文章摘要
陈钢,屈燕,李玉红,王嘉,董龙雨,罗小峰,赵雁林.中国老年人结核病防治核心信息知晓率及影响因素分析[J].中华流行病学杂志,2024,45(2):237-241
中国老年人结核病防治核心信息知晓率及影响因素分析
Analysis of the awareness rate and correlates of core information on tuberculosis prevention and control in elderly in Chinese
收稿日期:2023-06-06  出版日期:2024-02-20
DOI:10.3760/cma.j.cn112338-20230606-00351
中文关键词: 结核病  老年人  知晓率  影响因素
英文关键词: Tuberculosis  Elderly  Awareness rate  Influencing factors
基金项目:中央财政结核病预防控制项目(232811)
作者单位E-mail
陈钢 兰州大学公共卫生学院卫生政策与管理学系, 兰州 730000  
屈燕 中国疾病预防控制中心结核病预防控制中心, 北京 102206  
李玉红 中国疾病预防控制中心结核病预防控制中心, 北京 102206  
王嘉 中国疾病预防控制中心结核病预防控制中心, 北京 102206  
董龙雨 兰州大学公共卫生学院卫生政策与管理学系, 兰州 730000  
罗小峰 兰州大学公共卫生学院卫生政策与管理学系, 兰州 730000 luoxiaof@lzu.edu.cn 
赵雁林 中国疾病预防控制中心结核病预防控制中心, 北京 102206 zhaoyl@chinacdc.cn 
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中文摘要:
      目的 了解中国老年人对结核病防治核心信息的知晓情况及其影响因素。方法 纳入2020年“十三五”全国结核病防治规划终期评估的知晓率专项调查中全部≥60岁老年人,获得有效调查问卷13 706份。采用多因素logistic回归分析老年人结核病防治核心信息知晓率的影响因素。结果 我国≥60岁老年人结核病防治核心信息总知晓率为78.4%,其中“肺结核的可疑症状”的知晓率最高(85.4%),“肺结核是否可以治好”的知晓率最低(65.3%),老年人结核病核心信息全部知晓率为41.3%,接受结核病健康教育比例为67.6%。多因素logistic回归分析结果显示,老年人结核病防治核心信息全部知晓率低的影响因素包括女性(OR=0.93,95%CI:0.86~1.00);70~岁(OR=0.91,95%CI:0.84~0.98)和≥80岁(OR=0.77,95%CI:0.68~0.87);少数民族(OR=0.85,95%CI:0.74~0.99);全部知晓率高的影响因素包括文化程度初中(OR=1.46,95%CI:1.34~1.58)、高中(OR=1.62,95%CI:1.45~1.81)、大专(OR=1.37,95%CI:1.11~1.68)和本科及以上(OR=1.52,95%CI:1.09~2.11);接受结核病健康教育(OR=2.13,95%CI:1.97~2.27)。结论 2020年我国≥60岁老年人对结核病防治核心信息总知晓率低于国家规划目标,应加大对女性、≥70岁、少数民族以及文化程度较低的老年人群结核病健康教育力度。
英文摘要:
      Objective To understand the awareness and influencing factors of core information on tuberculosis prevention and control in the elderly population in China. Methods The study included all participants aged ≥60 from the "13th Five-Year" National Tuberculosis Control Plan end-term assessment in 2020, with 13 706 valid questionnaires obtained. Multivariate logistic regression was used to analyze the influencing factors of the awareness rate of core information on tuberculosis prevention and control in the elderly. Results The total awareness rate of core information on tuberculosis prevention and control in the elderly aged ≥60 was 78.4%, with the highest for "suspicious symptoms of pulmonary tuberculosis" (85.4%) and the lowest for "whether pulmonary tuberculosis can be cured" (65.3%). The complete awareness rate of core information on tuberculosis prevention and control in the elderly was 41.3%, and the proportion of those who received tuberculosis health education is 67.6%. Multivariate logistic regression analysis results showed that factors associated with low awareness of core information included females (OR=0.93, 95%CI: 0.86-1.00), ages 70- (OR=0.91, 95%CI: 0.84-0.98) and ≥80 (OR=0.77, 95%CI: 0.68-0.87) and minority ethnicity (OR=0.85, 95%CI: 0.74-0.99). Factors associated with high awareness of core information included educational levels of junior high school (OR=1.46, 95%CI: 1.34-1.58), high school (OR=1.62, 95%CI: 1.45-1.81), junior college (OR=1.37, 95%CI: 1.11-1.68), and an undergraduate degree or higher (OR=1.52, 95%CI: 1.09-2.11), and receiving tuberculosis health education (OR=2.13, 95%CI: 1.97-2.27). Conclusions In 2020, the awareness rate of core information on tuberculosis prevention and control in Chinese older adults aged ≥60 was lower than the national planning target. Therefore, there should be an increased focus on health education about tuberculosis for elderly females, those aged ≥70, ethnic minorities, and those with lower education levels.
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