Analysis of tuberculosis medical intention and the influencing factors among middle school students with health belief model

LIU Jing-nan; LI Zheng; WANG Yan-ling; CHANG Chun

doi:10.16462/j.cnki.zhjbkz.2019.01.013

Volume 23 Issue 1

Jan. 2019

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2019 > 23(1): 60-64

LIU Jing-nan, LI Zheng, WANG Yan-ling, CHANG Chun. Analysis of tuberculosis medical intention and the influencing factors among middle school students with health belief model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 60-64. doi: 10.16462/j.cnki.zhjbkz.2019.01.013

Citation:

LIU Jing-nan, LI Zheng, WANG Yan-ling, CHANG Chun. Analysis of tuberculosis medical intention and the influencing factors among middle school students with health belief model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 60-64. doi: 10.16462/j.cnki.zhjbkz.2019.01.013

Citation:

LIU Jing-nan, LI Zheng, WANG Yan-ling, CHANG Chun. Analysis of tuberculosis medical intention and the influencing factors among middle school students with health belief model[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 60-64. doi: 10.16462/j.cnki.zhjbkz.2019.01.013

PDF( 873 KB)

Analysis of tuberculosis medical intention and the influencing factors among middle school students with health belief model

doi: 10.16462/j.cnki.zhjbkz.2019.01.013

Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China

More Information

Corresponding author: WANG Yan-ling, E-mail: wangyl2006@bjmu.edu.cn
Received Date: 2018-07-09
Rev Recd Date: 2018-10-16
Publish Date: 2019-01-10

Abstract

Abstract

Objective To understand the medical intention and influencing factors of middle school students with suspected tuberculosis symptoms in some areas of China and to analyze the influencing factors based on health belief model. Methods A total of 2 547 middle school students in six provinces of China were chosen by PPS sampling method. Logistic regression was used to analyze tuberculosis medical intention.based on health belief model. Results Female students, urban students, eastern students and residential students had higher degree on knowledge than other respondents in the same group, which had statistically significant difference(all P<0.05). Middle school students in the western region had a higher degree of perceived disease threat, boys and middle school students in the eastern region were more likely to be reminded and accompanied by family members and friends. The delay rate was 25.4% when students have continuous cough and expectoration more than two weeks. In terms of logistic regression analysis, gender (OR=0.809, 95% CI: 0.668-0.980), urban and rural (OR=0.692, 95% CI: 0.572-0.838), only-child (OR=0.819, 95% CI: 0.676-0.992), perceive the severity of the disease(OR=0.955, 95% CI: 0.922-0.989) and prompt factors(OR=0.514, 95% CI: 0.429-0.617) were the influencing factors of the tuberculosis medicial intention. Conclusions The health belief model could analyze and explain the influencing factors that affect the tuberculosis medical intention of middle school students in some way. Health education should be strengthened and health behaviors should be advocated according to the characteristics of different groups.
- Middle school students,
- Tuberculosis,
- Medical intention,
- Health belief model,
- Influencing factors

FullText(HTML)

References(13)

