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目的了解广州市某城乡结合部居民、农村居民、农民工和高危人群等人群的梅毒知识知晓情况及其影响因素。方法 2014年4~6月采用多阶段抽样方法抽取城乡结合部15~49岁的城市居民、农村居民、在校学生、娱乐场所工作人员为调查对象进行匿名问卷调查,内容包括人口学信息、梅毒预防知识及知识获得途径等。结果该城乡结合部居民梅毒知识平均知晓率为49.92%,最高是城市居民(91.67%)、其次为农村居民(76.13%),最低为在校中学生(17.88%);21~30岁人群的梅毒知晓率较高(63.67%),20岁以下梅毒知晓率最低(20.71%);大专及以上学历知晓率较高(83.56%),高中及中专学历知晓率最低(39.51%);获取梅毒知识的主要途径相应的知晓率:宣传活动60.53%、网络54.25%、宣传材料54.04%、书籍54.03%,而通过学校讲座比较低(39.78%)。在校中学生(OR=8.05,95%CI:2.72~23.83)及农村居民(OR=3.39,95%CI:2.35~4.90)较娱乐场所人员,小学(OR=1.86,95%CI:1.07~3.23)及以下文化程度人员(OR=2.09,95%CI:1.21~3.59)较大专及以上人群,是导致梅毒知识不知晓的危险因素;城市居民(OR=0.32,95%CI:0.15~0.71)较娱乐场所人员,通过电视(OR=0.65,95%CI:0.48~0.88)、活动宣传(OR=0.35,95%CI:0.26~0.47)获知梅毒预防知识是梅毒知晓率的保护因素。结论该社区梅毒知识总知晓率不够高,需重点加强人群的宣传教育,普及梅毒防治知识,有针对性地开展梅毒防治的专项宣传和行为干预。提高公众的防范意识和能力,有效遏制梅毒的上升趋势。
Objective To understand the knowledge of syphilis knowledge and its influencing factors among residents, rural residents, migrant workers and high-risk groups in Guangzhou urban area. Methods From April to June 2014, urban residents, rural residents, school students and entertainment staff aged 15-49 years in both urban and rural areas were selected for anonymous questionnaire survey using multi-stage sampling method. The questionnaires included demographic information, syphilis Prevention of knowledge and access to knowledge and so on. Results The average knowledge rate of syphilis among residents living in urban and rural areas was 49.92%, the highest was urban residents (91.67%), followed by rural residents (76.13%), and the lowest was secondary school students (17.88%); syphilis (63.67%), the lowest awareness rate of syphilis under 20 years old (20.71%); higher education level of junior college and above (83.56%), the lowest rate of high school and secondary school education (39.51%); knowledge of syphilis The corresponding awareness of the main ways: 60.53% of publicity campaigns, 54.25% of the network, 54.04% of promotional materials, 54.03% of books, while the school through lectures is relatively low (39.78%). Middle school students (OR = 8.05, 95% CI: 2.72 ~ 23.83) and rural residents (OR = 3.39, 95% CI: 2.35 ~ 4.90) (OR = 0.29, 95% CI: 1.21 ~ 3.59) were higher risk factors of syphilis knowledge than urban residents (OR = 0.32, 95% CI: 0.15-0.71) Compared with casinos, awareness of syphilis prevention through television (OR = 0.65, 95% CI: 0.48-0.88) and campaign awareness (OR = 0.35, 95% CI: 0.26-0.47) were protective factors for syphilis awareness. Conclusion The total awareness rate of syphilis knowledge in this community is not high enough. It is necessary to strengthen the publicity and education of the population, popularize the knowledge of syphilis prevention and control and carry out special publicity and behavioral interventions to prevent and control syphilis. Improve the public’s awareness and ability to prevent effectively prevent the rising trend of syphilis.