【摘要】 目的 评估在我省农村开展中小学结核病健康教育干预前后,我省农村中小学生的结核病相关知识、态度转变情况。方法 以安徽省长丰县、望江县为研究现场,应用流行病学横断面调查方法,采用分层整群抽样方法,选取两地共8所学校。对选定的8所学校的学生实施为期3个月的结核病健康教育试点活动。干预实施前后分别对8所学校的学生进行问卷调查,获得结核病知识知晓情况,以评估结核病健康教育试点的效果。总计纳入研究对象5309名学生。基线调查获得有效问卷5017份,问卷的有效率为94.5%;干预后调查获得有效问卷5276份,问卷的有效率为99.4%。结果 通过干预活动,学生结核病知识得分从(2.92±1.57)分上升至(5.48±1.77)分,差异有统计学意义(t=-77.482,P=0.000)。不同性别的学生获取结核病相关知识的来源不同,女生通过杂志、报纸、书籍(46.5%,1100/2365),学校教学(34.4%,813/2365),同伴教育(19.9%,470/2365)途径获取知识的比率均高于男生[分别为42.4%(1124/2652)、30.4%(806/2652)、15.8%(419/2652)],而男生在视频、磁带途径获取知识比率(7.8%,207/2652)高于女生(5.2%,124/2365)。结论 通过以学校为基础的结核病健康教育干预活动,中小学生群体结核病知晓率会有一定程度的提高。更多还原

【Abstract】 Objective To evaluate the perceptions and understanding of tuberculosis(TB)among the primary school and middle school students before and after a school-based TB health education program in rural China.Methods Stratified cluster sampling method was used to select 4 primary schools and 4 middle schools in 2 counties of Anhui province.A three-month health education program on TB was conducted in the eight schools.Questionnaire surveys were conducted before and after the program to evaluate the effectiveness of the health program,5309 students were recruited in the study,5017 valid questionnaires were received in the baseline survey(collecting rate94.5%)and 5276 valid questionnaires were received from the survey after intervention(collecting rate 99.4%).Results The TB knowledge score of students increased from(2.92±1.57)before the program to(5.48±1.770)after the program,with statistical difference(t=-77.482,P=0.000).The channels getting TB knowledge in different gender were different.Girls acquired TB knowledge through magazines,newspapers and books(46.5%,1100/2365),school teaching(34.4%,813/2365),peer education(19.9%,470/2365),all of which were higher than boys.While boys acquired TB knowledge from video and tape(7.8%,207/2652)was higher than girls(5.2%,124/2365).Conclusion Improved awareness rate of TB among students can be got through the schoolbased TB health education更多还原