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背景:马尼拉Metro地区不同社会经济学状况的5个城市社区。 目的:调查Metro马尼拉一般人群中有关结核病知识和有结核病症状就医行为的一般知识以及如何被社会经济学因素所影响。 设计和方法:采取横断面调查,对年龄在18岁及以上者的对象进行面视。依据性别、年龄、教育背景、职业、平均家庭收入和居住地点对结核病知识和就医的行为进行分层。以10个问题的回答为结核病知识水平打分,用标准Logistic回归的多元分析显示各因素对疾病的了解和对有结核病症状就医的态度是相关性。通过结核病信息对结核病知晓得分也进行了分析。 结果:3970名调查对象完成调查。他们对结核病一般知识的得分偏低(3.64±1.67,范围0-10)。较高的得分独立地与大学教育有关(OR=4.35,95％CI6.60-2.87,P<0.0001)。通过几个渠道获得结核病知识情况没有显著性差异。不打算就医和万一有结核病打算自己治疗与低家庭月收入显著性相关(分别为OR=7.10,95％CI 8.25-6.11,P<0.0001和OR=1.74,95％CI 2.06-1.46,P<0.0001)。 结论:在设计结核病信息活动和对结核病优先公共卫生干预措施时应该考虑社会经济学因素。
Background: Five urban communities with different socioeconomic conditions in the Metro area of Metro Manila. OBJECTIVE: To investigate general knowledge about tuberculosis and medical behaviors with TB symptoms in the Metro general population in Metro Manila and how it is influenced by socioeconomic factors. Design and methods: A cross-sectional survey was conducted to visualize subjects aged 18 years and over. Stratification of tuberculosis knowledge and access to doctors based on gender, age, educational background, occupation, average family income, and place of residence. The scores of tuberculosis knowledge were scored on the basis of 10 questions. Multivariate analysis using standard logistic regression revealed that each factor’s understanding of the disease and its attitude toward TB symptoms were relevant. Tuberculosis awareness scores were also analyzed by tuberculosis information. Results: 3970 respondents completed the survey. Their score on general knowledge of tuberculosis was low (3.64±1.67, range 0-10). Higher scores were independently associated with college education (OR = 4.35, 95% CI 6.60-2.87, P < 0.0001). There was no significant difference in the status of acquiring TB knowledge through several channels. Not planning to seek medical treatment and in case there is tuberculosis intended to treat itself is significantly related to low family monthly income (OR=7.10, 95% CI 8.25-6.11, P<0.0001 and OR=1.74, 95% CI 2.06-1.46, P< 0.0001). Conclusion: Socioeconomic factors should be considered when designing tuberculosis information campaigns and prioritizing public health interventions for tuberculosis.