Abstract:

Objective To analyze predominantly Muslim Uyghur’s tuberculosis (TB) knowledge, attitude and practice and its influencing factors, and to provide references and suggestions on the development of TB patients health education strategies and measures in Kashgar.Methods One hundred and seventy one Uyghur TB patients who were registered and treated in Tuberculosis Information Management System in China from 1 January 2017 to 1 April 2017 in Kashgar were investigated using questionnaires in Uyghur language. The questionnaire was designed according to the brochure of TB prevention and control knowledge in Kashgar. One hundred and seventy one questionnaires were issued and 171 were actually recovered. The response rate was 100.0%. There were 171 valid questionnaires and the effective response rate was 100.0%. Among 171 patients, 91 were males and 80 were females, and the ratio of male to female was 1.14∶1. The number of patients aged 60 and above accounted for 69.0% (118/171). Primary school was the main education level, accounting for 61.4% (105/171). Farmer was the main occupation, accounting for 84.2% (144/171). The new cases accounted for 87.1% (149/171). EpiData 3.1 software was used to input data, the quantitative data acquired through the questionnaire survey were statistically analyzed by SPSS 17.0 software, count data were analyzed by variance analysis, univariate analysis and multiple linear regression analysis were used to analyze the influencing factors. P<0.05 was considered statistically significant.Results The overall awareness rate of 171 PTB cases was 72.4% (1609/2223), and those of 8 items (1, 5-11) were higher (>80%, 138/171-166/171), and those for the rest 3 items (2-4) of the basic knowledge were lower (<60%, 86/171-101/171). In terms of correct cognition of the prevention and treatment, the total accuracy rate was only 20.8% (278/855), and the accuracy of the first item was 94.7% (162/171), while those of the remaining four items (no. 2-5) were less than 40% (2/171-66/171). Single factor analysis showed that there was a correlation between TB awareness level and patients with chronic disease (t=12.113, P<0.05) and patient type (t=4.960, P<0.05). Through multiple linear regression analysis, there was no correlation between patients’ general information (i.e., gender, age, registered permanent residence, education level, whether suffering from chronic diseases, patient type) and the behavior level on TB prevention and control (t=-1.417—-0.399, Ps>0.05), while there was a correlation between chronic disease and basic knowledge of TB control (t=3.069, P<0.05) (t=2.716, P<0.05).Conclusion The awareness of Uygur Tb patients on TB prevention and control is not high, and the right prevention and control behavior need to be developed. It is urgent to take various forms and targeted activities to strengthen TB control health education.

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