Study On Demand Of TB Health Education And Strategy Of Communication For TB Health Education Among City Immigrant Workers

ObjectiveBy the survey to evaluate demand of TB health education among city immigrant workers, make a fit strategy of communication for TB health education according to the findings of baseline survey, and to provide some baseline evidence for future health education and related studies.MethodsThis study comprises two steps.The first step is a baseline survey of the knowledge, awareness,attitude and behaviors related to TB prevention and treatment city immigrant workers,and the routes of communication which they like and can acquire easily. The second step is making the strategy of communication for TB Health education among city immigrant workers according to the findings of survey such as the demand of TB knowledge,attitude and behaviors,and health education resource in city immigrant workers' workplaces.Using the stratified cluster random sampling,the investigation was conducted in three cities which are Beijing,Guangzhou and Xi'an in China.1005 city immigrant workers were involved in questionnaire survey. The city immigrant worker include two occupations.One is the construction worker, the other is restaurant waiter.Qualitative study that FGD was applied in this study was conducted in 14 groups among 117 city immigrant workers,in-depth interview was conducted among 21 managers of city immigrant workers and 20 the city immigrant workers withTB. ResultsA total of 1,005 study subjects (male:66.1% and female:33.9%) were enrolled in questionnaire survey. The youngest age was 18 years old,and the eldest was 65 years old,with the average of 31.5(SD 10.94).Questionnaire survey was found that 57.1% of city immigrant workers know that one of the main TB symptoms is cough.23.7% of them know that one of the TB symptoms is coughing up sputum.16.5% of them know that one of the TB symptoms is coughing with blood.14.9% of them know the TB symptoms-a bad cough or coughing up blood or sputum that lasts longer than two weeks.72.5% of them know the TB is infection.33.4% of them know that some of the TB patient is source of infection.4.4% of them know that the TB patient usually can not spreads the disease,when the TB patient have been treated during 2 or 3 weeks.29.2% of them know that TB spreads through the air where infectious people they propel TB germs,known as bacilli,when they cough,sneeze, talk or spit.39.2% of them knew national policies on free of offer drug and examine for infective TB patients.10.0% of them believe that it is possibly to infect TB for everyone. 33.3% of them are willing to contact with the TB infectious people.79.6% of them go to hospital when they have a bad cough or coughing up sputum that lasts longer than two weeks.But only 18.6% of them choose Institution of TB prevention and control.Between the restaurant waiter and the construction worker there are differences of the status of TB knowledge, attitude and behaviors,which is statistical significantly. Usually, the restaurant waiter is higher than the construction worker.29.2% of them got the TB knowledge of during the last year.14.7% of them got it by TV program or public service advertising.17.0% of them got publicity materials with the TB knowledge,81.9% of which have read them.81.4% of them are willing to take part in the intervention activities of TB health education.Qualitative study found that diagnostic or treatment delays often took place among city immigrant workers with TB because most of respondents didn't know the symptom of TB, route of transmission,the special Institution of TB diagnosis and treat, national policies on free of offer drug and examine for infective TB patients.They were lack of consciousness of TB prevention and control,stood off and discriminate against the TB patients.Some of respondents didn't look for medical service when they were ill,but when state of sickness was more serious they had to go to hospital because of no medical insurance and low income. Key information includes TB symptoms,infectious,route of transmission,the special medical institutions for TB patient, national policies on free of offer drug and examine for infective TB patients,preventive measures and eliminating the discrimination against the TB patients.The fit routes and methods of communication include posting posters which can make good use of the workplace's resource of health education such as announcement board,rest room and other public places,distributing (thin) booklet to city immigrant workers,playing public service advertising or VCD, organising lectures when the city immigrant workers are off duty. While,distribute (thin) booklet or leaflet to restaurant waiter, and give them TB health education when they come to hospital or CDC for physical examination or health certificate.ConclusionCity immigrant workers lack the knowledge and skills of TB prevention and treatment, which are ideal behavior barrier of TB prevention and treatment. According to the demand of knowledge,attitude and behaviors on TB prevention and treatment among city immigrant workers,we should strengthen health education on TB among them and ensure it as our routine work.We should make a good use of health education resource in workplaces of construction workers and develop the strategy of communication which construction workers like and can acquire routes of communication,such as (thin) booklet, lecture, posters,display panel,public service advertising,VCD and so on.Distribute (thin)booklet or leaflet to restaurant waiter, and give them TB health education when they come to hospital or CDC for physical examination or health certificate. Enhance health education on TB prevention and treat among city immigrant workers,no matter who arived the city long ago or lately.