Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022

DU Guoping; CHEN Xiaoyan; LÜ Yumei; LI Xiaoshan; TAN Bingxin; LI Yanhui; YE Yuxiu; WEI Yixuan; ZHANG Yuncheng

doi:10.16835/j.cnki.1000-9817.2024257

Volume 45 Issue 8

Aug. 2024

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(8): 1120-1125

DU Guoping, CHEN Xiaoyan, LÜ Yumei, LI Xiaoshan, TAN Bingxin, LI Yanhui, YE Yuxiu, WEI Yixuan, ZHANG Yuncheng. Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1120-1125. doi: 10.16835/j.cnki.1000-9817.2024257

Citation:

DU Guoping, CHEN Xiaoyan, LÜ Yumei, LI Xiaoshan, TAN Bingxin, LI Yanhui, YE Yuxiu, WEI Yixuan, ZHANG Yuncheng. Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1120-1125. doi: 10.16835/j.cnki.1000-9817.2024257

Citation:

DU Guoping, CHEN Xiaoyan, LÜ Yumei, LI Xiaoshan, TAN Bingxin, LI Yanhui, YE Yuxiu, WEI Yixuan, ZHANG Yuncheng. Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1120-1125. doi: 10.16835/j.cnki.1000-9817.2024257

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Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022

doi: 10.16835/j.cnki.1000-9817.2024257

1.
General Practice, Southeast University Hospital, Nanjing (210018), Jiangsu Province, China

Received Date: 2024-03-14
Rev Recd Date: 2024-05-14
Publish Date: 2024-08-25

Abstract

Abstract

Objective To understand the trends and associated factors of tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019 to 2022, so as to provide theoretical support for the popularization of tuberculosis knowledge and the prevention and control of tuberculosis in universities. Methods From 2019 to 2022, a total of 33 944 freshmen from 20 universities in Jiangsu Province were selected by stratified random sampling, and tuberculosis knowledge and behavior were surveyed online using a self-designed questionnaire. One-way variance trend test and multiple linear regression analysis were used to analyze the trend of knowledge and behavior levels, and a multiple linear regression model was used to analyze the influencing factors. Results The overall awareness rate of tuberculosis among freshmen from Jiangsu Province was 90.6%, and the overall awareness rates from 2019 to 2022 were 88.4%, 90.4%, 91.7%, and 91.8%, respectively. The overall behavioral accuracy rate was 92.3%, with the annual rates from 2019 to 2022 being 91.8%, 92.3%, 92.7%, and 92.4%, respectively. Both the awareness rate and accuracy behavior rate increased annually (F=216.67, 11.75, P < 0.01). The multiple linear regression analysis showed that school type, ethnicity, father's educational level, mother's educational level, mother's occupation, family per capita monthly income, and living arrangement in high school affected both personal knowledge awareness rate and personal behavioral accuracy rate (β=-0.047-0.035, P < 0.01), while region, gender, family residence, and being an only child only affected behavioral accuracy rate (β=-0.003-0.032, P < 0.05). Conclusions The tuberculosis knowledge and behavior levels of freshmen from Jiangsu Province have been increasing by year. Targeted health education should be carried out based on the relevant influencing factors to further enhance the tuberculosis prevention and control literacy.
- Tuberculosis,
- Knowledge,
- Behavior,
- Regression analysis,
- Students

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References(30)

