结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (3): 189-193.doi: 10.3969/j.issn.2095-3755.2013.03.012

• 论著 • 上一篇    下一篇

云南省农村地区居民肺结核知识知晓率影响因素调查分析

陈留萍,许琳,侯景龙,陈金瓯   

  1. 650022 昆明,云南省疾病预防控制中心结核病防治中心
  • 收稿日期:2013-07-12 出版日期:2013-09-30 发布日期:2013-09-30
  • 通信作者: 许琳,Email:xulinth@hotmail.com

Influencing factors of awareness rate of TB-related knowledge in rural areas of Yunnan province

CHEN Liu-ping, XU Lin, HOU Jing-long, CHEN Jin-ou   

  1. Tuberculosis Prevention Center,Yunnan Centers for Disease Control and Prevention, Kunming 650022,China
  • Received:2013-07-12 Online:2013-09-30 Published:2013-09-30
  • Contact: XU Lin, Email: xulinth@hotmail.com

摘要: 目的分析云南省农村地区居民肺结核知识知晓率及其影响因素,为进一步加强结核病防治教育与健康促进工作提供科学依据。方法2010年4—6月,对云南省选取的6个第五次全国结核病流行病学调查点15岁以上的9305名常住人口进行肺结核知识知晓率调查,其中男4613名(49.6%),女4692名(50.4%)。调查内容包括被调查对象的基本情况(性别、年龄、民族)和5条肺结核核心信息构成。应用SPSS 17.0统计软件对5条肺结核核心信息得分进行分析;对不同性别、年龄、民族、肺结核史、农村居民人均收入的肺结核核心信息得分进行单因素分析;以肺结核核心信息得分作为因变量,性别、年龄、民族、肺结核史、农村居民人均收入作为自变量进行多元线性回归分析。变量筛选采用逐步法,检验水准为α=0.05。结果云南省农村地区肺结核核心信息总知晓率为43.5%(20217/46525),男、女性的肺结核核心信息平均得分分别为(4.686±3.387)分和(4.010±3.429)分,差异有统计学意义(t=9.567, P<0.05)。15~岁组、25~岁组、35~岁组、45~岁组、55~岁组、65~岁组的肺结核核心信息平均得分分别为(5.421±3.246)分、(5.106±3.270)分、(4.737±3.399)分、(4.038±3.353)分、(3.962±3.350)分和(2.666±3.234)分,6个组间差异有统计学意义(F=120.625,P<0.05)。汉族、壮族、彝族、其他民族的肺结核核心信息平均得分分别为(4.254±3.407)分、(4.102±3.277)分、(5.324±3.639)分和(3.897±3.086)分,4个组间差异有统计学意义(F=36.518,P<0.05)。有肺结核史、无肺结核史、不知道的肺结核核心信息平均得分分别为(5.952±3.124)分、(4.420±3.420)分和(2.053±2.648)分,3个组间差异有统计学意义(F=102.111,P<0.05)。农村居民人均纯收入<2000元组、2000元~组、3000元~组的肺结核核心信息平均得分分别为(3.011±2.959)分、(3.944±3.125)分和(5.905±3.475)分,3个组间差异有统计学意义(F=663.706,P<0.05)。多元线性回归分析显示,影响肺结核核心信息得分的因素有农村居民人均纯收入、年龄、性别、有肺结核史、汉族(t值分别为39.003、-28.161、-9.588、9.381、4.361,P值均<0.05)。结论云南省农村地区肺结核核心信息知晓率较低,肺结核核心信息得分的影响因素有农村居民人均纯收入、性别、年龄、肺结核史、汉族。

Abstract: Objective To analyze the awareness rate of pulmonary tuberculosis (PTB) among the rural residents of Yunnan province and its influencing factors, and to provide scientific evidence for further improvement of tuberculosis (TB) prevention education and health promotion.Methods An awareness rate survey of 9305 residents who were over 15 years old in 6 sites of the fifth national tuberculosis epidemiological survey in Yunnan was conducted from April to June 2010. There were 4613 (49.6%) male and 4692 (50.4%) female. The contents of the survey covered the basic information of patients (gender, age and nationality) and 5 key TB messages. SPSS 17.0 statistical software was applied to analyze the score of awareness on key TB messages. Univariate analysis was used to analyze the score of awareness on key TB messages with different genders, ages, nationalities, histories of tuberculosis, per capita income of rural residents. Multiple linear regression analysis was conducted by taking key TB messages score as the dependent variable and taking gender, age, nationality, history of tuberculosis and the per capita income of rural residents as independent variables.Results The general awareness rate of all 5 key messages in the rural areas of Yunnan province was 43.45% (20217/46525). The average scores of awareness for male and female were (4.686±3.387) and (4.010±3.429) respectively, with the difference of statistical significance (t=9.567, P<0.05). The scores of 15-, 25-, 35-, 45-, 55- and 65- age groups were (5.421±3.246), (5.106±3.270), (4.737±3.399), (4.038±3.353), (3.962±3.350) and (2.666±3.234) respectively, and the difference was statistically significant (F=120.625, P<0.05). The scores of the Han nationality, the Zhuang nationality, the Yi nationality and others were (4.254±3.407), (4.102±3.277), (5.324±3.639) and (3.897±3.086), and the difference was statistically significant (F=36.518, P<0.05). The scores of those with TB history, without TB history and those had no idea were (5.952±3.124), (4.420±3.420) and (2.053±2.648), with statistical significance (F=102.111, P<0.05). The scores of those with different per capita net income of rural residents (less than 2000 yuan, 2000 yuan- and 3000 yuan) were (3.011±2.959), (3.944±3.125) and (5.905±3.475), the diffe-rence was statistically significant (F=663.706, P<0.05). Multivariate analysis showed that the factors influencing key TB messages score included rural per capita net income, age, gender, with TB history and the Han nationality (t values were 39.003, -28.161, -9.588, 9.381 and 4.361 respectively, P<0.05).Conclusion The awareness rate of key TB messages among the rural areas of Yunnan province is low, the influencing factors include rural per capita net income, gender, age, history of TB and the Han nationality.