Knowledge, attitude and associated factors towards tuberculosis in shanghai：a population based study

Knowledge, attitude and associated factors towards tuberculosis in shanghai：a population based study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Knowledge, attitude and associated factors towards tuberculosis in shanghai：a population based study Chenxi Ning, Jing Chen, Xin Shen This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4729492/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background China is one of the countries with a high burden of tuberculosis in the world. Our study aimed to assess the knowledge, attitude and associated factors towards tuberculosis(TB) in the general population of shanghai. Materials and methods A multistage random sampling was used to collect data at 2020 with a self-designed questionnaire from 6022 whole people living in Shanghai, and 5604 questionnaires were effective, with an effective rate of 93.1%. We also compared the investigation with 2013 and 2015. Univariate and multiple linear regression analyses were used to analyze the factors associated with TB knowledge. Results Initially, a total of 16153 samples were included analysis in this study, yielding a response rate of 91.1%. There were 5003 in 2013, 5,546 in 2015 and 5,604 in 2020, and the total knowledge rate of the respondents was 71.2%, 81.3% and 83.6%, separately. The official account of WeChat with high acceptance by participants emerged to publicize TB prevention and control knowledge in 2020. In 2020, occupation (medical staff: OR = 6.20, p 10000 RMB: OR = 4.21, p = 0.001, 95%CI: 1.85 ~ 9.59). were associated with knowledge of TB. Conclusions Knowledge of TB among respondents was improved as time as go. New media will play an important role in health promotion. Except medical staff, other people needed more health education to improve the awareness level of tuberculosis. Strengthening the education in low-income groups also important. knowledge of tuberculosis shanghai risks Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Introduction TB is a chronic infectious disease caused by the Mycobacterium tuberculosis. Though some countries have already reduced their disease burden of TB to fewer than 10 cases and less than one death per 100,000 population per year 1 , TB is still a serious health problem and one of the leading causes of death worldwide. It is estimated that 10.0 million people globally were newly diagnosed with TB in 2019 2 . China is one of the countries with a high burden of tuberculosis in the world. The World Health Organization tuberculosis report estimated that the number of tuberculosis cases in China in 2019 was about 83.3 thousand 2 . The Chinese government attaches great importance to the prevention and control of tuberculosis. National Tuberculosis Prevention and Control Plan (2011–2015) clearly pointed out that through strengthening health education and popularizing prevention and control knowledge, the awareness rate of the core information on tuberculosis prevention and control should reach 85% 3 . Promoting knowledge about TB is an important measure to prevent the spread of pulmonary TB disease 4 . A higher level of knowledge contributes to better attitudes and behaviors. The knowledge gap regarding the signs and symptoms of TB could affect the identification of the infection and delay treatment and increase the risk of transmission to other members of the community 5 . A study conducted that 53% of participants had a low level of knowledge and only 63% had a favorable attitude regarding TB 6 . Health education through spreading knowledge and guiding the audience the health behavior habit are needed to rapidly reduce the occurrence of infectious diseases 7–9 . This study aimed to assess the 3 stage status and associated factors of TB knowledge among people in Shanghai City, China. Materials and methods Study design and setting A community-based intervention study was carried out in 2020 in four districts of Shanghai, including Xuhui, Changning, Minhang and Songjiang districts. The number of monitoring points was determined according to the population of the four districts, ensuring that each district had at least one monitoring point. Taking the street as a sampling unit, the random number method was used to identify the street to be investigated. Random cluster sampling was conducted by using the random number method to determine the neighborhood committees that should be investigated. During the implementation of this study, comprehensive intervention measures were implemented, integrating communication resources such as Internet, news broadcasting and interpersonal communication network, and establishing a health communication network composed of the media, science and technology associations, cultural venues, large screen broadcasting units and each street or town to provide appropriate and effective TB health education and services tailored to the needs of different groups of people in different settings. After interventions, questionnaire of Shanghai Public Knowledge and Beliefs about TB Prevention and Control Behavior (Community) was used to evaluate the effectiveness of interventions. Sample size and participants The participants in this study were permanent residents who were aged \(\:\ge\:\) 15 years and had lived in the community for more than six months. The number of samples was calculated according to the sample size formula of the prevalence survey, with 5% type 1 error ( p < 0.05). According to the National Survey of Public Knowledge and Attitude about Tuberculosis Control Behavior, the knowledge rate about tuberculosis of the baseline population in Shanghai will be set at 0.5, necessitating a minimum of 4330 participants. Considering financial, material, human and time factors, while increasing the rate of loss to follow-up by 10%, the minimum sample size for each district was 1250. Questionnaire design The questionnaire covered three main themes: ( 1 ) Demographics and general information about the participants, including sex, age, education, marriage, occupation and average monthly household income, ( 2 ) Basic knowledge of TB control, ( 3 ) Receipt of health education, including the main channels for obtaining information on TB control and the degree of acceptance of media materials for health education on TB control. Statistical Analysis Data were entered by Epi Data 3.1, and statistical analysis was carried out using SAS 9.4. Categorical variables were presented as counts and percentages in the tables. We used Chi-square test to explore variables influencing participants' knowledge of tuberculosis. Variables identified with a P-value less than 0.25 in univariate analysis were included in the multivariate logistic regression analysis. A 95% confidence interval (95%CI) and a 5% level of significance were used to interpret the statistical significance. Statistical significance was considered if p -value < 0.05. Results 1.1 Socio-demographic characteristics Table 1 presents the characteristics of the study participants. The mean age was 52.95 years in 2013, 51.23 years in 2015, 46.11 years in 2020 and 48.9%, 45.9% and 39.5% were male for 3 different stages. There were statistical differences in age, sex, education, marital status, occupation and average monthly income of the respondents in different survey periods (all p < 0.05). Table 1 Characteristics of the study populations total(n = 16153) 2013(n = 5003) 2015(n = 5546) 2020(n = 5604) χ 2 P Age*, y 1045.97 < 0.001 15~ 2510(15.5) 671(13.4) 914(16.5) 925(16.5) 30~ 3658(22.7) 739(14.8) 885(16.0) 2034(36.3) 45~ 4161(25.8) 1526(30.5) 1537(27.7) 1098(19.6) 60~ 4723(29.2) 1636(32.7) 1792(32.3) 1295(23.1) 75~ 1101(6.8) 431(8.6) 418(7.5) 252(4.5) Sex 100.62 < 0.001 male 7200(44.6) 2445(48.9) 2544(45.9) 2211(39.5) female 8953(55.4) 2558(51.1) 3002(54.1) 3393(60.5) Education 2037.06 < 0.001 illiteracy 643(4.0) 348(7.0) 170(3.1) 125(2.2) primary 1797(11.1) 729(14.6) 752(13.6) 316(5.6) junior 4405(27.3) 1513(30.2) 1810(32.6) 1082(19.3) senior 4633(28.6) 1475(29.4) 1847(33.3) 1311(23.4) Junior college 1918(11.9) 453(9.1) 479(8.6) 986(17.6) Above Bachelor 2757(17.1) 485(9.7) 488(8.8) 1784(31.8) Marriage 100.34 < 0.001 married 13279(82.2) 4138(82.7) 4471(80.6) 4670(83.3) single 1938(12.0) 533(10.6) 743(13.4) 662(11.8) Divorced/widowed 936(5.8) 332(6.7) 332(6.0) 272(4.9) Occupation 1326.74 < 0.001 administrator 1613(10.0) 573(11.5) 493(8.9) 547(9.8) medical staff 1037(6.4) 143(2.9) 154(2.8) 740(13.2) teacher 469(2.9) 132(2.6) 139(2.5) 198(3.5) Other professionals 3301(20.4) 976(19.5) 963(17.4) 1362(24.3) business 1914(11.9) 548(11.0) 616(11.1) 750(13.4) worker 3285(20.3) 1014(20.3) 1388(25.0) 883(15.8) farmer 1467(9.1) 694(13.9) 572(10.3) 201(3.6) students 1092(6.8) 327(6.5) 551(9.9) 214(3.8) unemployed 1975(12.2) 596(11.9) 670(12.1) 709(12.6) Income(RMB) 2426.62 < 0.001 10000 3257(20.2) 519(10.3) 766(13.8) 1972(35.2) Note: * Frequency missing 26 persons. 