References

[1]	世界卫生组织. 全球结核病报告2023[EB/OL]. (2023-11-07)[2024-03-12]. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2023. WHO. Global tuberculosis report 2023[EB/OL]. (2023-11-07)[2024-03-12]. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2023. (in Chinese)
[2]	卢春容, 谭卫国, 陆普选, 等. 2023年WHO全球结核病报告: 全球与中国关键数据分析[J]. 新发传染病电子杂志, 2023, 8(6): 73-78. https://www.cnki.com.cn/Article/CJFDTOTAL-XFCR202306013.htm LU C R, TAN W G, LU P X, et al. 2023 WHO tuberculosis report: key data analysis for China and the global world[J]. Chin J Emerg Infect Dis, 2023, 8(6): 73-78. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XFCR202306013.htm
[3]	GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396(10258): 1204-1222. doi: 10.1016/S0140-6736(20)30925-9
[4]	中国疾病预防控制中心结核病预防控制中心. 中国结核病防治工作技术指南[M]. 北京: 人民卫生出版社, 2021. Center for Tuberculosis Prevention and Control, Chinese Center for Disease Control and Prevention. Technical guidelines for tuberculosis prevention and control in China[M]. Beijing: People's Medical Publishing House, 2021. (in Chinese)
[5]	ZHANG M, WANG T, HOU S, et al. An outbreak of multidrug resistant tuberculosis in a secondary school Hubei Province, 2019[J]. China CDC Weekly, 2019, 1(5): 67-69. doi: 10.46234/ccdcw2019.020
[6]	WANG S, CUI Y, LIU N, et al. A tuberculosis outbreak at a school Xinjiang Uygur Autonomous Region, China, 2019[J]. China CDC Weekly, 2020, 2(46): 881-883. doi: 10.46234/ccdcw2020.240
[7]	陈卉, 夏愔愔, 张灿有, 等. 2014—2018年全国学生肺结核疫情变化趋势及特征分析[J]. 中国防痨杂志, 2019, 41(6): 662-668. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201906013.htm CHEN H, XIA Y Y, ZHANG C Y, et al. Epidemic trends and characteristics of pulmonary tuberculosis in students in China from 2014 to 2018[J]. Chin J Antitubercul, 2019, 41(6): 662-668. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201906013.htm
[8]	蒋远东, 腾子豪, 王玥, 等. 1990―2019年中国结核病发病趋势的年龄-时期-队列模型分析[J]. 中华疾病控制杂志, 2022, 26(11): 1275-1282. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202211007.htm JIANG Y D, TENG Z H, WANG Y, et al. Trend of tuberculosis incidence in China from 1990 to 2019 based on the age-period-cohort model[J]. Chin J Dis Control Prev, 2022, 26(11): 1275-1282. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202211007.htm
[9]	邢福华, 刘玉清, 徐道康, 等. 北京市35所高校结核病流行情况分析[J]. 中国防痨杂志, 1999, 21(3): 22-24. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ199903008.htm XING F H, LIU Y Q, XU D K, et al. The analysis about current situation of pumonary tuberculosis of 35 college in Beijing[J]. Chin J Antitubercul, 1999, 21(3): 22-24. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ199903008.htm
[10]	尹莉. 邢台市高中学生结核病防治知识信念行为调查分析[J]. 医学动物防制, 2010, 26(4): 330-331. doi: 10.3969/j.issn.1003-6245.2010.04.015 YIN L. Investigation and analysis of knowledge, belief and behavior of tuberculosis prevention and treatment among high school students in Xingtai City[J]. J Med Pest Control, 2010, 26(4): 330-331. (in Chinese) doi: 10.3969/j.issn.1003-6245.2010.04.015
[11]	董龙雨, 王嘉, 倪帅虎, 等. 我国四省大学生结核病防治核心知识、信念和行为现状的调查分析[J]. 中国防痨杂志, 2024, 46(2): 206-212. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202402012.htm DONG L Y, WANG J, NI S H, et al. An analysis on the core knowledge, attitudes, and practices regarding tuberculosis prevention and control among college students in four provinces of China[J]. Chin J Antitubercul, 2024, 46(2): 206-212. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202402012.htm
