目的了解衢州市高三学生结核病防治知识、行为及需求情况,为探索学校结核病防治健康教育及健康促进策略提供科学依据。方法采用分层整群随机抽样的方法,对衢州市6所高中(4所城市高中、2所农村高中)的1 036名高三学生进行结核病防治知识、行为及需求调查。结果衢州市高三学生结核病防治核心知识总知晓率为39.28%,其中男生(35.32%)低于女生(44.21%),差异有统计学意义(P<0.01);城市学生对结核病就诊地点、免费政策、能否治愈的知晓率高于农村学校,差异均有统计学意义(P值均<0.01);在“咳嗽、咳痰≥2周及时就诊”、“就诊地点为定点医院”、“不随地吐痰”等方面的行为形成率,城市学校学生均高于农村学校学生,差异均有统计学意义(P<0.01);在结核病防治知识的需求途径比较中,需求强烈程度从高到低依次为“知识讲座”(61.98%)、“宣传材料”(40.34%)、“网络”(30.49%)、“电视广播”(20.86%)、“报刊杂志”(15.16%)、“朋友交流”(14.74%),城市和农村学校学生差异无统计学意义(P值均>0.05)。结论衢州市高三学生结核病防治知识总知晓率及行为形成率均较低,且农村学校学生明显低于城市学校学生;但对结核病知识的需求强烈。应根据中学生的特点开展有效的宣传方式,加强农村学校的宣传工作。 Objective To understand the knowledge, behavior and needs of tuberculosis prevention and control of senior high school students in Quzhou city and to provide a scientific basis for exploring health education and health promotion strategies for tuberculosis prevention and control in schools. Methods A stratified cluster random sampling method was used to investigate knowledge, behavior and needs of tuberculosis prevention and control among 1 036 seniors in 6 high schools (4 urban high schools and 2 rural high schools) in Quzhou City. Results The total awareness rate of core knowledge of tuberculosis prevention and control among senior middle school students in Quzhou was 39.28%, of which male (35.32%) was lower than female (44.21%), the difference was statistically significant (P <0.01) , The awareness rate of whether the cure can be cured is higher than that of the rural school (P <0.01), and “timely cough and expectoration> 2 weeks treatment” , “No spitting” and other aspects of behavior formation rate, urban school students were higher than rural school students, the differences were statistically significant (P <0.01); in the path of demand for tuberculosis prevention knowledge, the demand is strong From high to low, “knowledge lecture” (61.98%), “propaganda material” (40.34%), “network” (30.49%), “television broadcasting” (20.86%), There was no significant difference between urban and rural school students (P> 0.05). There was no significant difference between the students in urban and rural areas (15.16%) and Friends Exchange (14.74%). Conclusion The TB awareness rate and behavioral rate of TB control among senior high school students in Quzhou are lower than those in urban schools. However, there is a strong demand for TB knowledge. According to the characteristics of secondary school students to carry out effective ways to promote publicity to strengthen rural schools.