汕头市中等职业学校学生肺结核防治知信行调查及相关因素分析

Investigation on knowledge,attitude and practice of tuberculosis prevention and treatment among students in secondary vocational schools in Shantou and analysis of related factors

目的:了解汕头市中等职业学校学生(中职学生)的肺结核防治知信行水平,探讨影响中职学生肺结核防治知信行水平的相关因素。方法:2019年6—10月,选取汕头市中职学校1~3年级共2 994名在校学生作为调查对象,其中女生2 321人(占77.5%),男生673人(占22.5%)。采用自行设计的问卷对中职学生的肺结核防治知识、态度和行为进行调查。运用多元线性回归与Logistic回归分析探讨结核病防治知识、态度和行为的影响因素。结果:结核病防治知识总知晓率为77.2%,了解结核病防治知识的主要途径是网络、学校宣传教育、电视和广播。多元线性回归分析显示,居住地在城市(β=0.056)、入学前的文化水平高(β=0.096)、家庭月总收入高(β=0.047)、学习成绩优秀(β=0.094)的学生在对待肺结核防治知识时持有更加积极的态度。多因素Logistic回归分析表明,二年级(OR=1.524,95%CI:1.255~1.850)、三年级(OR=1.640,95%CI:1.009~2.666)的学生在肺结核防治知识相关的行为上有更加正确的做法。结论:汕头市中职学校学生的肺结核防治知识知晓情况良好,但学生对于肺结核防治的认识不够全面,学校应加强开展肺结核防治相关知识的健康教育。

Objective:To understand the knowledge,attitude and practice level of tuberculosis prevention and treatment among students in secondary vocational schools in Shantou,and to investigate the related factors.Methods:From June to October of 2019,2994 students of Grade 1-3 in secondary vocational schools in Shantou were selected as the research objects,including 2321 girls(77.5%)and 673 boys(22.5%).A self-designed questionnaire was used to investigate the knowledge,attitude and behavior of tuberculosis prevention and treatment among secondary vocational school students.Multiple linear regression and logistic regression analysis were used to explore the influencing factors of knowledge,attitude and behavior of tuberculosis prevention and control.Results:The total awareness rate of tuberculosis prevention and control knowledge was 77.2%.The main ways to understand tuberculosis prevention and control knowledge were network,school publicity and education,television and radio.Multiple linear regression analysis showed that the students who lived in the city(β=0.056),had high education level before entering school(β=0.096),high family monthly income(β=0.047),and excellent academic performance(β=0.094)had a more positive attitude towords tuberculosis prevention and treatment knowledge.Multivariate logistic regression analysis showed that students in grade two(OR=1.524,95%CI:1.255-1.850)and grade three(OR=1.640,95%CI:1.009-2.666)had more correct practice on the behavior related to tuberculosis prevention and treatment.Conclusion:Students in secondary vocational schools in Shantou have a good awareness of tuberculosis prevention and control knowledge,but their awareness of tuberculosis prevention and control is not comprehensive enough.These schools should strengthen the health education of tuberculosis prevention and control related knowledge.