1.2 Awareness of core information The core information participants need to know included basic knowledge of TB control and reduction policy. Core messages corresponding to questions in the questionnaire were listed in Table 2 . The total knowledge rate of TB core information was calculated by the percentage of the total number of items that correctly answered the questions corresponding to the core information to the total number of items that answered the questions corresponding to the core information. The knowledge rate of single TB core information was defined as the percentage of people who answered the core information correctly to the total number of people that correctly answered the same core information. The comparison chart of core knowledge awareness in previous surveys was presented in Fig. 1 . In 2013, the total knowledge rate of respondents before intervention was 71.2%. After the intervention, in 2015, the total knowledge rate of the respondents was 81.3%. In 2020, the total knowledge rate of the respondents was 83.6%. Table 2 Core information corresponding to the questionnaire questions No. Core information Questionnaire question 1 Tuberculosis is a kind of chronic respiratory infectious disease that seriously endangers human health. Can tuberculosis be transmitted? 2 Coughing or producing phlegm for more than 2 weeks or sputum with bloodshot should be suspected of tuberculosis. How long should patients with symptoms of coughing or producing phlegm be considered for TB? 3 Those suspected of tuberculosis should go to designated hospitals for further examination and treatment. Where is the best place to seek medical attention if patients suspect tuberculosis? 4 Patients who are examined and treated for tuberculosis at designated hospitals are entitled to the reduction policy for tuberculosis patients in Shanghai. Are there any reduction policies for tuberculosis patients to examine and treat? 5 Most tuberculosis patients can be cured with regular treatment. Can tuberculosis be cured? 1.3 Status of receiving health education 1.3.1 Overall status of receiving health education Participants' overall status of receiving health education was shown in Fig. 2 . The proportion of participants who had seen programs about TB on TV in the past year was respectively 41%, 59%, 41% in 2013, 2015 and 2020. While the proportion of participants who had heard programs about TB on the radio was 33%, 46% and 23%, respectively. In the past years, promotional materials on tuberculosis prevention that have been provided to participants mainly consisted of leaflets, folding, publicity pamphlets and pamphlets. About 90% of those who were given these promotional materials had read them. 1.3.2 Analysis of ways to access health education The higher percent participants that did not remember or had not received tuberculosis health education. Medical staff was the major deliverers of tuberculosis knowledge or policies. The proportion of participants who received health education from teachers, classmates and private doctors was low. (Fig. 3 ) 1.3.3 Willingness to receive health education Most participants were willing to accept health education on tuberculosis. 52% of them would to participate the activity if they have time and 45% were willing to participate actively in 2020. Figure 4 showed the willingness to receive health education. 1.3.4 Type of TB publicity materials preferred by participants About 27% of participants said any type of publicity materials were acceptable. Andio-visual product, text-based material and drawing material were preferred by participants. With the popularity of the Internet, the official account of WeChat emerged to publicize TB prevention and control knowledge. Figure 5 illustrated the type of TB publicity materials preferred by participants. 1.4 Associated factors with knowledge of TB among participants. We consider that the respondents answer 3 core question corrected about tuberculosis knowledge are know the knowledge. The univariate study showed that factors associated with participants' awareness of TB in 2020 included occupation (medical staff: OR = 6.40, p < 0.0001, 95%CI: 3.08 ~ 13.31; farmer: OR = 0.56, p = 0.029, 95%CI: 0.33 ~ 0.94; business: OR = 0.67, p = 0.048, 95%CI: 0.45 ~ 1.00) and income (3000 ~ RMB: OR = 2.70, p = 0.016, 95%CI:1.20 ~ 6.07; 5000 ~ RMB: OR = 4.16, p = 0.001, 95%CI: 1.86 ~ 9.29; >10000 RMB: OR = 5.18, p < 0.0001, 95%CI: 2.31 ~ 11.66). After adjusting for possible confounding factors, multivariate analysis showed that the factors associated with participants' awareness of tuberculosis included occupation (medical staff: OR = 6.20, p 10000 RMB: OR = 4.21, p = 0.001, 95%CI: 1.85 ~ 9.59). The details in Table 3 . Table 3 Associated factors with knowledge of TB among participants OR P AOR P Age, y 15~ 1.00 30~ 1.13(0.83 ~ 1.53) 0.453 - - 45~ 0.89(0.64 ~ 1.24) 0.492 - - 60~ 1.00(0.72 ~ 1.39) 1.000 - - 75~ 0.75(0.46 ~ 1.24) 0.262 - - Sex male 1.00 female 1.03(0.84 ~ 1.28) 0.752 - - Education below junior 1.00 1.00 senior 0.82(0.56 ~ 1.20) 0.306 0.68(0.45 ~ 1.03) 0.068 Junior college 1.17(0.75 ~ 1.80) 0.492 0.80(0.48 ~ 1.32) 0.376 Above Bachelor 1.70(1.12 ~ 2.59) 0.013 0.99(0.60 ~ 1.63) 0.959 Marriage married 1.00 single 1.05(0.76 ~ 1.46) 0.767 - - Divorced/widowed 0.77(0.50 ~ 1.19) 0.244 - - Occupation administrator 1.00 1.00 medical staff 6.40(3.08 ~ 13.31) < .0001 6.20(2.97 ~ 12.94) < .0001 teacher 1.22(0.63 ~ 2.38) 0.554 1.15(0.59 ~ 2.26) 0.68 Other professionals 1.10(0.75 ~ 1.62) 0.622 1.20(0.81 ~ 1.78) 0.357 business 0.67(0.45 ~ 1.00) 0.048 0.79(0.52 ~ 1.19) 0.252 worker 0.98(0.65 ~ 1.47) 0.910 1.29(0.83 ~ 2.00) 0.25 farmer 0.56(0.33 ~ 0.94) 0.029 0.70(0.39 ~ 1.25) 0.224 students 0.86(0.48 ~ 1.54) 0.608 0.95(0.53 ~ 1.72) 0.875 unemployed 0.98(0.64 ~ 1.50) 0.913 1.25(0.79 ~ 2.00) 0.34 Income 10000 5.18(2.31 ~ 11.66) < .0001 4.21(1.85 ~ 9.59) 0.001 Discussion This study demonstrated that the overall knowledge rate was 83.6% in 2020, which was higher than 2013 and 2015. The knowledge rate was also higher than some areas in china 10–13 and similar to BeiJing 14 . Through the "four networks" publicity network based on the Internet, news and broadcasting network, telecommunication network and interpersonal communication network, health education on tuberculosis was carried out to maintain the knowledge rate at a high level. However, further exploration is needed to increase the knowledge rate. The knowledge of the core information of residents was different. The knowledge rate of questions 2 and 4 was low, indicating that public awareness of the suspected symptoms of tuberculosis and the national reduction policies for screening and treatment was lacking, which should be strengthened in the future. In the past year, promotional materials on tuberculosis prevention that have been provided to participants mainly consisted of leaflets, brochures, posters and pamphlets, while magnetic tapes, compact discs and videotapes had been gradually replaced. Most of those who were given these promotional materials had read them. It suggested that, with the increasingly developed new media, it may be a trend conformed to the development to make good use of new media publicity, such as TikTok and official accounts of WeChat for science promotion 15–17 . Doctors were the main deliverers of tuberculosis knowledge or policies, while the proportion of knowledge acquired by the participants from teachers and classmates was relatively low, Kandasamy’s article [18] also reveal the healthcare students’ knowledge is better than non-healthcare counterparts. Therefore, more teachers and classmates need to be trained as volunteers to participate in TB prevention and control to contribute to end TB strategy. The survey found that only about 5% of the participants indicated that they were unwilling to participate in the tuberculosis publicity activities organized by the work unit or community, There seems to be enthusiasm among participants for TB publicity. Thus we need to hold more diverse forms activities to attract the public engagement. The knowledge rate of medical staff was high, but low among workers and farmers 19 . Income also influenced the knowledge rate, with higher income groups likely to have a higher demand for health-related knowledge than lower income groups 20 . After adjusting for possible confounding factors, multivariate analysis showed that occupation and income were associated with participants' awareness