肺结核患者家庭密切接触者结核病防治知信行调查

An investigation on knowledge,attitude and practice about tuberculosis prevention and treatment among close contacts of tuberculosis patients

目的调查扬州市肺结核患者家庭密切接触者结核病防治知识、信念和行为现状并分析其影响因素。方法采用两阶段整群随机抽样方法,选取460例扬州市活动性肺结核患者的家庭密切接触者746人,对其结核病防治知识、信念和行为情况进行问卷调查并作描述性分析,采用多因素Logistic回归模型分析家庭密切接触者知信行的影响因素。结果 746名调查对象结核病防治知识知晓率为58.30%,正向态度持有率为50.19%,结核病防治行为持有率为59.25%。多因素Logistic回归分析结果显示,调查对象为涂阴患者密切接触者知晓结核病防治知识（OR=1.375,95%CI：1.014~1.866）、持有正向信念（OR=1.915,95%CI：1.368~2.680）和持有结核病防治行为的合格率（OR=2.112,95%CI：1.536~2.904）均高于涂阳患者;文化程度为初中（OR=1.830,95%CI：1.190~2.813）和高中及以上者（OR=2.075,95%CI：1.313~3.278）的知晓结核病防治知识的合格率,以及文化程度为小学（OR=2.146,95%CI：1.331~3.460）、初中（OR=2.067,95%CI：1.328~3.216）和高中及以上者（OR=2.109,95%CI：1.276~3.488）持有结核病防治行为的合格率均高于文盲或半文盲者;居住在农村的调查对象持有正向态度的合格率（OR=1.506,95%CI：1.015~2.234）高于居住在城市者,持有结核病防治行为的合格率（OR=0.555,95%CI：0.361~0.853）低于居住在城市者。结论扬州市肺结核患者家庭密切接触者的结核病防治知信行状况有待提高,应重点关注低学历和涂阳患者家庭密切接触者的结核病健康教育工作。

Objective To learn the current situation of knowledge,attitude and practice（KAP） about tuberculosis prevention and treatment among close contacts of tuberculosis patients in Yangzhou City and to explore the influencing factors and relationship of KAP.Methods A total of 460 TB（tuberculosis） patients ＇ families in Yangzhou were randomly selected by means of cluster random sampling.And 746 close contacts of tuberculosis patients were investigated by face-to-face interview.Their basic information,knowledge,belief and behavior of TB were analyzed by descriptive analysis and multivariable logistic regression analysis.Results The overall awareness rate of tuberculosis prevention and control was58.30%,and the rate of positive belief was 50.19%,and the behavior holding rate was 59.25%.The multivariable logistic regression analysis showed that diagnostic types,degree of education and location were the major influencing factors.Conclusion Close contacts with low education level and with smear positive patients in the family should be paid more attention.