【摘要】 目的对江苏省社区居民结核病防治健康教育效果进行初步评价,为进一步深入开展此项工作提供科学依据。方法以重复横断面研究设计、分层整群抽样方法,对江苏省张家港、丹阳、泰兴20～69岁居民开展的结核病防治健康教育干预活动效果进行初步评价;采用自填式问卷进行调查,效果评价指标包括结核病防治知识的知晓率及相关态度情况,采用多因素非条件logistic回归对婚姻、文化程度校正,比较干预前后效果。结果干预前后调查人数分别为19 106和11 384人,结核病防治8条核心知识总知晓率和合格知晓率(8条知识答对≥6条)分别由基线调查的60.1%和46.4%上升为终点调查的67.5%和52.8%,正确对待结核病人的态度由68.0%上升为78.9%、非条件logistic回归分析结果显示,干预前后居民结核病防治知识知晓率差异有统计学意义(P=0.000)。结论社区居民对结核病防治知识知晓率较低,健康教育后,知晓率有所提高,但仍未达到全国结核病防治规划(2011—2015)的防治目标。更多还原

【Abstract】 Objective To assess the effect of health education on tuberculosis control among community residents in Jiangsu province and to provide basis for planning health education program. Methods Cross-sectional studies with stratified cluster sampling were carried out before and after a health education among community residents aged 20-69 years in Zhangjiagang,Taixing,and Danyang city. With the questionnaire surveys,information about aw areness of and attitude tow ards tuberculosis prevention and treatement were collected. Non-conditional multiple-factor logistic regression was adopted in data analyses. Results There were 19 106 people in the baseline survey and 11 384 people in the terminal survey. After the health education,the total aw areness rate for 8 key iterms of tuberculosis prevention and treatment was increased from 60. 4% to 67. 5% and the qualification rate for tuberculosis know ledge increased from 46. 4% to 52. 8%. At the same time,the proportion of residents with right attitude to tuberculosis patient increased from 68. 0% to 78. 9%. The results of non-conditional multiple-factor logistic regression indicated that the differences in the rate and proportion were statistically significant(P < 0. 05 for all). Conclusion The community residents’ know ledge level for tuberculosis prevention and treatment is low and the level can be increased by health education but efforts should be made to meet the requirement of national tuberculosis prevention plan.更多还原