of tuberculosis. Improving the cultural literacy of the whole people is the cornerstone of improving health. Cultural was related to the occupation, especially the low knowledge rate of workers and farmers. Therefore, it is necessary to expand the popularization of TB knowledge to the masses. Low-income people with low knowledge rate are at high risk of TB, so targeted health education activities should be carried out for them 21–23 . We believe that our study has some limitations. First, as it was a cross-sectional study, it is not possible to determine the cause and effect relationships of the associations. Second, with the prevalence of new media, platforms including TikTok and official accounts of WeChat are important means for residents to obtain information. However, there were limitations in the design of relevant questions in this study, resulting in the validity of this approach not being verified, which can be further improved and adjusted in the following research. In conclusion, the knowledge rate of TB prevention and control information of residents has been improved compared with that before. Therefore, targeted publicity activities focused on the suspected symptoms of tuberculosis and the national policies should be further conducted out. The combination of traditional media and new media makes the publicity more diversified. Strengthening health education for workers, farmers and low-income groups to make health education more precise and further improve the awareness level of tuberculosis. Declarations Acknowledgements We thank all the participants in this study. Author contributions XS contributed to the study design. CXN contributed to data collection and analysis. All authors contributed to data interpretation. CXN, JC wrote the first draft of the manuscript, XS revised and refined the manuscript. All authors contributed intellectual material and approved the final draft. All authors had full access to all the data in the study and had final responsibility for the decision to submit for publication. All authors have read and approved the final manuscript. Founding Shanghai three-year (2023-2025) action plan to strengthen the public health system(grant No. GWVI-11.1-05); the Shanghai Top Young Talents Program. Data availability The summary statistics that support the findings of this study are included in this published article and its additional material, and the other data are available from the corresponding author on reasonable request. Ethics approval and consent to participate The informed consent was waived by the Institutional Review Board (IRB) of shanghai municipal center for disease control and prevention. All methods were carried out in this study were in accordance with relevant guidelines and regulations. Consent for publication Not applicable. Competing interests The authors declare no competing interests. References World Health Organization, Global Tuberculosis Report 2022, 2022. World Health Organization, Global Tuberculosis Report 2020, 2020. Jiang Yan, Guo Liping, Cao Bin. 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Front Public Health. 2024;12:1348975. Main S, Dwihardiani B, Hidayat A, et al. Knowledge and attitudes towards TB among healthcare workers in Yogyakarta, Indonesia. Public Health Action. 2022;12(3):133-140. Craciun OM, Torres MDR, Llanes AB, Romay-Barja M. Tuberculosis Knowledge, Attitudes, and Practice in Middle- and Low-Income Countries: A Systematic Review. J Trop Med. 2023;2023:1014666. Agho KE, et al. Determinants of the knowledge of and attitude towards tuberculosis in Nigeria. J Health Popul Nutr. 2014;32(3):520–38. Sifrash Meseret Gelaw, “Socioeconomic factors associated with knowledge on tuberculosis among adults in Ethiopia,” Tuberc Res Treat. 2016:2016:6207457. Obuku EA, et al. Socio-demographic determinants and prevalence of tuberculosis knowledge in three slum populations of Uganda. BMC Public Health. 2012;12:536. Additional Declarations No competing interests reported. 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2","display":"","copyAsset":false,"role":"figure","size":272945,"visible":true,"origin":"","legend":"\u003cp\u003eOverall status of receiving health education\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-4729492/v1/592da704394c71576b315106.png"},{"id":62323596,"identity":"563fe397-da38-4815-8fd2-aa7e37bff6a5","added_by":"auto","created_at":"2024-08-13 02:15:16","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":68568,"visible":true,"origin":"","legend":"\u003cp\u003eWays of participants to access health education\u003c/p\u003e","description":"","filename":"3.png","url":"https://assets-eu.researchsquare.com/files/rs-4729492/v1/8395cd24ef295a4d83bf6329.png"},{"id":62322962,"identity":"05300d03-5a04-4bff-a5e7-de932ce19c69","added_by":"auto","created_at":"2024-08-13 02:07:16","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":30463,"visible":true,"origin":"","legend":"\u003cp\u003eWillingness to receive health education\u003c/p\u003e","description":"","filename":"4.png","url":"https://assets-eu.researchsquare.com/files/rs-4729492/v1/8d7e8d5d4bd46ea8f4e84933.png"},{"id":62323594,"identity":"674c65b4-700f-4d69-a363-5a3959b53fd9","added_by":"auto","created_at":"2024-08-13 02:15:16","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":69470,"visible":true,"origin":"","legend":"\u003cp\u003eType of TB publicity materials preferred by participants\u003c/p\u003e","description":"","filename":"5.png","url":"https://assets-eu.researchsquare.com/files/rs-4729492/v1/eeb0e4117a52939a5b7aa725.png"},{"id":82687492,"identity":"c5d9bfb8-97de-48e6-ae33-1f6e93c54194","added_by":"auto","created_at":"2025-05-14 07:08:55","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1585451,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4729492/v1/2ab7a391-3ae0-4ebd-9044-749029e8576c.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Knowledge, attitude and associated factors towards tuberculosis in shanghai：a population based study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eTB is a chronic infectious disease caused by the Mycobacterium tuberculosis. Though some countries have already reduced their disease burden of TB to fewer than 10 cases and less than one death per 100,000 population per year\u003csup\u003e1\u003c/sup\u003e, TB is still a serious health problem and one of the leading causes of death worldwide. It is estimated that 10.0\u0026nbsp;million people globally were newly diagnosed with TB in 2019\u003csup\u003e2\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eChina is one of the countries with a high burden of tuberculosis in the world. The World Health Organization tuberculosis report estimated that the number of tuberculosis cases in China in 2019 was about 83.3 thousand\u003csup\u003e2\u003c/sup\u003e. The Chinese government attaches great importance to the prevention and control of tuberculosis. National Tuberculosis Prevention and Control Plan (2011\u0026ndash;2015) clearly pointed out that through strengthening health education and popularizing prevention and control knowledge, the awareness rate of the core information on tuberculosis prevention and control should reach 85%\u003csup\u003e3\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003ePromoting knowledge about TB is an important measure to prevent the spread of pulmonary TB disease\u003csup\u003e4\u003c/sup\u003e. A higher level of knowledge contributes to better attitudes and behaviors. The knowledge gap regarding the signs and symptoms of TB could affect the identification of the infection and delay treatment and increase the risk of transmission to other members of the community\u003csup\u003e5\u003c/sup\u003e. A study conducted that 53% of participants had a low level of knowledge and only 63% had a favorable attitude regarding TB\u003csup\u003e6\u003c/sup\u003e. Health education through spreading knowledge and guiding the audience the health behavior habit are needed to rapidly reduce the occurrence of infectious diseases\u003csup\u003e7\u0026ndash;9\u003c/sup\u003e. This study aimed to assess the 3 stage status and associated factors of TB knowledge among people in Shanghai City, China.\u003c/p\u003e"},{"header":"Materials and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStudy design and setting\u003c/h2\u003e \u003cp\u003eA community-based intervention study was carried out in 2020 in four districts of Shanghai, including Xuhui, Changning, Minhang and Songjiang districts. The number of monitoring points was determined according to the population of the four districts, ensuring that each district had at least one monitoring point. Taking the street as a sampling unit, the random number method was used to identify the street to be investigated. Random cluster sampling was conducted by using the random number method to determine the neighborhood committees that should be investigated.