中文摘要：

目的研究肺结核患者推荐密切接触者进行结核病筛查的意愿及障碍。方法采用面对面问卷调查的方法，收集2011年深圳市南山区登记管治的传染性肺结核患者的相关信息。结果共调查了265名15岁以上患者，推荐意愿平均为72．3％，其中对于推荐家人筛查意愿最高（91．7％）；推荐密切接触者筛查障碍中，患者内心耻辱感得分35．15，预期会丢失工作、失去经济来源及其他人会远离自己排在前3位；同时，患者也为密切接触者考虑（42．21分）：怕他们担心、耽误他们工作。结论肺结核患者推荐家人筛查意愿高于其他人群，患者内心耻辱感是影响患者推荐的障碍；如何有效开展流动人口密切接触者筛查，保障患者的工作权、平衡患者隐私权与他人健康权等，是今后结核病控制有待解决的难题。

英文摘要：

Objectives To explore tuberculosis （TB） patients＇ willingness and obstacles to refer close contacts. Methods Face to face questionnaire survey was adapted and all infectious TB patients registered in Nanshan District in 2011 were investigated. Results 265 TB patients were surveyed. The average score of willingness to refer close contacts was 72.3 % among TB patients, with the highest willingness to refer their family members （91.7%）. A- mong the obstacles, the average score of TB patients＂ internal stigma was 35.15, i.e. lose job, lose wage and close contact＇s keeping away were the top three items. And about thinking of the close contact, the average score was 42. 21, such as ＂cause others＇ worries＂ and ＂close contact may delay or miss work time＂. Conclusions The willingness to refer family members was highest among TB patients, and internal stigma was one of the obstacles. How to effectively execute contact investigation among floating population, ensure patients＂ right of work and balance patients privacy and other people＇s right of health are problems need to be solved in TB control in the future.