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郑州市大学生传染病及肿瘤相关知识调查分析

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目的 分析比较大学生对传染病和肿瘤相关知识的知晓及健康教育的接受情况.方法 采用分层整群抽样方法,从郑州市58 所高等学校非医学专业的12 个门类抽取1 200 名大学生进行问卷调查,对大学生结核病(TB)、获得性免疫缺陷综合征(AIDS)、肿瘤相关知识了解现状进行描述性研究,分析被调查者的基本资料、个人史、防治知识、防治态度、防治行为之间的关系.比较分析大学生对3 种疾病的知晓情况及其健康教育的接受情况.结果 大学生对TB、AIDS、肿瘤的总知晓率、相关态度知晓率和相关行为知晓率总体比较差异均有统计学意义(χ2=62.875;P<0.001;χ2=153.454,P<0.001;χ2=577.270,P<0.001),TB、AIDS和肿瘤相关的总知晓率处于较低水平,低于相关规定要求的指标,进一步χ2 分割显示:大学生对AIDS的总知晓率、相关态度知晓率和相关行为知晓率均高于TB和肿瘤,对肿瘤的总知晓率、相关态度知晓率和相关行为知晓率均高于 TB(AIDS 与 TB:χ2=60.608,P<0.001;χ2=145.423,P<0.001;χ2=574.744,P<0.001;AIDS与肿瘤:χ2=9.714,P<0.001;χ2=20.295,P<0.001;χ2=159.755,P<0.001;肿瘤与 TB:χ2=22.269,P<0.001;χ2=59.176,P<0.001;χ2=161.846,P<0.001).大学生对TB知识的总知晓率与性别、户籍、年级、是否为独生子女有关(χ2=145.395,P<0.001;χ2=105.062,P<0.001;χ2=75.180,P<0.001;χ2=41.546,P<0.001).大学生对AIDS知识的总知晓率与性别、户籍、年级有关(χ2=105.645,P<0.001;χ2=50.228,P<0.001;χ2=4.953,P=0.026).大学生对肿瘤知识的总知晓率与性别、户籍、年级、是否为独生子女有关(χ2=4.531,P=0.033;χ2=49.271,P<0.001).大学生对TB、AIDS、肿瘤的愿意接受率、主动接受率和广泛接受(3 种及以上接受途径)率总体比较差异均有统计学意义(χ2=52.398,P<0.001;χ2=195.276,P<0.001;χ2=229.916,P<0.001).进一步χ2 分割显示:大学生对肿瘤相关健康教育愿意接受率、主动接受率和广泛接受率均高于AIDS和TB,AIDS愿意接受率、主动接受率和广泛接受率均高于TB(肿瘤与AIDS:χ2=15.256,P<0.001;χ2=86.105,P<0.001;χ2=133.767,P<0.001;肿瘤与TB:χ2=52.429,P<0.001;χ2=194.560,P<0.001;χ2=206.212,P<0.001;AIDS与TB:χ2=11.544,P=0.001;χ2=23.614,P<0.001;χ2=8.391,P=0.004).结论 加强TB、AIDS、肿瘤相关知识的健康宣教,形成一定的健康态度,培养良好的行为模式,为提高健康宣传教育的效果,应选择大学生最喜欢和容易接受的宣传形式,同时利用大学生志愿者宣传团队,持久深入的开展健康宣教工作,提高大学生TB、AIDS及肿瘤相关知识的知晓率.
Investigation and analysis of infectious diseases and cancer-related knowledge among university students in Zhengzhou
Objective To analyze and compare the awareness of infectious diseases and cancer-related knowledge among college students,as well as their acceptance of health education.Methods A questionnaire survey was conducted among 1 200 students from 12 non-medical specialties in 58 universities in Zhengzhou by using stratified cluster sampling,the current status of knowledge about tuberculosis(TB),acquired immune deficiency syndrome(AIDS)and cancer among college students was described,the relationship among basic data,personal history,knowledge,attitude and behavior of prevention and cure were analyzed.The awareness of three diseases and the acceptance of health education were compared and analyzed.Results There were statistically significant differences in the overall awareness rate,related attitude aware-ness rate and related behavior awareness rate of college students towards TB,AIDS and cancer(χ2=62.875,P<0.001;χ2=153.454,P<0.001;χ2=577.270,P<0.001).The overall awareness rate of TB,AIDS and cancer was at a low level,lower than the indicators required by relevant regulations.Further χ2 segmentation showed that college students had a higher overall awareness rate,related attitude awareness rate and cancer behavior awareness rate towards AIDS than TB and tumors,and a higher overall awareness rate,related attitude awareness rate and related behavior awareness rate towards cancer than TB(AIDS and TB:χ2=60.608,P<0.001;χ2=145.423,P<0.001;χ2=574.744,P<0.001;AIDS and cancer:χ2=9.714,P<0.001;χ2=20.295,P<0.001;χ2=159.755,P<0.001;Tumor and TB:χ2=22.269,P<0.001;χ2=59.176,P<0.001;χ2=161.846,P<0.001).The total awareness rate of TB knowledge among college students was related to gender,registered residence,grade and whether they were only children(χ2=145.395,P<0.001;χ2=105.062,P<0.001;χ2=75.180,P<0.001;χ2=41.546,P<0.001).The total awareness rate of AIDS knowledge among college students was related to gender,registered residence and grade(χ2=105.645,P<0.001;χ2=50.228,P<0.001;χ2=4.953,P=0.026).The total awareness rate of cancer knowledge among college students was related to gender,registered residence,grade and whether they were only children(χ2=4.531,P=0.033;χ2=49.271,P<0.001).There was a statis-tically significant difference in the overall acceptance rate,active acceptance rate and wide acceptance rate(three or more acceptance pathways)of TB,AIDS and tumors among college students(χ2=52.398,P<0.001;χ2=195.276,P<0.001;χ2=229.916,P<0.001).Further χ2 segmentation showed that college students had higher willingness,initiative and wide-spread acceptance rates for tumor related health education than AIDS and TB,and AIDS willingness,initiative and wide-spread acceptance rates were higher than TB(cancer and AIDS:χ2=15.256,P<0.001,χ2=86.105,P<0.001,χ2=133.767,P<0.001;cancer and TB:χ2=52.429,P<0.001;χ2=194.560,P<0.001;χ2=206.212,P<0.001;AIDS and TB:χ2=11.544,P=0.001;χ2=23.614,P<0.001;χ2=8.391,P=0.004).Conclusion In order to improve the effect of health education,we should strengthen the health education about TB,AIDS and cancer,form a certain health atti-tude and cultivate good behavior patterns,we should choose the propaganda form that college students like best and accept easily,at the same time,we should make use of the propaganda team of college students volunteers to carry out the health propaganda work in a lasting and in-depth way,to improve the awareness of TB,AIDS and cancer-related knowledge among college students.

tuberculosisacquired immune deficiency syndromecancerawareness ratehealth education

杜新爱、沈飞、刘艳平、崔帷

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郑州市第六人民医院结核病防治办公室,河南 郑州 450061

郑州市妇幼保健院超声科,河南 郑州 450012

结核病 获得性免疫缺陷综合征 肿瘤 知晓率 健康教育

河南省医学科技攻关计划项目

LHGJ20191099

2024

肿瘤基础与临床
河南省抗癌协会,郑州大学,河南省肿瘤医院,河南省肿瘤研究所

肿瘤基础与临床

影响因子:0.861
ISSN:1673-5412
年,卷(期):2024.37(4)