\u003c/p\u003e \u003cp\u003eDuring the implementation of this study, comprehensive intervention measures were implemented, integrating communication resources such as Internet, news broadcasting and interpersonal communication network, and establishing a health communication network composed of the media, science and technology associations, cultural venues, large screen broadcasting units and each street or town to provide appropriate and effective TB health education and services tailored to the needs of different groups of people in different settings. After interventions, questionnaire of Shanghai Public Knowledge and Beliefs about TB Prevention and Control Behavior (Community) was used to evaluate the effectiveness of interventions.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eSample size and participants\u003c/h2\u003e \u003cp\u003eThe participants in this study were permanent residents who were aged \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\ge\\:\\)\u003c/span\u003e\u003c/span\u003e15 years and had lived in the community for more than six months. The number of samples was calculated according to the sample size formula of the prevalence survey, with 5% type 1 error (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05). According to the National Survey of Public Knowledge and Attitude about Tuberculosis Control Behavior, the knowledge rate about tuberculosis of the baseline population in Shanghai will be set at 0.5, necessitating a minimum of 4330 participants. Considering financial, material, human and time factors, while increasing the rate of loss to follow-up by 10%, the minimum sample size for each district was 1250.\u003c/p\u003e \u003cdiv id=\"Sec5\" class=\"Section3\"\u003e \u003ch2\u003eQuestionnaire design\u003c/h2\u003e \u003cp\u003eThe questionnaire covered three main themes: (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e) Demographics and general information about the participants, including sex, age, education, marriage, occupation and average monthly household income, (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e) Basic knowledge of TB control, (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e) Receipt of health education, including the main channels for obtaining information on TB control and the degree of acceptance of media materials for health education on TB control.\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eStatistical Analysis\u003c/h2\u003e \u003cp\u003eData were entered by Epi Data 3.1, and statistical analysis was carried out using SAS 9.4. Categorical variables were presented as counts and percentages in the tables. We used Chi-square test to explore variables influencing participants' knowledge of tuberculosis. Variables identified with a P-value less than 0.25 in univariate analysis were included in the multivariate logistic regression analysis. A 95% confidence interval (95%CI) and a 5% level of significance were used to interpret the statistical significance. Statistical significance was considered if \u003cem\u003ep\u003c/em\u003e-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003e1.1 Socio-demographic characteristics\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e presents the characteristics of the study participants. The mean age was 52.95 years in 2013, 51.23 years in 2015, 46.11 years in 2020 and 48.9%, 45.9% and 39.5% were male for 3 different stages. There were statistical differences in age, sex, education, marital status, occupation and average monthly income of the respondents in different survey periods (all p\u0026thinsp;\u0026lt;\u0026thinsp;0.05).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eCharacteristics of the study populations\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003etotal(n\u0026thinsp;=\u0026thinsp;16153)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2013(n\u0026thinsp;=\u0026thinsp;5003)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2015(n\u0026thinsp;=\u0026thinsp;5546)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2020(n\u0026thinsp;=\u0026thinsp;5604)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eχ\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eP\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge*, y\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e1045.97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e15~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e2510(15.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e671(13.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e914(16.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e925(16.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e30~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3658(22.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e739(14.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e885(16.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e2034(36.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e45~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4161(25.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1526(30.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1537(27.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1098(19.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e60~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4723(29.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1636(32.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1792(32.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1295(23.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e75~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1101(6.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e431(8.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e418(7.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e252(4.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSex\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e100.62\u003c/p\u003e \u003c/td\u003e 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colname=\"c2\"\u003e \u003cp\u003e8953(55.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e2558(51.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3002(54.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e3393(60.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEducation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e2037.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eilliteracy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e643(4.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e348(7.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e170(3.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e125(2.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eprimary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1797(11.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e729(14.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e752(13.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e316(5.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ejunior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4405(27.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1513(30.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1810(32.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1082(19.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003esenior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4633(28.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1475(29.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1847(33.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1311(23.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eJunior college\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1918(11.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e453(9.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e479(8.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e986(17.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAbove Bachelor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e2757(17.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e485(9.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e488(8.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1784(31.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarriage\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e100.34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003emarried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e13279(82.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4138(82.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e4471(80.