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Knowledge, attitudes and practice concerning tuberculosis in a growing industrialised area in Myanmar

机译:缅甸一个工业化地区的结核病知识,态度和做法

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摘要

SETTING: Factories in industrial zones in Yangon, Myanmar, one of the 22 high tuberculosis (TB) burden countries. OBJECTIVES: To assess workers' knowledge about TB, their health-seeking behaviour, acceptability of TB screening and predictors for approval of the dismissal of TB patients. DESIGN: In a cross-sectional survey, structured interviews with 349 factory workers were followed by 27 in-depth interviews and two focus group discussions with employers. RESULTS: Among 349 workers, 95% perceived TB as being curable, 50% correctly reported air as the main mode of transmission and 68% were aware of free treatment. Although 88% perceived screening before employment as necessary, only 14% underwent screening; 96% were willing to undergo contact screening for TB, but only 55% could afford it; 33% agreed with the dismissal of workers with TB, which was associated with lower education, shorter time in employment, not having a history of TB contact and unwillingness to work with an index TB case due to fear and lack of knowledge. CONCLUSION: More effective communication strategies towards factory workers are needed to increase workers'knowledge about transmission and reduce stigma. Employers should be sensitised to protect employees with TB and invest in preventive activities.
机译:地点:缅甸仰光工业区的工厂,这是22个高结核病负担国家之一。目的:评估工人对结核病的知识,他们的健康追求行为,结核病筛查的可接受性以及批准解雇结核病患者的预测因素。设计:在一项横断面调查中,对349名工厂工人进行了结构化访谈,随后进行了27次深度访谈,并与雇主进行了两次焦点小组讨论。结果:在349名工人中,有95%的人认为结核病是可以治愈的,有50%的人正确地以空气为主要传播途径,有68%的人知道免费治疗。尽管有88%的人认为有必要在就业前进行筛查,但只有14%的人接受了筛查。 96%的人愿意接受结核病接触者筛查,但只有55%的人可以负担得起; 33%的人同意解雇结核病工人,这与较低的教育程度,较短的就业时间,没有结核病接触史以及由于恐惧和缺乏知识而不愿与结核病指数工作有关。结论:需要针对工厂工人的更有效的沟通策略,以增加工人对传播的知识并减少污名。雇主应提高意识,以保护患有结核病的雇员并投资于预防活动。

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