Abstract:

Objective: To understand the awareness of core information on tuberculosis prevention and treatment and its influencing factors in Yunnan Province,and to provide scientific basis for health promotion of tuberculosis prevention and control in the future. Methods: From December 1, 2020 to January 31, 2021,the multi-stage stratified cluster sampling method was used to investigate the core knowledge of tuberculosis prevention and control among local residents ≥15 years old in Yunnan Province. A total of 1440 questionnaires were distributed, and 1397 valid questionnaires were retrieved, with an effective rate of 97.01%. Descriptive analysis, Chi-square test and multivariable logistic regression analysis were used to explore the related factors influencing the public awareness. Results: The total awareness rate and overall awareness rate of tuberculosis prevention and control core knowledge were 85.27% (5956/6985) and 50.32% (703/1397) in Yunnan Province in 2020. The overall awareness rates among age groups of 15-24 (OR=2.729, 95%CI:1.404-5.305), 25-44 (OR=2.612, 95%CI:1.599-4.264), and 45-64 (OR=1.689, 95%CI:1.083-2.634) were all higher than those aged 65 and above. Rate of Han people was higher than rates of other ethnic groups (OR=1.971,95%CI:1.482-2.623), rates among people with education level of primary school (OR=2.001,95%CI:1.193-3.355), junior high school and equivalent education (OR=2.418,95%CI:1.451-4.030), high school and equivalent education (OR=2.834,95%CI:1.580-5.083), college and above (OR=2.214,95%CI:1.160-4.225) were higher than rates among illiterate and semi-illiterate people, and rates among those who received health education were higher than those who did not (OR=2.193,95%CI:1.662-2.894). 76.74% (1072/1397) of participants had received health education, mainly through television (55.69%, 597/1072). Conclusion: The awareness rate of tuberculosis prevention and control core knowledge among the public in Yunnan Province has met the requirements of the national plan, but it is still necessary to further strengthen the health promotion of tuberculosis prevention and control, especially for the elderly, people with low education level and ethnic minorities.

Key words: Tuberculosis, Health knowledge, attitudes, practice, Factor analysis, Health promotion