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e4670(83.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003esingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1938(12.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e533(10.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e743(13.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e662(11.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDivorced/widowed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e936(5.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e332(6.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e332(6.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e272(4.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOccupation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e1326.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eadministrator\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1613(10.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e573(11.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e493(8.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e547(9.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003emedical staff\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1037(6.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e143(2.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e154(2.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e740(13.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eteacher\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e469(2.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e132(2.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e139(2.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e198(3.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOther professionals\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3301(20.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e976(19.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e963(17.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1362(24.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ebusiness\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1914(11.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e548(11.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e616(11.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e750(13.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eworker\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3285(20.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1014(20.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1388(25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e883(15.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003efarmer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1467(9.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e694(13.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e572(10.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e201(3.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003estudents\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1092(6.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e327(6.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e551(9.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e214(3.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eunemployed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1975(12.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e596(11.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e670(12.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e709(12.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIncome(RMB)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e2426.62\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;1000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e264(1.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e123(2.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e105(1.9))\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e36(0.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e2602(16.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1398(27.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e945(17.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e259(4.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e5119(31.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1765(35.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e2162(39.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1192(21.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4911(30.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1198(24.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1568(28.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e2145(38.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;10000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3257(20.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e519(10.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e766(13.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1972(35.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"7\"\u003eNote: * Frequency missing 26 persons.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003e1.2 Awareness of core information\u003c/h2\u003e \u003cp\u003eThe core information participants need to know included basic knowledge of TB control and reduction policy. Core messages corresponding to questions in the questionnaire were listed in Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e. The total knowledge rate of TB core information was calculated by the percentage of the total number of items that correctly answered the questions corresponding to the core information to the total number of items that answered the questions corresponding to the core information. The knowledge rate of single TB core information was defined as the percentage of people who answered the core information correctly to the total number of people that correctly answered the same core information. The comparison chart of core knowledge awareness in previous surveys was presented in Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e. In 2013, the total knowledge rate of respondents before intervention was 71.2%. After the intervention, in 2015, the total knowledge rate of the respondents was 81.3%. In 2020, the total knowledge rate of the respondents was 83.6%.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eCore information corresponding to the questionnaire questions\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNo.\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCore information\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eQuestionnaire question\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eTuberculosis is a kind of chronic respiratory infectious disease that seriously endangers human health.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCan tuberculosis be transmitted?\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCoughing or producing phlegm for more than 2 weeks or sputum with bloodshot should be suspected of tuberculosis.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eHow long should patients with symptoms of coughing or producing phlegm be considered for TB?\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eThose suspected of tuberculosis should go to designated hospitals for further examination and treatment.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eWhere is the best place to seek medical attention if patients suspect tuberculosis?\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePatients who are examined and treated for tuberculosis at designated hospitals are entitled to the reduction policy for tuberculosis patients in Shanghai.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eAre there any reduction policies for tuberculosis patients to examine and treat?\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMost tuberculosis patients can be cured with regular treatment.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCan tuberculosis be cured?\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003e1.3 Status of receiving health education\u003c/h2\u003e \u003cdiv id=\"Sec11\" class=\"Section3\"\u003e \u003ch2\u003e1.3.1 Overall status of receiving health education\u003c/h2\u003e \u003cp\u003eParticipants' overall status of receiving health education was shown in Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003e. The proportion of participants who had seen programs about TB on TV in the past year was respectively 41%, 59%, 41% in 2013, 2015 and 2020. While the proportion of participants who had heard programs about TB on the radio was 33%, 46% and 23%, respectively. In the past years, promotional materials on tuberculosis prevention that have been provided to participants mainly consisted of leaflets, folding, publicity pamphlets and pamphlets. About 90% of those who were given these promotional materials had read them.