Willingness to preventive treatments and related factors among college freshmen with latent tuberculosis infection in Chan-gzhou
Objective To investigate the willingness to accept preventive treatments and its related factors among college fresh-men with latent tuberculosis infection(LTBI),so as to provide the evidence for preventive treatment intervention measures for students with LTBI.Methods Cluster sampling method was used to select 368 LTBI freshmen from 8 colleges and universities in Changzhou in September 2023,who conducted a questionnaire survey on the willingness to receive preventive treatment.General de-mographic data were collected and relevant data were collected using tuberculosis knowledge scale,General Anxiety Disorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),Adaptation,Partnership,Growth,Affection and Resolve(APGAR),and a self-developed Stigma Scale.A binary Logistic regression model was constructed with the willingness to accept preventive treatment as the dependent variable to analyze the willingness to accept preventive treatment and the influencing factors.Results A total of 253 LTBI college freshmen were willing to take preventive treatment,the acceptance rate was 68.75％.The rate of willingness to ac-cept preventive treatment for LTBI was higher among students whose fathers had an education level of high school,compared to those whose fathers had an education level of junior high school or below(OR=2.16,P＜0.05).LTBI students whose per capita fam-ily income was＞5 000-10 000 yuan and＞10 000 yuan were more willing to accept LTBI preventive treatment than those whose per capita family income was＜3 000 yuan(OR=2.72,4.46,P＜0.05).LTBI students who engaged in physical exercise for more than 2 hours per week were more willing to accept than those who exercised less than 0.5 hours per week(OR=1.91,P＜0.05).LTBI students with high levels of tuberculosis knowledge and stigma were more likely to receive preventive treatment(OR=1.18,1.11,P＜0.05).LTBI students with high PHQ-9(OR=0.85)and GAD-7(OR=0.92)scores were more likely to refuse preventive treat-ment(P＜0.05).Conclusion The present study revealed a moderate level of willingness of LTBI students to preventive treatment in Changzhou City,and the acceptance is affected by family factors,healthy lifestyles,tuberculosis knowledge and psychological status.
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