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河南省某市中青年人群肺结核病防控KAP现况及影响因素分析

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目的:探究河南省某市中青年人群肺结核病防控知识-信念-行为(KAP)现况及相关影响因素。方法:2024 年 4-5 月某市第五人民医院(结核病防治所)选取该市常住人口中600 名30~39 岁中青年为调查对象,采用问卷方式调查一般资料及KAP评分,采用单因素分析及多元线性回归方程分析该市中青年人群肺结核病防控KAP评分的影响因素。结果:发放问卷600 份,回收问卷596 份,剔除无效问卷8 份,共获得有效问卷588 份,有效回收率为98。00%(588/600)。588 名中青年肺结核病防控知识评分为(13。47±4。09)分,信念评分为(10。33±3。38)分,行为评分为(18。22±4。70)分,KAP总分为(42。02±12。17)分。单因素分析显示,不同性别、职业状况、婚姻状况、民族的中青年人群肺结核病防控KAP评分比较,差异无统计学意义(P>0。05);不同受教育程度、居住地及是否有接受过结核病宣教、医学背景、接触过肺结核病患者、结核病家族史的中青年人群肺结核病防控KAP评分比较,差异有统计学意义(P<0。05)。多元线性回归分析显示,受教育程度、居住地、接受结核病宣教、医学背景、接触肺结核病患者、结核病家族史是中青年人群肺结核病防控KAP评分的影响因素(P<0。05)。结论:受教育程度、居住地、接受结核病宣教、医学背景、接触肺结核病患者、结核病家族史是中青年人群肺结核病防控KAP评分的影响因素,可根据上述影响因素制定防治策略,提高中青年人群肺结核病防控水平,减少中青年人群肺结核病发生。
Analysis of KAP status and influencing factors in prevention and control of pulmonary tuberculosis among young and middle-aged people in a city
Objective:To explore the status of knowledge,belief and practice(KAP)on prevention and control of pulmonary tuber-culosis among young and middle-aged people in a city and its related influencing factors.Methods:From April to May 2024,Puyang Fifth People's Hospital(Tuberculosis Prevention and Control Institute)selected 600 young and middle-aged people aged 30 to 39 years as survey objects.Questionnaire was used to investigate the general information and KAP scores.Single factor analysis and multiple linear regression were used to analyze the influencing factors of KAP scores for the prevention and control of tuberculosis in young and middle-aged people.Results:600 questionnaires were distributed and 596 were collected.After excluding 8 invalid questionnaires,a total of 588 questionnaires were obtained,with an effective response rate of 98.00%(588/600).The 588 young and middle-aged peo-ple scored(13.47±4.09)on knowledge of prevention and control of tuberculosis,(10.33±3.38)on belief,(18.22±4.70)on be-havior,and(42.02±12.17)on KAP as a whole.Single factor analysis showed that there was no significant difference in KAP scores for prevention and control of pulmonary tuberculosis among middle-aged and young people of different genders,occupational status,ma-rital status,and nationalities(P>0.05).There were statistically significant differences in KAP scores for prevention and control of tu-berculosis among young and middle-aged people with different education levels,places of residence,recent tuberculosis education,medical background,contact with tuberculosis patients,and family history of tuberculosis(P<0.05).Multiple linear regression showed that education level,residence,recent tuberculosis education,medical background,contact with tuberculosis patients,tuberculosis family history were the influencing factors of KAP status of young and middle-aged people in tuberculosis prevention and control(P<0.05).Conclusion:Education level,residence,recent tuberculosis education,medical background,contact with tuberculosis pa-tients,and tuberculosis family history are the influencing factors for the KAP score of tuberculosis prevention and control among young and middle-aged people.Clinical intervention strategies can be formulated according to the above influencing factors to improve the KAP level of tuberculosis prevention and control among young and middle-aged people,so as to provide guidance for reducing the incidence of tuberculosis among young and middle-aged people.

TuberculosisKnowledge-belief-behaviorInfluencing factorsYoung and middle-aged

王治国、陈帅

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河南省濮阳市第五人民医院 肺结核科,457000

河南省人民医院 肺结核科,河南 郑州 450000

肺结核 知识-信念-行为 影响因素 中青年

2024

淮海医药
蚌埠市医学科学情报站 《淮海医药》编辑部

淮海医药

影响因子:0.58
ISSN:1008-7044
年,卷(期):2024.42(6)