Is tuberculosis health education reaching the public in China? A cross-sectional survey in Guizhou Province

Abstract

BackgroundKnowledge about tuberculosis (TB) is important for TB control, and China's national TB control guidelines emphasise TB health promotion. A 2010 national TB epidemiology survey showed that the general public had limited knowledge and awareness of TB.ObjectiveTo assess the level of TB knowledge after 5 years of TB health promotion in Guizhou Province, one of the regions with the highest TB burden in China.Design and settingA community-based, cross-sectional survey of 10 237 residents of Guizhou Province from June to August 2015. Multiple logistic regression models were used to examine factors associated with core TB knowledge and TB health education among respondents.ResultsOverall, residents of Guizhou Province had inadequate knowledge of TB. The overall awareness of TB was 41.5%. Less than 30% of respondents were familiar with China's policy of free treatment for TB or knew that the disease could be cured. Factors associated with core TB knowledge included gender, age, ethnicity, education, occupation, region, and having received TB health education. Women, older adults, people employed in non-government institutions, and those living in counties with low TB burdens had little access to TB health education, whereas people with higher education levels had greater access. Respondents' sources of TB knowledge did not necessarily match their preferred channels for delivery of TB health education.ConclusionsOur findings indicate that TB health education should be further strengthened in China and other countries with a high TB burden. TB health education programmes require further formative and implementation research in order to improve programme effectiveness.

Gastric tuberculosis mimicking submucosal tumor: a case series

“…Tuberculosis is a worldwide problem that seriously threatens human health, including in China. Tuberculosis is mostly found in economically underdeveloped areas with poor living conditions, and Guizhou Province is a high-incidence area of tuberculosis in China [2]. Here, we report some rare cases of gastric tuberculosis.…”

“…Interestingly, for the above-mentioned 3 patients with gastric tuberculosis mimicking submucosal tumors, we identified some common, characteristic EUS manifestations, providing very important guidance for the diagnosis of gastric tuberculosis. These signs are as follows: (1) a thickened, deformable, poorly defined gastric wall structure; (2) hypoechoic lesions on the stomach wall, with irregular boundaries and nonhomogeneous inner echo; (3) enlarged para-gastric or abdominal lymph nodes; and (4) connection between the stomach wall lesion and the enlarged para-gastric or abdominal lymph nodes. Of these four characteristic manifestations, the fourth is especially important because it suggests that tuberculosis in the paragastric or abdominal lymph nodes around the stomach has spread directly to the stomach.…”

The association between internal migration and pulmonary tuberculosis in China, 2005–2015: a spatial analysis

“…Among these clusters, Guizhou, Hubei, Hunan, Guangxi, and Jiangxi provinces are in central-southern China. The main reasons for the high SS + PTB risk in these five provinces include low levels of socioeconomic development, the large proportion of the population living in poverty, and poor medical care [34]. Guangdong, Hainan, and Zhejiang are developed and prosperous provinces; internal migrants in these provinces accounted for a large part of the population, especially in Guangzhou and Hangzhou, the capital cities of Guangdong and Zhejiang, respectively.…”

The role of tuberculosis control institutes in delivering tuberculosis information to domestic migrants in China: A multi-level analysis of a nationwide cross-sectional survey

“…This is despite the fact that the Chinese government proposed in the 13 th Five-year Plan that "more than 85% of the public will master the core knowledge of TB control and treatment" (General Office of the State Council, 2017). Current low levels of TB awareness are yet to reach such heights (Chen et al, 2016).…”