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003e1.3.2 Analysis of ways to access health education\u003c/h2\u003e \u003cp\u003eThe higher percent participants that did not remember or had not received tuberculosis health education. Medical staff was the major deliverers of tuberculosis knowledge or policies. The proportion of participants who received health education from teachers, classmates and private doctors was low. (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003e)\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003e1.3.3 Willingness to receive health education\u003c/h2\u003e \u003cp\u003eMost participants were willing to accept health education on tuberculosis. 52% of them would to participate the activity if they have time and 45% were willing to participate actively in 2020. Figure\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003e showed the willingness to receive health education.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003e1.3.4 Type of TB publicity materials preferred by participants\u003c/h2\u003e \u003cp\u003eAbout 27% of participants said any type of publicity materials were acceptable. Andio-visual product, text-based material and drawing material were preferred by participants. With the popularity of the Internet, the official account of WeChat emerged to publicize TB prevention and control knowledge. Figure\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003e illustrated the type of TB publicity materials preferred by participants.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003e1.4 Associated factors with knowledge of TB among participants.\u003c/b\u003e \u003c/p\u003e \u003cp\u003eWe consider that the respondents answer 3 core question corrected about tuberculosis knowledge are know the knowledge. The univariate study showed that factors associated with participants' awareness of TB in 2020 included occupation (medical staff: OR\u0026thinsp;=\u0026thinsp;6.40, p\u0026thinsp;\u0026lt;\u0026thinsp;0.0001, 95%CI: 3.08\u0026thinsp;~\u0026thinsp;13.31; farmer: OR\u0026thinsp;=\u0026thinsp;0.56, p\u0026thinsp;=\u0026thinsp;0.029, 95%CI: 0.33\u0026thinsp;~\u0026thinsp;0.94; business: OR\u0026thinsp;=\u0026thinsp;0.67, p\u0026thinsp;=\u0026thinsp;0.048, 95%CI: 0.45\u0026thinsp;~\u0026thinsp;1.00) and income (3000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;2.70, p\u0026thinsp;=\u0026thinsp;0.016, 95%CI:1.20\u0026thinsp;~\u0026thinsp;6.07; 5000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;4.16, p\u0026thinsp;=\u0026thinsp;0.001, 95%CI: 1.86\u0026thinsp;~\u0026thinsp;9.29; \u0026gt;10000 RMB: OR\u0026thinsp;=\u0026thinsp;5.18, p\u0026thinsp;\u0026lt;\u0026thinsp;0.0001, 95%CI: 2.31\u0026thinsp;~\u0026thinsp;11.66). After adjusting for possible confounding factors, multivariate analysis showed that the factors associated with participants' awareness of tuberculosis included occupation (medical staff: OR\u0026thinsp;=\u0026thinsp;6.20, p\u0026thinsp;\u0026lt;\u0026thinsp;0.0001, 95%CI: 2.97\u0026thinsp;~\u0026thinsp;12.94) and income (3000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;2.40, p\u0026thinsp;=\u0026thinsp;0.037, 95%CI: 1.06\u0026thinsp;~\u0026thinsp;5.45;5000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;3.71, p\u0026thinsp;=\u0026thinsp;0.002, 95%CI: 1.64\u0026thinsp;~\u0026thinsp;8.37; \u0026gt;10000 RMB: OR\u0026thinsp;=\u0026thinsp;4.21, p\u0026thinsp;=\u0026thinsp;0.001, 95%CI: 1.85\u0026thinsp;~\u0026thinsp;9.59). The details in Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eAssociated factors with knowledge of TB among participants\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"9\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003eOR\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e\u003cem\u003eP\u003c/em\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u003cem\u003eAOR\u003c/em\u003e\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u003cem\u003eP\u003c/em\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eAge, y\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e15~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e30~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.13(0.83\u0026thinsp;~\u0026thinsp;1.53)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.453\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e45~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.89(0.64\u0026thinsp;~\u0026thinsp;1.24)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.492\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e60~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00(0.72\u0026thinsp;~\u0026thinsp;1.39)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e1.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e75~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.75(0.46\u0026thinsp;~\u0026thinsp;1.24)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.262\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSex\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003emale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003efemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.03(0.84\u0026thinsp;~\u0026thinsp;1.28)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.752\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eEducation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003ebelow junior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003esenior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.82(0.56\u0026thinsp;~\u0026thinsp;1.20)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.306\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.68(0.45\u0026thinsp;~\u0026thinsp;1.03)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.068\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eJunior college\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.17(0.75\u0026thinsp;~\u0026thinsp;1.80)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.492\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.80(0.48\u0026thinsp;~\u0026thinsp;1.32)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.376\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eAbove Bachelor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.70(1.12\u0026thinsp;~\u0026thinsp;2.59)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.013\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.99(0.60\u0026thinsp;~\u0026thinsp;1.63)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.959\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eMarriage\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003emarried\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003esingle\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.05(0.76\u0026thinsp;~\u0026thinsp;1.46)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.767\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eDivorced/widowed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.77(0.50\u0026thinsp;~\u0026thinsp;1.19)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.244\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e-\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eOccupation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eadministrator\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003emedical staff\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e6.40(3.08\u0026thinsp;~\u0026thinsp;13.31)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;.0001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e6.20(2.97\u0026thinsp;~\u0026thinsp;12.94)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eteacher\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.22(0.63\u0026thinsp;~\u0026thinsp;2.38)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.554\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.15(0.59\u0026thinsp;~\u0026thinsp;2.26)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.68\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eOther professionals\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.10(0.75\u0026thinsp;~\u0026thinsp;1.62)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.622\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.20(0.81\u0026thinsp;~\u0026thinsp;1.78)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.357\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003ebusiness\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.67(0.45\u0026thinsp;~\u0026thinsp;1.