| 陈泽伟,朱文倩,吴月琳,梁诗晴,岳晓丽,李婧,张家晖,龚向东.中国相关临床医生对猴痘专业知识的认知情况调查[J].Chinese journal of Epidemiology,2025,46(2):239-244 |
| 中国相关临床医生对猴痘专业知识的认知情况调查 |
| A survey on the cognition of mpox expertise among relevant clinicians in China |
| Received:July 19, 2024 |
| DOI：10.3760/cma.j.cn112338-20240719-00439 |
| KeyWord: 猴痘 临床医生 认知 影响因素 |
| English Key Word: Mpox Clinician Cognition Influencing factor |
| FundProject:中国医学科学院医学与健康科技创新工程项目（CIFMS-2021-I2M-1-001） |
| Author Name | Affiliation | E-mail | | Chen Zewei | Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China | | | Zhu Wenqian | Center for Disease Control and Prevention of Pudong New District of Shanghai, Shanghai 200136, China | | | Wu Yuelin | National Center for Cardiovascular Diseases, Beijing 102300, China
National Clinical Center of Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 102300, China | | | Liang Shiqing | School of Public Health, Nanjing Medical University, Nanjing 211166, China | | | Yue Xiaoli | Division of Sexually Transmitted Disease Epidemiology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College/National Center for Sexually Transmitted Disease Control, Chinese Center for Disease Control and Prevention, Nanjing 210042, China | | | Li Jing | Division of Sexually Transmitted Disease Epidemiology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College/National Center for Sexually Transmitted Disease Control, Chinese Center for Disease Control and Prevention, Nanjing 210042, China | | | Zhang Jiahui | Division of Sexually Transmitted Disease Epidemiology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College/National Center for Sexually Transmitted Disease Control, Chinese Center for Disease Control and Prevention, Nanjing 210042, China | | | Gong Xiangdong | Division of Sexually Transmitted Disease Epidemiology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College/National Center for Sexually Transmitted Disease Control, Chinese Center for Disease Control and Prevention, Nanjing 210042, China | gxdchina@163.com |
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| Abstract: |
| 目的 调查与评估我国相关临床医生对猴痘专业知识的正确认知情况及影响因素，为防控工作提供参考。方法 通过非随机抽样的网络招募方式，使用自行编制的结构化问卷对我国相关科室临床医生开展横断面调查，内容包括人口学、临床专业、医疗机构特征及37个评估猴痘病原学、临床特点、传播与防控3部分专业知识认知情况的题目，以修正的布鲁姆分界点判定正确回答≥26题为正确认知。采用logistic回归模型分析正确认知率的影响因素。结果 对我国23个省（自治区、直辖市）共4 332名相关临床医生开展线上问卷调查，收集有效问卷4 276份，有效率为98.71%。研究对象的年龄为（39.46±9.54）岁，女性占61.18%。猴痘专业知识的总体正确认知率为62.04%（95%CI：60.59%~63.50%），病原学、临床特点、传播与防控的正确认知率分别为48.25%（95%CI：46.68%~49.82%）、78.66%（95%CI：77.38%~79.95%）、68.56%（95%CI：67.10%~70.02%）。多因素logistic回归模型分析结果显示，影响我国临床医生对猴痘专业知识总体正确认知的相关因素包括性别（女性：OR=1.54，95%CI：1.31~1.80）、地区（东部地区：OR=1.46，95%CI：1.18~1.79；中西部地区：OR=1.24，95%CI：1.04~1.49）、职称（副高级：OR=1.43，95%CI：1.16~1.76；正高级：OR=1.72，95%CI：1.30~2.28）、科室（皮肤性病科：OR=1.78，95%CI：1.42~2.23）。结论 我国临床医生对猴痘专业知识的总体正确认知率较低，尤其需针对男性、东北部地区、初级职称以及皮肤性病科以外科室的临床医生进行猴痘专题的知识培训，提高其正确认知率及疫情防控能力。 |
| English Abstract: |
| Objective To investigate and evaluate the correct cognition and influencing factors of mpox expertise among relevant Chinese clinicians and to provide a reference for prevention and control. Methods A cross-sectional survey was conducted among clinicians in relevant departments using a structured questionnaire compiled by ourselves through a non-random network recruitment method. The content includes demography, clinical specialties, and characteristics of medical institutions, and 37 questions to evaluate the professional cognition of mpox etiology, clinical characteristics, transmission, prevention, and control. Using the modified Bloom's cutoff point to determine the correct answer is greater than or equal to 26 entitled correct cognition. A logistic regression model was used to analyze the factors influencing the correct cognition rate. Results A total of 4 332 clinicians in 23 provinces (autonomous regions, municipality) in China were investigated by online questionnaires and 4 276 effective questionnaires were collected, with an effective rate of 98.71%. The mean age of the respondents was (39.46±9.54) years old, 61.18% were female. The overall correct cognition rate of mpox expertise was 62.04% (95%CI: 60.59%-63.50%), the correct cognition rates of mpox etiology, clinical characteristics, transmission, prevention and control were 48.25% (95%CI: 46.68%-49.82%), 78.66% (95%CI: 77.38%-79.95%), 68.56% (95%CI: 67.10%-70.02%), respectively. Multivariate logistic regression analysis showed that the relevant factors affecting the overall correct cognition of mpox expertise among Chinese clinicians included gender (female: OR=1.54, 95%CI: 1.31-1.80), region (eastern region: OR=1.46, 95%CI: 1.18-1.79; midwestern region: OR=1.24, 95%CI: 1.04-1.49), professional title (deputy senior: OR=1.43, 95%CI:1.16-1.76; senior: OR=1.72, 95%CI:1.30-2.28), the clinical field (the clinical fields of dermatology and venereal diseases: OR=1.78, 95%CI: 1.42-2.23). Conclusions The overall correct cognition rate of mpox expertise among relevant Chinese clinicians was low. It was essential to conduct mpox knowledge training for clinicians in males, northeast regions, junior professional title and the clinical fields other than dermatology and venereal diseases to improve their correct cognition rates and epidemic prevention and control ability. |
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