| Objectives:Carried out health premotion medical interventions to Tibet students who are living in Tianjin, to understand the awareness of TB knowledge and provide effecitve methods and approaches to TB control work targeted in school.Method:Tianjin TB control center and Tianjin municipal education committee establish cooperative relationship. Tianjin municipal education committee organized the leadership, Tianjin TB control center provided technical support, and the TB control work for Tibet students living in Tianjin was brought into Tianjin TB control plan. The research object was Tibet students living in Tianjin. we used self-administered questionnaire to take survey to all of teachers and students by class, everyone should finish the questionnaire independently under the guide of investigators. The survey time is20minutes, investigators take back all of the questionnaires after finished.Result:The total awareness of staff before intervention were45.2%(1852/4095) and43.4%(206/475), no statistically significant difference,(Χ2=2.439. P=0.118). The complete awareness of students and teachers were3.79%(31/819) and4.21%(4/95), no statistically significant difference,(Χ2=0.042,P=0.838). In the five core information, there was statistically significant difference in understanding of TB symptoms (P<0.01) and free policy(P=0.031), no statistically significant difference in other three core information. According to influence factors, total awareness in male (52.27%) was higher than in female (48.17%). there was statistically significant difference (P=0.010). The gender difference reflected in mode of transmission and symptoms, the male is higher than the female (P<0.05). According to different grades, there were statistically significant difference in mode of transmission, symptoms, prevention and total awareness (P=0.003). however, we didn’t find the trend of awareness increased with the grades higher, and after controling the maldistribution confunder factor (In high school, all of the students are from Tibet, while in middle school, only the first grade and the third grade has Tibet students), the total awareness in Tibet students was higher than local students, reflected in cognition to TB knowledge (P=0.018). According to the attitute of whether would be infected by TB.68%(522/762)students and49.45%(45/95) teachers didn’t think they would be infected bt TB. there was statistically significant difference (Χ2=13.242.P<0.001). but no statistically significant difference between awareness and attitute(Χ2=0.030,P=0.862). According to "If you are infected by TB. what’s your response?".71.69%students and68.89%teachers had one more than one negative responses, there was no statistically significant difference (Χ2=0.312, P=0.577).75.56%Tibet students and64.13%local students had negative response, there was statistically significant difference (Χ2=11.748, P<0.001). Most negative responses were frightened and shocked, most of students and teachers have sympathy to TB patients.There were no statistically significant difference in TB knowledge demand, requirement more TB knowledge, go to hospital after having TB symptoms, when to go and disease informing. There was statistically significant difference (Χ2=41.166, P<0.001) in initiatively acquiring TB knowledge for26.32%(210/798) students and58.89%(53/90) teachers. School, TV, internet, blackboard, paper and magzine were main resource to students and teachers. TV, small present, broadcast from health providers, theme class meeting and poster were most popular ways.After intervention, the total awareness in students increased from45.2%to59.6%(P<0.05), the total awareness in teachers increased from43.4%to69.8%(P<0.05). The awareness to "mode of transmission","TB symptoms" and "free policy" had improved a lot than before in teachers and students(P<0.05), but still had some wrong cognitions. According to attitudes,31.5%and26.5%students thought they had TB before and after intervention. There was statistically significant difference (Χ2=4.893, P=0.027),50.6%and61.1%teachers thought they had TB before and after intervention. There was no statistically significant difference (Χ2=2.265, P=0.132). According to the attitudes to TB patients, most students and teachers had sympathy and wish to provide help. After intervention, the number of students who choose "sympathy but leave them alone" and "afraid to be infected" decreased, teachers had the same result. According to TB behaviors, there were statistically significant difference in go to see a doctor after having symptoms and promptness. Before intervention.26.4%students and teachers broadcast TB knowledge to others, there was statistically significant difference. According to evaluation of broadcast, the most acceptable ways was theme class meeting for students, broadcast board for teachers. And students behaved less than teachers in volunteer broadcast, blackboard and TB control call for papers.Conclusion:Before intervention, students and teachers were lack of TB knowledge, especially had low awareness in "mode of transmission","TB symptoms""TB treatment’"and "free policy". This phenomenon was result from insufficient education of TB knowledge from school. From the survey, we found theme class meeting was a good way can could be accepted by students, while teachers prefer broadcast board. After health premotion, the awareness of core information in students had improved a lot. The students are not only main medium connecting school, society and family, but also important carrier to broadcast TB information, especially Tibet students living in Tianjin, that is why we choose the Tibet school as our health premotion target. The broadcasting of TB knowledge in school could improve the prevention awareness, to keep the special population be healthy and creat harmany study-environment. Health premotion is not only a method to improve TB control knowledge, but also an important TB control strategy. This measure is the most effective and feasible method in Tianjin middle school that has Tibet students. |
PDF Full Text Request