References

[1]	毛宁, 梁爽, 何琳, 等. 2009-2014年辽宁省结核病流行特征分析[J]. 中华疾病控制杂志, 2017, 21(3): 287-290. DOI: 10.16462/j.cnki.zhjbkz.2017.03.017. Mao N, Liang S, He L, et al. Analysis on the epidemiological characteristics of tuberculosis in Liaoning Province, 2009-2014[J]. Chin J Dis Control Prev, 2017, 21(3): 287-290. DOI: 10.16462/j.cnki.zhjbkz.2017.03.017.
[2]	高静韬, 刘宇红. 2017年世界卫生组织全球结核病报告要点解读[J]. 国际呼吸杂志, 2018, 38(10): 721-724. DOI: 10.3760/cma.j.issn.1673-436X.2018.10.001. Gao JT, Liu YH. Key points of WHO global tuberculosis report 2017[J]. Int J Respir, 2018, 38(10): 721-724. DOI: 10.3760/cma.j.issn.1673-436X.2018.10.001.
[3]	陈伟, 陈秋兰, 夏愔愔, 等. 2008-2012年全国学生结核病疫情特征分析[J]. 中国防痨杂志, 2013, 35(12): 949-954. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201312001.htm Chen W, Chen QL, Xia YY, et al. Analysis of the characteristics of national TB epidemic situation in schools from 2008 to 2012[J]. Chin J Antituberc, 2013, 35(12): 949-954. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201312001.htm
[4]	朱建良, 何立新, 郭付爱, 等. 石家庄市学生结核病防治知识知晓情况与获取渠道的调查[J]. 职业与健康, 2013, 29(2): 199-200, 203. DOI: 10.13329/j.cnki.zyyjk.2013.02.009. Zhu JL, He LX, Guo FA, et al. Investigation on TB control awareness and access channels among students in Shijiazhuang City[J]. Occup and Health, 2013, 29(2): 199-200, 203. DOI: 10.13329/j.cnki.zyyjk.2013.02.009
[5]	常春. 健康教育与健康促进[M]. 北京: 北京大学医学出版社, 2010: 42-43. Chang C. Health education and health promotion[M]. Beijing: Peking University Medical Press, 2010: 42-43.
[6]	Poss JE. Factors associated with participation by Mexican migrant farmworkers in a tuberculosis screening program[J]. Nurs Res, 2000, 49(1): 20-28. DOI: 10.1097/00006199-200001000-00004.
[7]	李卓婷, 陈娟, 廖逸星, 等. 运用健康信念模式分析流动人口结核病预防行为和就医意向的影响因素[J]. 中国健康教育, 2013, 29(4): 296-300. DOI: 10.16168/j.cnki.issn.1002-9982.2013.04.020. Li ZT, Chen J, Liao YX, et al. Analysis of TB preventive behavior and medical intention among floating population with health belief model[J]. Chin J Health Ed, 2013, 29(4): 296-300. DOI: 10.16168/j.cnki.issn.1002-9982.2013.04.020.
[8]	张天华. 陕西省学校结核病聚集性病例调查分析[J]. 中国防痨杂志, 2013, 35(3): 162-167. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201303005.htm Zhang TH. Analysis of tuberculosis aggregation in schools of Shaanxi Province[J]. Chin J Antituberc, 2013, 35(3): 162-167. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ201303005.htm
[9]	李斌, 张晓娟, 杜文琪, 等. 青海省城乡中学生结核病知识现况调查[J]. 中华疾病控制杂志, 2013, 17(11): 1005-1006. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201311024 Li B, Zhang XJ, Du WQ, et al. Survey on knowledge of tuberculosis among urban and rural middle school students in Qinghai Province[J]. Chin J Dis Control Prev, 2013, 17(11): 1005-1006. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201311024
[10]	曾令城, 柳巍, 李于于, 等. 西安市大学生结核病防治知识态度行为调查[J]. 中国学校卫生, 2016, 37(11): 1708-1710. DOI: 10.16835/j.cnki.1000-9817.2016.11.035. Zeng LC, Liu W, Li YY, et al. Investigation on knowledge, attitude and behavior of tuberculosis prevention and treatment among college students in Xi'an[J]. Chin J Sch Health, 2016, 37(11): 1708-1710. DOI: 10.16835/j.cnki.1000-9817.2016.11.035.
[11]	刘胜兰, 史宇辉, 申洋, 等. 我国六省市流动人口结核病就诊意向分析[J]. 中国防痨杂志, 2018, 40(3): 296-301. DOI: 10.3969/j.issn.1000-6621.2018.03.016. Liu SL, Shi YH, Shen Y, et al. Analysis of the medical intention of TB and its influencing factors among floating population in six provinces in China[J]. Chin J Antituberc, 2018, 40(3): 296-301. DOI: 10.3969/j.issn.1000-6621.2018.03.016.
[12]	马淑一, 徐能义, 李香兰, 等. 包头市中学生结核患病现状及对结核病认知的调查[J]. 现代预防医学, 2007, 34(8): 1540, 1542. DOI: 10.3969/j.issn.1003-8507.2007.08.065. Ma SY, Xu NY, Li XL, et al. Investigation on the prevalence and awareness of tuberculosis among middle school students in Baotou City[J]. Modern Prevent Med, 2007, 34(8): 1540, 1542. DOI: 10.3969/j.issn.1003-8507.2007.08.065.
[13]	李运葵, 逯嘉, 李婷, 等. 四川省结核病不同流行水平地区的高中学生结核病防治知识调查[J]. 现代预防医学, 2017, 44(24): 4482-4485, 4496. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201724016.htm Li YK, Lu J, Li T, et al. Investigation of tuberculosis prevention knowledge among high school students in different epidemic areas of tuberculosis in Sichuan Province[J]. Modern Prevent Med, 2017, 44(24): 4482-4485, 4496. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201724016.htm