Table 1_Assessment of knowledge, attitudes, and practices regarding TB prevention and treatment among college students in Wuhan, central China.xlsx

BackgroundTuberculosis (TB) is recognized as a serious public health concern in many developing countries. As the new main force and inheritors of national health construction, college students bear important social responsibilities and missions of practicing TB prevention and control, volunteer mobilization, and health concept dissemination. Improving college students' health literacy is crucial to preventing and treating infectious diseases. This study aims to assess college students' knowledge, attitudes, and practices (KAP) about TB prevention and treatment in Wuhan, China.
MethodsA descriptive cross-sectional study survey among college students was conducted from May to June 2022 at 22 colleges using the judgment sampling method in Wuhan. KAP regarding TB was recorded and assessed using an online questionnaire platform. The status quo of KAP regarding TB prevention and treatment was statistically described, and the formation of students' TB prevention and treatment behavior was analyzed using single-factor and multifactor logistic regression.
ResultsA total of 15,290 college students completed the questionnaire, and 15,272 valid questionnaires were collected. The total awareness rate of knowledge, attitudes, and practices of TB prevention and treatment was 79.69%. Among them, the awareness rate of key knowledge was 79.28%, and the passing rate was 92.46%. The holding rate of correct attitudes was 89.69%, and the passing rate was 90.56%. The formation rate of correct behaviors was 72.11%, and the passing rate was 96.62%. A single-factor analysis showed that gender, grade, parents' education level, contact history of TB patients, and passing rate of key knowledge were statistically different in the formation of prevention and treatment behaviors. Multivariate logistic regression analysis showed that for females (odds ratio [OR] = 1.86, 95% CI [1.50, 2.30], p < 0.01), students with father's educational background of primary school (OR = 2.94, 95%CI [1.62, 5.33], p < 0.01), junior school and equivalent (OR = 2.94, 95%CI [1.62, 5.33], p < 0.01), high school and equivalent (OR = 3.05, 95%CI [1.70, 5.46], p < 0.01), and diploma or undergraduate (OR = 3.24, 95% CI [1.73, 6.09], p < 0.01); no history of TB (OR = 3.32, 95% CI [1.49, 7.41], p < 0.01); a passing key knowledge score (OR = 9.91, 95% CI [8.11, 12.11], p < 0.01); and a passing attitude score (OR = 7.35, 95% CI [6.01, 8.99], p < 0.01) were likely to form TB prevention and treatment behaviors.
ConclusionSchool health promotion should not only focus on improving students' personal knowledge and skills of TB prevention and treatment but also emphasize the level of family participation, strengthen the comprehensive mobilization action of schools, formulate policies to support health action, create a supportive social environment, and radiate the health education effect of students to the whole society.

背景 结核病（Tuberculosis，TB）在众多发展中国家均被视为严峻的公共卫生问题。作为国家卫生健康事业建设的新生主力与传承者，大学生肩负着落实结核病防控、开展志愿动员以及传播健康理念的重要社会责任与使命。提升大学生健康素养，对于传染病防控工作至关重要。本研究旨在评估中国武汉市大学生对结核病防治的知识、态度与行为（Knowledge, Attitudes and Practices，KAP）情况。
方法 本研究于2022年5月至6月在武汉市采用判断抽样法，选取22所高校的大学生开展描述性横断面调查。通过在线问卷平台对大学生的结核病防治相关KAP进行记录与评估。对大学生结核病防治相关KAP的现状进行统计学描述，并采用单因素及多因素logistic回归分析学生结核病防治行为的形成影响因素。
结果 本次调查共有15290名大学生完成问卷，最终回收有效问卷15272份。大学生结核病防治KAP总体知晓率为79.69%；其中核心知识知晓率为79.28%，合格率为92.46%。正确态度持有率为89.69%，合格率为90.56%；正确行为养成率为72.11%，合格率为96.62%。单因素分析结果显示，性别、年级、父母受教育程度、结核病患者接触史以及核心知识合格率均与学生结核病防治行为的形成存在统计学差异。多因素logistic回归分析结果显示，女性（优势比[OR]=1.86，95%置信区间[CI]=1.50, 2.30]，p<0.01）、父亲受教育程度为小学（OR=2.94，95%CI=1.62, 5.33]，p<0.01）、初中及同等学历（OR=2.94，95%CI=1.62, 5.33]，p<0.01）、高中及同等学历（OR=3.05，95%CI=1.70, 5.46]，p<0.01）、大专及本科及以上学历（OR=3.24，95%CI=1.73, 6.09]，p<0.01）、无结核病接触史（OR=3.32，95%CI=1.49, 7.41]，p<0.01）、核心知识得分合格（OR=9.91，95%CI=8.11, 12.11]，p<0.01）以及态度得分合格（OR=7.35，95%CI=6.01, 8.99]，p<0.01）的学生，更易养成结核病防治相关的正确行为。
结论 学校健康促进工作不仅应聚焦于提升学生个人的结核病防治知识与技能，还需重视家庭参与程度，强化学校的综合动员行动，制定支持健康行动的政策，营造支持性社会环境，并将学生的健康教育效应辐射至全社会。