Analysis of gender differences in knowledge,attitudes and behaviors regarding tuberculosis prevention and control among high school students
Objective To explore the current status of knowledge,attitudes and practices(KAP)regarding tuberculosis(TB)prevention and control among high school students,and to compare differences between male and female students,so as to provide a scientific basis for targeted TB prevention and control measures in high schools.Methods From April to May 2024,a stratified cluster random sampling method was employed to conduct an electronic questionnaire survey among 1 912 students from 10 high schools using a-compiled questionnaire on KAP towards TB prevention and control.The AMOS 26.0 software was utilized to con-struct structural equation modeling(SEM)and compared the difference among genders.Results The overall awareness rate of core TB knowledge among high school students in Gongshu District was 76.62％.Additionally,core knowledge about TB(6.28±1.44),prevention attitudes(6.02±1.84),and prevention practices(6.38±2.11)scores of female students were higher than those of male students(5.96±1.74,5.59±2.21,6.15±2.23)(t=4.31,4.64,2.25,P＜0.05).The SEM showed that knowledge had a strong pos-itive impact on practices and attitudes among boys,with total effect values of 0.963 and 0.819,respectively;while the positive in-fluence of attitudes on practices was relatively weak,with a total effect value of 0.186.Among girls,attitudes had a positive impact on practices and knowledge,with total effect values of 0.479 and 0.222,respectively.Conclusions The pathways and strengths of influence of KAP in the SEM of TB prevention and control differ between male and female high school students.Therefore,differen-tiated strategies should be implemented for TB health education targeting male and female high school students.
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