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.048\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.79(0.52\u0026thinsp;~\u0026thinsp;1.19)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.252\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eworker\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.98(0.65\u0026thinsp;~\u0026thinsp;1.47)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.910\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.29(0.83\u0026thinsp;~\u0026thinsp;2.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.25\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003efarmer\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.56(0.33\u0026thinsp;~\u0026thinsp;0.94)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.029\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.70(0.39\u0026thinsp;~\u0026thinsp;1.25)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.224\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003estudents\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.86(0.48\u0026thinsp;~\u0026thinsp;1.54)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.608\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.95(0.53\u0026thinsp;~\u0026thinsp;1.72)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.875\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eunemployed\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e0.98(0.64\u0026thinsp;~\u0026thinsp;1.50)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.913\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.25(0.79\u0026thinsp;~\u0026thinsp;2.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.34\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eIncome\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c6\" namest=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c9\" namest=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;1000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e1000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e2.18(0.91\u0026thinsp;~\u0026thinsp;5.22)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.080\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.18(0.90\u0026thinsp;~\u0026thinsp;5.28)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.085\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e3000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e2.70(1.20\u0026thinsp;~\u0026thinsp;6.07)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.016\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.40(1.06\u0026thinsp;~\u0026thinsp;5.45)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.037\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e5000~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e4.16(1.86\u0026thinsp;~\u0026thinsp;9.29)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e0.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e3.71(1.64\u0026thinsp;~\u0026thinsp;8.37)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.002\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;10000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"3\" nameend=\"c5\" namest=\"c3\"\u003e \u003cp\u003e5.18(2.31\u0026thinsp;~\u0026thinsp;11.66)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;.0001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e4.21(1.85\u0026thinsp;~\u0026thinsp;9.59)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study demonstrated that the overall knowledge rate was 83.6% in 2020, which was higher than 2013 and 2015. The knowledge rate was also higher than some areas in china\u003csup\u003e10\u0026ndash;13\u003c/sup\u003e and similar to BeiJing\u003csup\u003e14\u003c/sup\u003e. Through the \"four networks\" publicity network based on the Internet, news and broadcasting network, telecommunication network and interpersonal communication network, health education on tuberculosis was carried out to maintain the knowledge rate at a high level. However, further exploration is needed to increase the knowledge rate.\u003c/p\u003e \u003cp\u003eThe knowledge of the core information of residents was different. The knowledge rate of questions 2 and 4 was low, indicating that public awareness of the suspected symptoms of tuberculosis and the national reduction policies for screening and treatment was lacking, which should be strengthened in the future.\u003c/p\u003e \u003cp\u003eIn the past year, promotional materials on tuberculosis prevention that have been provided to participants mainly consisted of leaflets, brochures, posters and pamphlets, while magnetic tapes, compact discs and videotapes had been gradually replaced. Most of those who were given these promotional materials had read them. It suggested that, with the increasingly developed new media, it may be a trend conformed to the development to make good use of new media publicity, such as TikTok and official accounts of WeChat for science promotion\u003csup\u003e15\u0026ndash;17\u003c/sup\u003e. Doctors were the main deliverers of tuberculosis knowledge or policies, while the proportion of knowledge acquired by the participants from teachers and classmates was relatively low, Kandasamy\u0026rsquo;s article\u003csup\u003e[18]\u003c/sup\u003e also reveal the healthcare students\u0026rsquo; knowledge is better than non-healthcare counterparts. Therefore, more teachers and classmates need to be trained as volunteers to participate in TB prevention and control to contribute to end TB strategy. The survey found that only about 5% of the participants indicated that they were unwilling to participate in the tuberculosis publicity activities organized by the work unit or community, There seems to be enthusiasm among participants for TB publicity. Thus we need to hold more diverse forms activities to attract the public engagement. The knowledge rate of medical staff was high, but low among workers and farmers\u003csup\u003e19\u003c/sup\u003e. Income also influenced the knowledge rate, with higher income groups likely to have a higher demand for health-related knowledge than lower income groups\u003csup\u003e20\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eAfter adjusting for possible confounding factors, multivariate analysis showed that occupation and income were associated with participants' awareness of tuberculosis. Improving the cultural literacy of the whole people is the cornerstone of improving health. Cultural was related to the occupation, especially the low knowledge rate of workers and farmers. Therefore, it is necessary to expand the popularization of TB knowledge to the masses. Low-income people with low knowledge rate are at high risk of TB, so targeted health education activities should be carried out for them\u003csup\u003e21\u0026ndash;23\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eWe believe that our study has some limitations. First, as it was a cross-sectional study, it is not possible to determine the cause and effect relationships of the associations. Second, with the prevalence of new media, platforms including TikTok and official accounts of WeChat are important means for residents to obtain information. However, there were limitations in the design of relevant questions in this study, resulting in the validity of this approach not being verified, which can be further improved and adjusted in the following research.\u003c/p\u003e \u003cp\u003eIn conclusion, the knowledge rate of TB prevention and control information of residents has been improved compared with that before. Therefore, targeted publicity activities focused on the suspected symptoms of tuberculosis and the national policies should be further conducted out. The combination of traditional media and new media makes the publicity more diversified. Strengthening health education for workers, farmers and low-income groups to make health education more precise and further improve the awareness level of tuberculosis.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe thank all the participants in this study.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003eAuthor contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eXS contributed to the study design. CXN contributed to data collection and analysis. All\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eauthors contributed to data interpretation. CXN, JC wrote the first draft of the manuscript, XS revised and refined the manuscript. All authors contributed intellectual material and approved the final draft. All authors had full access to all the data in the study and had final responsibility for the decision to submit for publication. All authors have read and approved\u0026nbsp;\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ethe final manuscript.