江苏省外来务工人员结核病防治知信行调查
KAP about tuberculosis among migrant workers in Jiangsu province
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摘要: 目的 了解江苏省外来务工人员结核病防治知识、态度、行为现状,为采取干预措施提供参考依据。方法 采用随机整群抽样方法在江苏省泰兴、丹阳、张家港市抽取18家建筑生产企业653名外来务工人员进行问卷调查。结果 江苏省外来务工人员结核病防治知识总体知晓率和及格率分别为55.6%和58.5%;多因素logistic回归分析结果表明,已婚(OR=1.631)和最近半年接受过结核病防治知识宣传教育(OR=5.609)的外来务工人员知识及格率较高;653名外来务工人员中,5.5%选择与患肺结核的同事朋友疏远,17.2%会像便平常一样对待,77.2%会对其更加关心,同时注意自我保护;84.1%在怀疑自己或家人患肺结核后,选择去定点医院或疾病预防控制中心就诊治疗;72.3%会在冬春季经常开窗通风;65.4%表示不会随地吐痰;知识及格外来务工人员的正确态度持有率为84.3%,高于不及格外来务工人员的67.2%(χ2 =26.429,P=0.000);结核防治知识及格外来务工人员就医行为、经常开窗通风行为和不随地吐痰行为的正确行为率分别为92.7%、80.9%和74.9%,均高于知识不及格外来务工人员的72.0%、60.1%和52.0%(均P=0.000);结核防治态度正确外来务工人员就医行为、经常开窗通风行为和不随地吐痰行为的正确行为率分别为89.7%、75.8%和70.4%,均高于态度不正确外来务工人员的65.1%、60.4%和48.3%(均P=0.000)。结论 江苏省外来务工人员对结核病防治知识了解不全面;外来务工人员结核病防治知识的提高有利于其正确态度与行为的形成。Abstract: Objective To investigate the knowledge,attitude and practice(KAP) about tuberculosis(TB) among migrant workers in Jiangsu province and to provide basis for health education.Methods A total of 653 migrant workers from 18 construction and manufacturing enterprises in Taixing,Danyang,Zhangjiagang cities of Jiangsu province were selected with cluster sampling.Results Total awareness rate for 6 knowledge items of TB in the migrant workers was 55.6%,with a qualified rate of 58.5%.Multivariate analyses showed that the married migrant workers had a higher passing rate(odds ratioOR=1.631,95% confidence interval CI=1.158,2.297) and the workers receiving health education in the previous six months had higher passing rate(OR=5.609,95%CI:3.938,7.990).There were interactive relationships among the knowledge,attitude and practice about TB in the migrant workers.Conclusion Migrant workers have a poor knowledge about TB.and health education on TB should be further strengthened in the workers.
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