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Status of tuberculosis prevention and control knowledge with perceived stress among college and middle school students with pulmonary tuberculosis in Yantai
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Jing ZHOU1, Lili ZHEN1, Jingyu LIU1, Shulei WANG1, Huihui HE1, Xiaohua REN1, Yanqing LIU2, Lei YAN3, Yuelei WANG*, 1
Chinese Journal of School Health | 2025, 46(12) : 1706 - 1710
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Chinese Journal of School Health | 2025, 46(12): 1706-1710
• Health Education and Promotion •
Status of tuberculosis prevention and control knowledge with perceived stress among college and middle school students with pulmonary tuberculosis in Yantai
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Jing ZHOU1, Lili ZHEN1, Jingyu LIU1, Shulei WANG1, Huihui HE1, Xiaohua REN1, Yanqing LIU2, Lei YAN3, Yuelei WANG*, 1
Affiliations
  • 1Department of Tuberculosis Prevention and Control, Yantai Center for Disease Control and Prevention, Yantai 264003, Shandong Province, China
Published: 2025-12-25 doi: 10.16835/j.cnki.1000-9817.2025351
Outline
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Objective

To understand the current status of tuberculosis prevention and control knowledge and perceived stress among college and middle school students with pulmonary tuberculosis (PTB) in Yantai City, and to analyze the related factors, so as to provide a basis for the school to carry out health education and psychological counseling.

Methods

A matched case-control study was conducted, with 100 PTB student patients in junior high school and above who were diagnosed at designated medical institutions from October 2020 to October 2024. Four healthy control students of the same gender, same dormitory, or same class were selected for each case. Therefore, 100 cases and 400 controls were investigated by questionnaire. The following information was collected: personal basic information; tuberculosis prevention and control awareness; and scores of the Chinese Perceived Stress Scale (CPSS). Conditional Logistic regression model and mixed linear models were used to compare the PTB prevention and control awareness rate, as well as the perceived stress between the case and control groups. Multiple linear regression analysis was used to analyze the factors that may affect the perceived stress of students with PTB.

Results

The awareness rates of four tuberculosis knowledge items (symptoms of PTB, main causes of onset after infection, consequences of PTB patients not receiving standardized and complete treatment, the most important method to prevent PTB) were higher in the case group (40.00%, 72.00%, 38.00%, 49.00%) than the control group (21.50%, 57.50%, 22.25%, 31.25%) and the differences were statistically significant (Wald χ2=18.44, 8.78, 13.20, 16.89, all P < 0.01). The tension score (10.49±4.20), loss of control score (11.21±4.58), and total score (21.70±6.88) in the case group were higher than the control group (9.35±4.73, 9.75±5.60, 19.09±8.36) and the differences were statistically significant (t=2.21, 2.42, 2.88, all P < 0.05). The results of multiple linear regression analysis showed that age ≥18 years and family history of tuberculosis were the related factors affecting the overall perceived stress and tension of college and middle school students with PTB (Btotal scores=4.50, 5.91; Btension score=2.39, 3.23, all P < 0.05).

Conclusions

The tuberculosis prevention and control awareness rate, and the perceived stress of college and middle school students with PTB in Yantai are both higher than students without tuberculosis. Moreover, the perceived stress of students with PTB who are aged ≥18 years or have a family history of tuberculosis is even higher.

Tuberculosis, pulmonary  /  Knowledge  /  Pressure  /  Regression analysis  /  Students
周静, 甄丽丽, 刘靖宇, 王淑蕾, 何荟荟, 任晓华, 刘延庆, 闫磊, 王曰雷. 烟台市大中学生肺结核患者结核病防治知识和知觉心理压力状况. 中国学校卫生, 2025 , 46 (12) : 1706 -1710 . DOI: 10.16835/j.cnki.1000-9817.2025351
Jing ZHOU, Lili ZHEN, Jingyu LIU, Shulei WANG, Huihui HE, Xiaohua REN, Yanqing LIU, Lei YAN, Yuelei WANG. Status of tuberculosis prevention and control knowledge with perceived stress among college and middle school students with pulmonary tuberculosis in Yantai[J]. Chinese Journal of School Health, 2025 , 46 (12) : 1706 -1710 . DOI: 10.16835/j.cnki.1000-9817.2025351
Year 2025 volume 46 Issue 12
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doi: 10.16835/j.cnki.1000-9817.2025351
  • Receive Date:2025-07-01
  • Online Date:2026-11-06
  • Published:2025-12-25
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  • Received:2025-07-01
  • Revised:2025-10-19
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    1Department of Tuberculosis Prevention and Control, Yantai Center for Disease Control and Prevention, Yantai 264003, Shandong Province, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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