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eFounding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eShanghai three-year (2023-2025) action plan to strengthen the public health system(grant No. GWVI-11.1-05); the Shanghai Top Young Talents Program.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003eData availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe \u0026nbsp; summary statistics that support the findings of this study are included in this published article and its additional material, and the other data are available from the corresponding author on reasonable request.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe informed consent was waived by the Institutional Review Board (IRB) of shanghai municipal center for disease control and prevention. All methods were carried out in this study were in accordance with relevant guidelines and regulations.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eWorld Health Organization, Global Tuberculosis Report 2022, 2022.\u003c/li\u003e\n\u003cli\u003eWorld Health Organization, Global Tuberculosis Report 2020, 2020.\u003c/li\u003e\n\u003cli\u003eJiang Yan, Guo Liping, Cao Bin. [Awareness rate about prevention and control of pulmonary tuberculosis among residents in Beijing]. Chin J Infect Control, 2017, 16(05):434-438.\u003c/li\u003e\n\u003cli\u003eMahmud S, Mohsin M, Irfan S H, et al. Knowledge, attitude, practices, and determinants of them toward tuberculosis among social media users in Bangladesh: A cross-sectional study. Plos one, 2022, 17(10): e0275344.\u003c/li\u003e\n\u003cli\u003eHarstad, A. R. Raen, S. Selseng, and E. Sagvik, Knowledge, attitudes and practices on tuberculosis among screened immigrants in Norway. A cross-sectional study, J Clin Tuberc Other Mycobact Dis, vol. 28, p. 100326, Aug. 2022..\u003c/li\u003e\n\u003cli\u003eHussein I, Sane J, Soini H, et al. Tuberculosis knowledge, attitudes and practices: a cross-sectional study in the Somali population living in Finland. European Journal of Public Health, 2019, 29(3): 449-452.\u003c/li\u003e\n\u003cli\u003eCarvalho ACC, Kritski AL. Community-based intervention and health education to scale up TB preventive treatment for children. Int J Tuberc Lung Dis. 2022;26(7):587-589. \u003c/li\u003e\n\u003cli\u003eEly KZ, Vendrusculo VG, Frighetto I, Valim AR de M, Possuelo LG. Continuing health education as a tuberculosis control strategy in the prison system. J Bras Pneumol. 2023;49(4):e20230136. \u003c/li\u003e\n\u003cli\u003eAwan AH. Health education and tuberculosis control. Pak J Health. 1959;8:228-231.\u003c/li\u003e\n\u003cli\u003eMa E, Ren L, Wang W, Takahashi H, Wagatsuma Y, Ren Y, Gao F, Gao F, Wang W, Bi L. Demographic and socioeconomic disparity in knowledge about tuberculosis in Inner Mongolia, China. J Epidemiol. 2015;25(4):312-20. \u003c/li\u003e\n\u003cli\u003eHu jia, Huang qin, Huangwenhui, et al. [Implementation performance of tuberculosis control and prevention in Jiangxi, 2015\u0026minus;2020]. DISEASE SURVEILLANCE, 2023, 38(2):6.\u003c/li\u003e\n\u003cli\u003eWang Chaocai, Song Jiahui, Liu Yan, et al. [Investigation and analysis on awareness rate of core knowledge of tuberculosis prevention and control], Chin J Antitubercul, 2023,(12):1273-1278.\u003c/li\u003e\n\u003cli\u003eHuang juan, Ming hu, Wang qiao zhi, et al. [Awareness rate of core knowledge about tuberculosis prevention and treatment in Hunan Province, 2020]. Pract Prev Med, 2022, 29(12):4.\u003c/li\u003e\n\u003cli\u003eXu yan, Zhao yao, Gao zhi dong, et al. [A network survey on knowledge of tuberculosis prevention and control in Beijing].capital journal of public health, 2022, 16(2):101-104.\u003c/li\u003e\n\u003cli\u003eChen Xuyang. [The Change of popular science rights in the era of new media from the popular science account of Tiktok]. New Media Research, 2021, 7(02):64-67.\u003c/li\u003e\n\u003cli\u003eZhao Y, Xu S, Zhang X, et al. The Effectiveness of Improving Infectious Disease-Specific Health Literacy Among Residents: WeChat-Based Health Education Intervention Program. JMIR Form Res. 2023;7:e46841.\u003c/li\u003e\n\u003cli\u003eQiu Y, Qin H, Ying M, Xu K, Ren J. WeChat-based health education to improve health knowledge in three major infectious diseases among residents: a multicentre case-controlled protocol. BMJ Open. 2020;10(11):e037046. \u003c/li\u003e\n\u003cli\u003eKandasamy G, Almaghaslah D, Almanasef M. Knowledge, attitude and practice towards tuberculosis among healthcare and non-healthcare students at a public university in Saudi Arabia. Front Public Health. 2024;12:1348975. \u003c/li\u003e\n\u003cli\u003eMain S, Dwihardiani B, Hidayat A, et al. Knowledge and attitudes towards TB among healthcare workers in Yogyakarta, Indonesia. Public Health Action. 2022;12(3):133-140. \u003c/li\u003e\n\u003cli\u003eCraciun OM, Torres MDR, Llanes AB, Romay-Barja M. Tuberculosis Knowledge, Attitudes, and Practice in Middle- and Low-Income Countries: A Systematic Review. J Trop Med. 2023;2023:1014666. \u003c/li\u003e\n\u003cli\u003eAgho KE, et al. Determinants of the knowledge of and attitude towards tuberculosis in Nigeria. J Health Popul Nutr. 2014;32(3):520\u0026ndash;38.\u003c/li\u003e\n\u003cli\u003eSifrash Meseret Gelaw, \u0026ldquo;Socioeconomic factors associated with knowledge on tuberculosis among adults in Ethiopia,\u0026rdquo; Tuberc Res Treat. 2016:2016:6207457.\u003c/li\u003e\n\u003cli\u003eObuku EA, et al. Socio-demographic determinants and prevalence of tuberculosis knowledge in three slum populations of Uganda. BMC Public Health. 2012;12:536.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"knowledge of tuberculosis, shanghai, risks","lastPublishedDoi":"10.21203/rs.3.rs-4729492/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4729492/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cb\u003eBackground\u003c/b\u003e\u003c/p\u003e \u003cp\u003eChina is one of the countries with a high burden of tuberculosis in the world. Our study aimed to assess the knowledge, attitude and associated factors towards tuberculosis(TB) in the general population of shanghai.\u003c/p\u003e\u003cp\u003e\u003cb\u003eMaterials and methods\u003c/b\u003e\u003c/p\u003e \u003cp\u003eA multistage random sampling was used to collect data at 2020 with a self-designed questionnaire from 6022 whole people living in Shanghai, and 5604 questionnaires were effective, with an effective rate of 93.1%. We also compared the investigation with 2013 and 2015. Univariate and multiple linear regression analyses were used to analyze the factors associated with TB knowledge.\u003c/p\u003e\u003cp\u003e\u003cb\u003eResults\u003c/b\u003e\u003c/p\u003e \u003cp\u003eInitially, a total of 16153 samples were included analysis in this study, yielding a response rate of 91.1%. There were 5003 in 2013, 5,546 in 2015 and 5,604 in 2020, and the total knowledge rate of the respondents was 71.2%, 81.3% and 83.6%, separately. The official account of WeChat with high acceptance by participants emerged to publicize TB prevention and control knowledge in 2020. In 2020, occupation (medical staff: OR\u0026thinsp;=\u0026thinsp;6.20, p\u0026thinsp;\u0026lt;\u0026thinsp;0.0001, 95%CI: 2.97\u0026thinsp;~\u0026thinsp;12.94) and income (3000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;2.40, p\u0026thinsp;=\u0026thinsp;0.037, 95%CI: 1.06\u0026thinsp;~\u0026thinsp;5.45;5000\u0026thinsp;~\u0026thinsp;RMB: OR\u0026thinsp;=\u0026thinsp;3.71, p\u0026thinsp;=\u0026thinsp;0.002, 95%CI: 1.64\u0026thinsp;~\u0026thinsp;8.37; \u0026gt;10000 RMB: OR\u0026thinsp;=\u0026thinsp;4.21, p\u0026thinsp;=\u0026thinsp;0.001, 95%CI: 1.85\u0026thinsp;~\u0026thinsp;9.59). were associated with knowledge of TB.\u003c/p\u003e\u003cp\u003e\u003cb\u003eConclusions\u003c/b\u003e\u003c/p\u003e \u003cp\u003eKnowledge of TB among respondents was improved as time as go. New media will play an important role in health promotion. Except medical staff, other people needed more health education to improve the awareness level of tuberculosis. Strengthening the education in low-income groups also important.\u003c/p\u003e","manuscriptTitle":"Knowledge, attitude and associated factors towards tuberculosis in shanghai：a population based study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-08-13 02:07:11","doi":"10.21203/rs.3.rs-4729492/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"5fb61093-7727-4c40-a606-f5f175bdd214","owner":[],"postedDate":"August 13th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-05-14T07:08:28+00:00","versionOfRecord":[],"versionCreatedAt":"2024-08-13 02:07:11","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4729492","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4729492","identity":"rs-4729492","version":["v1"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}