Abstract:

Objective: To analyze the implementation of health promotion on tuberculosis (TB) prevention and control in Tianjin City from 2010 to 2020,evaluate its effect and develop suggestions according to new situation and new needs. Methods: Retrospective research methods and descriptive epidemiological methods were applied to analyze and summarize data of health promotion on TB prevention and control in Tianjin City from 2010 to 2020. Chi-square test was used to compare the awareness rate of key messages of TB prevention and control in 2010,2015 and 2020. Results: The overall awareness rates and all awareness rates of 5 key messages had been improved respectively from 62.2% (14281/22955) and 8.8% (406/4591) in 2010 to 76.4% (14952/19560) and 33.8% (1321/3912) in 2015,and then to 85.2% (5856/6870) and 42.2% (580/1374) in 2020.These differences were statistically significant (χ²=1820.569,P<0.001;χ²=1049.946,P<0.001). The overall awareness rates of participants aged 60-69 in 2010 (65.8%, 1457/2215) and people aged 20-29 in 2015 (81.5%, 2053/2520) were higher than other age groups of that year,and these differences were statistically significant (χ²=34.628,P<0.001;χ²=115.925,P<0.001). The difference among all age groups in 2020 was not statistically significant (χ²=9.993,P>0.05). The overall awareness rate of junior high school and equivalent education level (64.0%, 6181/9655) was higher than other groups in 2010. In 2015 and 2020, overall awareness rates increased with level of education. These differences were statistically significant (χ²=71.476, P<0.001;χ²=108.473, P<0.001;χ²=20.781, P<0.001). The overall awareness rate of agriculture workers was the highest in 2010 (65.1%, 3276/5035),and rates of government employee were the highest in 2015 and 2020 (79.8% (1615/2025) and 88.6% (359/405)). These differences were statistically significant (χ²=50.395,P<0.001;χ²=60.004,P<0.001;χ²=18.816,P<0.001). Comparing 2015 and 2020,“radio/television/film/internet/audiovisual materials”(76.2% (2979/3912) and 86.9% (1194/1374)) remained as most popular way for public to acquire health knowledge. The selection of “doctor promotion” had significantly decreased from 38.3% (1497/3912) to 19.1% (262/1374),“promotion by community/village committees”“other ways (including public transportation or outdoor new media promotion, listening to health lectures)”had respectively increased from 8.3% (323/3912) and 0.4% (17/3912) to 18.2% (250/1374) and 18.6% (255/1374). Conclusion: In the past 10 years, health promotion of TB prevention and control in Tianjin City had achieved remarkable results. In the future,it is necessary to advance with the times and further strengthen health promotion of TB prevention and control,to accelerate “ending TB epidemic”.

Key words: Tuberculosis, Health promotion, Outcome assessment (health care), Tianjin City