ABSTRACT

Objective: To determine the knowledge of tuberculosis (TB) among dairy workers in Bailey County, Texas.

Methods: A cross-sectional study design was used to collect 225 survey responses concerning knowledge of TB among dairy workers on 10 dairy farms in Bailey County, Texas. Subjects used iPad tablets to log responses to 15 demographic questions and a 17-item TB knowledge quiz, measured by: (1) TB characteristics, (2) TB transmission, (3) TB symptoms, (4) TB diagnosis, (5) TB treatment, and (6) bovine TB. A proxy for exposure, dairy workers were classified into categories of cattle exposure – high, medium, and low.

Results: Relative to the medium/low group, workers in the high group tended to be younger (32.6 (SD 11.0)), Guatemalan (52.6%), K’iche’ speaking (37.8%), males (89.1%) with less years living in the U.S. (10.8 [SD 12.5]) and lower levels of formal education completed (59.6% with no formal/elementary level). Overall, the average score was 7.1 (SD 4.9) out of 17 (41.8% out of 100.0%). Relative to one another, the medium/low group (8.0 (SD 4.6) out of 17) scored better than the high group (6.7 [SD 5.1] out of 17). No significant associations were found between the category of exposure and TB knowledge score.

Conclusion: Deficiencies in TB knowledge were identified in all categories of exposure. TB training on dairy farms should include all measured tested in this study and should be administered to all workers regardless of the category of exposure.

 抽象的

目的：了解德克萨斯州贝利县奶牛工人对结核病 (TB) 的了解情况。

方法：采用横断面研究设计收集了 225 份关于德克萨斯州贝利县 10 个奶牛场奶牛工人结核病知识的调查回复。受试者使用 iPad 平板电脑记录对 15 个人口统计问题和 17 项结核病知识测验的回答，衡量标准为：(1) 结核病特征，(2) 结核病传播，(3) 结核病症状，(4) 结核病诊断，(5)结核病治疗，以及（6）牛结核病。作为暴露的替代指标，奶牛工人被分为牛暴露三类：高、中、低。

结果：相对于中/低组，高组中的工人往往更年轻（32.6（SD 11.0））、危地马拉语（52.6%）、基切语（37.8%）、男性（89.1%）在美国居住的年数（10.8 [SD 12.5]）和完成的正规教育水平较低（59.6% 没有正规/小学水平）。总体而言，平均分为 7.1 分 (SD 4.9)（满分 17 分）（满分 100.0% 的 41.8%）。相对而言，中/低组（17 分中的 8.0 (SD 4.6)）得分高于高组（17 分中的 6.7 [SD 5.1]）。未发现暴露类别与结核病知识评分之间存在显着关联。

结论：在所有类别的暴露中都发现了结核病知识的缺陷。奶牛场的结核病培训应包括本研究中的所有测量测试，并且应向所有工人进行，无论接触何种类型。