)	知晓合格率 (%)	χ²值	P值	知晓合格学生数(名)	知晓合格率 (%)	χ²值	P值
性别				12.376	<0.001			27.993	<0.001
男性	1320	928	70.30			596	45.15
女性	1288	984	76.40			715	55.51
年级				77.729	<0.001			21.616	<0.001
大一	719	481	66.90			327	45.48
大二	732	506	69.13			356	48.63
大三	654	482	73.70			333	50.92
毕业班	503	443	88.07			295	58.65
专业				38.480	<0.001			40.999	<0.001
医学	1244	982	78.94			707	56.83
非医学	1364	930	68.18			604	44.28
民族				0.055	0.815			2.153	0.142
汉族	1445	1062	73.49			745	51.56
少数民族	1163	850	73.09			566	48.67
地区				0.001	0.978			0.001	0.979
城镇	636	466	73.27			320	50.31
农村	1972	1446	73.33			991	50.25

知识渠道	获取渠道		最喜好方式
知识渠道	学生数(名)	占比(%)	学生数(名)	占比(%)
报刊/杂志	1811	69.44	156	5.98
广告/电视/录像	1839	70.51	137	5.25
墙体广告/宣传栏/标语	1710	65.57	209	8.01
大型宣传活动	1573	60.31	352	13.50
学术杂志/教科书	1504	57.67	261	10.01
就诊时医务人员宣传	1877	71.97	186	7.13
知识讲座/会议	1746	66.95	93	3.57
张贴画/小册子	1314	50.38	146	5.60
学校健康教育	1947	74.65	512	19.63
网站(百度等)	1742	66.79	181	6.94
网络社交工具(微信/QQ等)	1893	72.58	375	14.38