省内及省际流动人群结核病知识获取情况及其影响因素

Acquisition of tuberculosis knowledge and its relevant factors among intraprovincial and inter-provincial migrant populations in China

目的了解省内及省际流动人群结核病知识获取情况及其相关影响因素,为提高流动人群结核病防治知识知晓率提供参考依据。方法收集2015年全国流动人口卫生计生动态监测调查中全国31个省(区、市)和新疆生产建设兵团205 990名流动人群结核病知识获取情况数据,应用SPSS 20.0软件进行流动人群结核病知识获取情况及其相关影响因素分析。结果调查的205 990名流动人群中,过去1年获取结核病防治知识者77 460人,结核病防治知识获取率为37.6%;省内和省际流动人群过去1年获取结核病防治知识获取率分别为40.4%和34.8%,差异有统计学意义(χ~2=672.948,P<0.001)。省内及省际流动人群主要通过宣传栏(79.4%和74.0%)和广播/电视节目(74.5%和72.1%)获取结核病防治知识。多因素非条件logistic回归分析结果显示,年龄≥40岁、文化程度高中及以上、家庭税后月均收入≥3 000元、流动时间≥8年、流动地区为西部的省内流动人群结核病防治知识获取率较高,婚姻状况为在婚、职业为雇主和其他、流动时间4～7年、流动地区为中部和东部的省内流动人群结核病防治知识获取率较低;年龄30～49岁、文化程度初中及以上、家庭月均支出≥4 000元、流动时间≥4年、流动地区为西部的省际流动人群结核病防治知识获取率较高,职业为其他、流动地区为东部的省际流动人群结核病防治知识获取率较低。结论省内流动人群结核病防治知识获取率高于省际流动人群;年龄、文化程度、职业、流动时间和流动地区是省内和省际流动人群结核病防治知识获取的共同影响因素。

Objective To examine the status and relevant factors of tuberculosis knowledge acquisition among intraprovincial and inter-provincial migrant populations for providing references to the promotion of tuberculosis knowledge awareness in the populations. Methods We extracted information on status and its influencing factors of tuberculosis knowledge acquisition among of 205 990 migrants from a national dynamic survey on migrant populations’ health and family planning conducted in 2015 in 31 provinces(municipalities and districts) across China. We analyzed the data using SPSS20.0. Results Of the 205 990 migrants, 37.6%(77 460) reported acquisition of tuberculosis knowledge during the previous one year and the knowledge acquisition ratio was significantly higher among intra-provincial migrants than among interprovincial migrants(40.4% vs. 34.8%,χ^2 = 672.948;P < 0.001). The major routes of tuberculosis knowledge acquisition for the intra-and inter-provincial migrants were via bulletin boards(reported by 79.4% and 74.0% of the knowledge gainers) and broadcast/TV programs(by 74.5% and 72.1% of the gainers). Unconditional multivariate logistic regression analyses revealed that the intra-provincial migrants with following characteristics were more likely to acquire tuberculosis knowledge:aged 40 years or older, education of senior high school or above, after-tax familial monthly income of 3 000 RMB Yuan or more, migrating experience of 8 years or longer, and immigrating into provinces in western area of China;while, the intraprovincial migrants of married, not being an employee of a private enterprise, with migrating experience of 4-7 years, and immigrating into central or eastern area of the province were less likely to acquire tuberculosis knowledge. For the interprovincial migrants, those with following features were more likely to acquire tuberculosis knowledge: aged 30-49 years,junior high school or higher education, familial monthly expenditure of 4 000 RMB Yuan or more, 4-8 years’ experiences of migration, and immigrating into provinces in western area of China;whereas, those neither being an employer nor an employee of a private enterprise and immigrating into provinces in eastern area of China were less likely to acquire tuberculosis knowledge. Conclusion The rate of tuberculosis knowledge acquisition is higher among intra-provincial migrants than among inter-provincial migrants and the tuberculosis knowledge acquisition is influenced by age, education,occupation, years of migration, and their immigrating area among migrant population in China.