Abstract:

Objective To understand the current status of health knowledge, attitude and practice (KAP) about pulmonary tuberculosis (TB) prevention and treatment among rural population in Heilongjiang province and to test the influencing factors of health KAP about TB prevention and treatment.Methods Based on the geographical distribution, stratified sampling and questionnaires were used to collect data from rural population in 30 villages from 5 counties in Heilongjiang province from August 2016 to December 2016. The items of the questionnaire mainly included demographic characteristics, and KAP about TB prevention and treatment. A total of 1100 questionnaires were distributed and 941 participants provided valid data (the rate of response=85.5%). Current status and influencing factors of health KAP about TB prevention and treatment were analyzed by descriptive statistics and logistic regression analysis, respectively.Results The rate of awareness of TB prevention and treatment knowledge among rural population in Heilongjiang province was 66.0% (3105/4705). Univariate logistic regression analysis showed that the population with junior high school and equivalent education, annual income per capita more than 12 thousand yuan, and non-smoking had a higher rate of awareness of TB prevention and treatment knowledge (57.4% (221/385),57.5% (348/605),55.2% (345/625)). The difference was statistically significant (χ ² values were 30.80, 14.24 and 4.08, respectively. All P values were less than 0.05). Multivariate logistic regression analysis further showed that the rural population with junior high school and equivalent education (taking unschooled as reference, OR=2.13, 95%CI: 1.31-3.44; P=0.002) and annual income per capita more than 12 thousand yuan (taking income <12 thousand yuan as reference, OR=0.69, 95%CI: 0.52-0.91; P=0.010) had a higher rate of awareness of TB prevention and treatment knowledge. Descriptive statistics showed that the number of rural population who will intentionally alienate TB patients was 319 (33.9%), the number of rural population who will actively understand TB knowledge was 606 (64.4%), the number of rural population who will take the initiative to explain TB knowledge to others was 580 (61.6%). Conclusion The awareness rate of TB prevention and treatment among rural population in Heilongjiang province is low. Then the department of TB prevention and treatment should pay attention to the poor peasants who have a low cultural level and make some targeted propaganda to them.

Key words: Tuberculosis, pulmonary, Rural population, Health knowledge, attitudes and practice, Questionnaires, Factor analysis, Statistical