[12]	赵劲枝, 孙俊瑜, 余敏. 云南某高校大学生结核病防治知信行现况调查[J]. 安徽预防医学杂志, 2022, 28(3): 239-241, 249. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202203016.htm ZHAO J Z, SUN J Y, YU M. Investigation on knowledge, attitude and behavior of tuberculosis prevention and treatment among students in a college in Yunnan Province[J]. Anhui J Prev Med, 2022, 28(3): 239-241, 249. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202203016.htm
[13]	陈卉, 张慧, 成君. 《中国学校结核病防控指南》解读[J]. 中国防痨杂志, 2021, 43(6): 542-545. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202106005.htm CHEN H, ZHANG H, CHENG J. Interpretation of the Chinese Guidelines for Prevention and Control of Tuberculosis in Schools[J]. Chin J Antitubercul, 2021, 43(6): 542-545. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202106005.htm
[14]	王桂涛, 曲颂, 温亚利. 江苏产业结构对经济增长贡献的区域差异研究[J]. 价值工程, 2010, 29(28): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-JZGC201028017.htm WANG G T, QU S, WEN Y L. A study on regional difference of industrial structure and its contribution to economic growth in Jiangsu[J]. Value Engineer, 2010, 29(28): 20-22. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JZGC201028017.htm
[15]	中国疾病预防控制中心. 结核病防治核心信息[EB/OL]. (2022-05-26)[2024-03-12]. https://www.chinacdc.cn/jkzt/crb/zl/jhb/xgsp/202205/t20220526_259414.html. Chinese Center for Disease Control and Prevention. Core information for tuberculosis prevention and control[EB/OL]. (2022-05-26)[2024-03-12]. https://www.chinacdc.cn/jkzt/crb/zl/jhb/xgsp/202205/t20220526_259414.html. (in Chinese)
[16]	田本淳. 健康教育与健康促进实用方法[M]. 北京: 北京大学医学出版社, 2005: 423-424. TIAN B C. Practical methods of health education and health promotion[M]. Beijing: Peking University Medical Press, 2005: 423-424. (in Chinese)
[17]	国家统计局. 中华人民共和国2022年国民经济和社会发展统计公报[N]. 中国信息报, 2023-03-01(001). National Bureau of Statistics. Statistical bulletin of national economic and social development of the PRC in 2022[N]. China Information News, 2023-03-01(001). (in Chinese)
[18]	马燕. 2005—2009年南京大学传染病发病情况分析[J]. 中国校医, 2011, 25(3): 192-193. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201103020.htm MA Y. Analysis of infectious diseases in students of Nanjing University from 2005 to 2009[J]. Chin J School Doctor, 2011, 25(3): 192-193. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201103020.htm
[19]	江苏省卫生健康委员会. 关于印发江苏省"十四五"结核病防治规划的通知(苏卫疾控〔2021〕85号)[EB/OL]. (2021-11-09)[2024-03-12]. http://wjw.jiangsu.gov.cn/art/2021/11/9/art_7312_10103279.html. Jiangsu Commission of Health. Notice on publishing the 14th Five-year Plan for tuberculosis prevention and control in Jiangsu Province (Suwei Infectious Disease Control, 2021, No. 85)[EB/OL]. (2021-11-09)[2024-03-12]. http://wjw.jiangsu.gov.cn/art/2021/11/9/art_7312_10103279.html. (in Chinese)
[20]	辽宁省人民政府办公厅. 关于印发辽宁省结核病防治"十三五"规划的通知(辽政办发〔2017〕80号)[EB/OL]. (2017-07-28)[2024-03-12]. https://www.ln.gov.cn/web/zwgkx/lnsrmzfgb/2017n/zk/zk22/szfbgtwj/B219F5731E4C490F9B021C2E49989172/index.shtml. General Office of the People's Government of Liaoning Province. Notice on publishing the 13th Five-year Plan for tuberculosis prevention and control in Liaoning Province (Liaoning Provincial Government Office, 2017) No. 80[EB/OL]. (2017-07-28)[2024-03-12]. https://www.ln.gov.cn/web/zwgkx/lnsrmzfgb/2017n/zk/zk22/szfbgtwj/B219F5731E4C490F9B021C2E49989172/index.shtml. (in Chinese)
[21]	WU T, HE H, WEI S, et al. How to optimize tuberculosis health education in college under the new situation?Based on a cross-sectional study among freshmen of a medical college in Guangxi, China[J]. Front Public Health, 2022, 10: 845822. doi: 10.3389/fpubh.2022.845822
