目的 分析重庆市万州区农村居民结核病防治核心知识的知晓情况,为提高农村居民结核病防治意识和理论水平提供具有针对性的决策依据。方法 采用多阶段随机抽样方法,在万州区农村地区随机抽取405名常住居民进行结核病防治核心知识知晓情况调查,采用χ²检验和多因素logistic回归分析对不同性别、年龄、文化程度、职业、户籍,以及是否接受过结核病健康教育的调查对象结核病防治核心知识知晓情况及其影响因素进行统计分析。结果 本次调查共发放问卷405份,回收有效问卷400份,问卷有效率98.77%。400份有效问卷中,结核病防治核心知识知晓率达到了84.20％。知晓率较低的为65岁及以上老年人(73.76%)、小学及以下(78.42%)、农业劳动者(83.10%)、从未接受健康教育者(75.52%)。多因素logistic回归分析表明,年龄≥65岁(OR=0.182,95%CI:0.034~0.965)是万州区农村居民结核病防治核心知识知晓的影响因素,而既往接受过结核病宣传教育(OR=3.231,95%CI:1.709~6.108)是其促进因素。结论 重庆市万州区农村居民结核病健康教育工作虽然取得了一定的成效,但65岁及以上老年人、从未接受过结核病宣传教育者知晓率相对较低,应针对以上重点人群采取其喜爱的宣传方式,使用通俗易懂的宣传材料和语言开展宣传活动,进一步提高结核病防治知识的知晓率。

Objective To analyze the awareness of tuberculosis prevention and control core knowledge among rural residents in Wanzhou District of Chongqing City,and to provide targeted decision-making basis for improving tuberculosis prevention and control awareness and theoretical level of rural residents. Methods A multi-stage random sampling method was used to investigate the core knowledge of tuberculosis prevention and control among 405 permanent residents randomly selected from rural areas of Wanzhou District.χ²test and multivariate logistic regression analysis were used for statistical analysis.The awareness of tuberculosis prevention and control core knowledge and its influencing factors were analyzed among survey respondents of different genders,ages,education levels,occupations,household registration and whether they had received tuberculosis health education. Results A total of 405 questionnaires were distributed in this survey,and 400 valid questionnaires were collected,with an effective rate of 98.77%.Among 400 valid questionnaires,the awareness rate of tuberculosis prevention and control core knowledge reached 84.20%.The lower awareness rate were among those elderly aged 65 and above (73.76%),primary school and below (78.42%),agricultural workers (83.10%),and those who had never received health education (75.52%).Multivariate logistic regression analysis showed that aged 65 and above (OR=0.182,95%CI:0.034-0.965) was the risk factor for the awareness of tuberculosis prevention and control core knowledge among rural residents in Wanzhou District.And previous education on tuberculosis (OR=3.231,95%CI:1.709-6.108) was the promotion factor. Conclusion Although tuberculosis health education among rural residents in Wanzhou District of Chongqing City has achieved certain results,the awareness rate of the elderly over 65 years old and those who have never received tuberculosis education is relatively low.For the above key groups,their favorite publicity methods and publicity activities using easy-to-understand publicity materials and language should be adopted to further improve the awareness rate of tuberculosis prevention and control core knowledge.