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首页> 外文期刊>Journal of Community Health >Tuberculosis Knowledge, Perceived Risk and Risk Behaviors Among Homeless Adults: Effect of Ethnicity and Injection Drug Use
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Tuberculosis Knowledge, Perceived Risk and Risk Behaviors Among Homeless Adults: Effect of Ethnicity and Injection Drug Use

机译：无家可归的成年人中的结核病知识，可感知的风险和风险行为：种族和注射毒品的影响

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摘要

The objectives of this study were to investigate Tuberculosis (TB) knowledge, perceived risk, and risk behaviors in a sample of homeless persons with latent TB in the Skid Row district of Los Angeles. Particular emphasis was given to comparing these variables among homeless persons of varying ethnic backgrounds and among those who did and did not report a history of injection drug use (IDU). Baseline data were collected from 415 homeless individuals recruited to participate in a Tuberculosis chemoprophylaxis intervention. Areas of interest relative to TB knowledge and perceived risk for infection were behavioral factors surrounding substance use and abuse; personal factors measured in terms of current depression; and sociodemographic and situational factors, such as age, ethnicity, history of incarceration, and duration of homelessness. Findings revealed differences in substance abuse. IDUs were more likely to have histories of daily drug use and alcohol dependency, but were less apt to report recent use of crack cocaine. TB knowledge deficits centered on ignorance with respect to modes of transmission and risk factors for TB infection. IDU was also associated with depression. Latinos and IDUs were most likely to lack TB knowledge. There is a pressing need for accessible, available, culturally acceptable and sustained TB screening and intervention programs designed to address multiple risk factors and knowledge deficits with respect to TB infection in homeless populations.
机译：这项研究的目的是调查洛杉矶Skid Row地区潜在结核病无家可归者样本中的结核病（TB）知识，感知风险和风险行为。特别强调了在不同种族背景的无家可归者之间以及报告和不报告注射吸毒史的人之间比较这些变量。从招募参加结核病化学预防干预措施的415名无家可归者收集基线数据。与结核病知识和感染风险有关的关注领域是围绕物质使用和滥用的行为因素。根据当前的抑郁状况衡量的个人因素；以及社会人口统计学和情况因素，例如年龄，种族，监禁史和无家可归的持续时间。调查结果显示出滥用毒品的差异。注射毒品者更有可能拥有每日吸毒和酒精依赖的病史，但较不容易报告近期使用可卡因的情况。结核病知识缺陷集中在对传播方式和结核病感染危险因素的无知上。注射毒品者也与抑郁症有关。拉丁美洲人和吸毒者最可能缺乏结核病知识。迫切需要可访问的，可用的，文化上可接受的和持续的结核病筛查和干预计划，旨在解决无家可归人群中与结核病感染有关的多种风险因素和知识缺陷。

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