[22]	孙炜玮. 天津市河西区高校学生结核病知信行现况调查[J]. 中国城乡企业卫生, 2021, 36(2): 107-109. https://www.cnki.com.cn/Article/CJFDTOTAL-ZCXW202102043.htm SUN W W. Investigation on the status quo of knowledge, attitude and practice of tuberculosis among college students in Hexi District of Tianjin[J]. Chin J Urban Rural Enterpr Hyg, 2021, 36(2): 107-109. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZCXW202102043.htm
[23]	陈伟, 赵雁林. 高度重视我国学校结核病防治工作[J]. 结核与肺部疾病杂志, 2021, 2(4): 301-304. https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK202104001.htm CHEN W, ZHAO Y L. Attach great importance to the prevention and treatment of tuberculosis in schools in China[J]. J Tubercul Lung Dis, 2021, 2(4): 301-304. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK202104001.htm
[24]	中华人民共和国国务院办公厅. 关于印发"十三五"全国结核病防治规划的通知(国办发〔2017〕16号)[EB/OL]. (2017-02-01)[2024-03-12]. https://www.gov.cn/zhengce/content/2017-02/16/content_5168491.htm. General Office of the State Council of the PRC. Notice on issuing the 13th Five-year Plan national tuberculosis prevention and control plan (State Council Development (2017) No. 16)[EB/OL]. (2017-02-01)[2024-03-12]. https://www.gov.cn/zhengce/content/2017-02/16/content_5168491.htm. (in Chinese)
[25]	黄敬亨. 健康教育学[M]. 2版. 上海: 上海医科大学出版社, 1997: 85-90. HUANG J H. Health education[M]. 2nd ed. Shanghai: Shanghai Medical University Press, 1997: 85-90. (in Chinese)
[26]	吴红花, 夏仕银, 刘刚, 等. 安徽某高校大学生结核病防治知信行现状及健康需求调查[J]. 安徽预防医学杂志, 2023, 29(3): 237-241. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202303015.htm WU H H, XIA S Y, LIU G, et al. Investigation on knowledge, attitude, practice and health education demand of tuberculosis among students in an Anhui university[J]. Anhui J Prev Med, 2023, 29(3): 237-241. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202303015.htm
[27]	劳卫民, 陈亮. 广州市部分高校大学生结核病防治知识知晓情况调查[J]. 中国防痨杂志, 2013, 35(11): 881-886. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201311014.htm LAO W M, CHEN L. Survey on knowledge of tuberculosis prevention and control among part of college students in Guangzhou[J]. Chin J Antitubercul, 2013, 35(11): 881-886. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201311014.htm
[28]	张正斌, 杨云, 李丽, 等. 武汉市大学生结核病防控知信行现状及防控行为相关因素分析[J]. 中国学校卫生, 2023, 44(3): 361-365. doi: 10.16835/j.cnki.1000-9817.2023.03.010 ZHANG Z B, YANG Y, LI L, et al. Knowledge, attitudes and practices regarding tuberculosis prevention and control: analysis of influencing factors of prevention and control behavior among college students in Wuhan, China[J]. Chin J Sch Health, 2023, 44(3): 361-365. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.03.010
[29]	许琰, 秦莉, 赵瑶, 等. 北京市新生家长结核病防治知信行现状及行为影响因素分析[J]. 中国防痨杂志, 2022, 44(6): 608-616. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202206015.htm XU Y, QIN L, ZHAO Y, et al. Knowledge, attitude and practice and influencing factors of practice towards tuberculosis prevention and control among parents of new students in Beijing[J]. Chin J Antitubercul, 2022, 44(6): 608-616. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202206015.htm
[30]	邹金燕, 路丽苹, 沈红英, 等. 松江区居民结核病防治知识知晓率及健康教育干预效果[J]. 上海预防医学, 2019, 31(S1): 46-50. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI2019S1009.htm ZOU J Y, LU L P, SHEN H Y, et al. Effect evaluation of health education intervention on knowledge awareness rate of tuberculosis prevention among residents in Songjiang District[J]. Shanghai J Prev Med, 2019, 31(S1): 46-50. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI2019S1009.htm