2014年广州市某城乡结合部居民梅毒知识知晓情况及其影响因素

Awareness on Syphilis Related Knowledge and Influencing Factors Among Residents in an Urban-rural District,Guangzhou City,2014

目的了解广州市某城乡结合部居民、农村居民、农民工和高危人群等人群的梅毒知识知晓情况及其影响因素。方法 2014年4~6月采用多阶段抽样方法抽取城乡结合部15~49岁的城市居民、农村居民、在校学生、娱乐场所工作人员为调查对象进行匿名问卷调查,内容包括人口学信息、梅毒预防知识及知识获得途径等。结果该城乡结合部居民梅毒知识平均知晓率为49.92%,最高是城市居民（91.67%）、其次为农村居民（76.13%）,最低为在校中学生（17.88%）;21~30岁人群的梅毒知晓率较高（63.67%）,20岁以下梅毒知晓率最低（20.71%）;大专及以上学历知晓率较高（83.56%）,高中及中专学历知晓率最低（39.51%）;获取梅毒知识的主要途径相应的知晓率：宣传活动60.53%、网络54.25%、宣传材料54.04%、书籍54.03%,而通过学校讲座比较低（39.78%）。在校中学生（OR=8.05,95%CI：2.72~23.83）及农村居民（OR=3.39,95%CI：2.35~4.90）较娱乐场所人员,小学（OR=1.86,95%CI：1.07~3.23）及以下文化程度人员（OR=2.09,95%CI：1.21~3.59）较大专及以上人群,是导致梅毒知识不知晓的危险因素;城市居民（OR=0.32,95%CI：0.15~0.71）较娱乐场所人员,通过电视（OR=0.65,95%CI：0.48~0.88）、活动宣传（OR=0.35,95%CI：0.26~0.47）获知梅毒预防知识是梅毒知晓率的保护因素。结论该社区梅毒知识总知晓率不够高,需重点加强人群的宣传教育,普及梅毒防治知识,有针对性地开展梅毒防治的专项宣传和行为干预。提高公众的防范意识和能力,有效遏制梅毒的上升趋势。

Objective To understand the awareness of syphilis related knowledge among urbanresidents,rural residents,migrant workers,and high-risk groups in an urban-rural district,Guangzhou city. Methods During April-June,2014,multi-stage sampling was applied to enrollurban residents,rural residents,students,and entertainment staff aged 15-49 for anonymous questionnaire survey.The content included demographic information,syphilis prevention knowledge,knowledge acquisition way,and so on. Results The average rate of awareness on syphilisrelated knowledge among the urbanrural residents was 49.92%,with the highest（91.67%）amongurban residents,followed by the rural residents（76.13%）,and the lowest（17.88%）among college students.The rate was higher among those at 21-30 years old（63.67%）and college degree or above（83.56%）,with the lowest among those under the age of 20（20.71%）and high school and technical secondary school degree（39.51%）.Different acquisition way of syphilis related knowledgecorresponded different awareness rates：60.53% for promotion,54.25% for network,54.04% forpublicity materials,54.04%for books,with the lowest（39.78%）for the school lecture.Multivariable analysis found that middle school students（OR =8.05,95%CI ：2.72-23.83）and rural residents（OR =3.39,95%CI ：2.35-3.39）compared to entertainment staff,primary school（OR =1.86,95%CI ：1.07-1.86）or below（OR =2.09,95%CI ：1.21-2.09）compared to a college degree or above,were the risk factors of syphilis related knowledge awareness;Urban residents（OR =0.32,95%CI ：0.15-0.71）compared to entertainment staff,acquiring syphilis prevention knowledge from the television（OR =0.65,95%CI ：0.48-0.65）,promotion（OR =0.35,95%CI ：0.26-0.35）were protective factors. Conclusion The total syphilis related knowledge awareness rate is low,indicating that the community needs to strengthen the education of syphilis knowledge for special population andpopularize the knowledge of syphilis,targeted for syphilis prevention and control of special publicity and behavior intervention.The public awareness and ability should be improved to inhabit the rise ofsyphilis.