Makerere University School of Public Health, Kampala, Uganda.
Int J Tuberc Lung Dis. 2011 Jul;15(7):938-42. doi: 10.5588/ijtld.10.0211.
To assess tuberculosis (TB) knowledge, attitudes and health-seeking behaviour to inform the design of communication and social mobilisation interventions.
Iganga/Mayuge Demographic Surveillance Site, Uganda.
Between June and July 2008, 18 focus group discussions and 12 key informant interviews were conducted, including parents of infants and adolescents and key informant interviews with community leaders, traditional healers and patients with TB.
People viewed TB as contagious, but not necessarily an airborne pathogen. Popular TB aetiologies included sharing utensils, heavy labour, smoking, bewitchment and hereditary transmission. TB patients were perceived to seek care late or to avoid care. Combining care from traditional healers and the biomedical system was common. Poverty, drug stock-outs, fear of human immunodeficiency virus (HIV) testing and length of TB treatment negatively affect health-seeking behaviour. Stigma and avoidance of persons with TB often reflects an assumption of HIV co-infection.
The community's concerns about pill burden, quality of care, financial barriers, TB aetiology, stigma and preference for pluralistic care need to be addressed to improve early detection. Health education messages should emphasise the curability of TB, the feasibility of treatment and the engagement of traditional healers as partners in identifying cases and facilitating adherence to treatment.
评估结核病（TB）知识、态度和就医行为，为沟通和社会动员干预措施的设计提供信息。
乌干达伊甘加/马尤盖人口监测点。
2008 年 6 月至 7 月期间，进行了 18 次焦点小组讨论和 12 次关键知情人访谈，包括婴儿和青少年的父母以及社区领导人、传统治疗师和结核病患者的关键知情人访谈。
人们认为结核病具有传染性，但不一定是空气传播的病原体。常见的结核病病因包括共用餐具、重体力劳动、吸烟、巫术和遗传传播。人们认为结核病患者就诊较晚或避免就诊。结合传统治疗师和生物医学系统的治疗是常见的。贫困、药品短缺、对人类免疫缺陷病毒（HIV）检测的恐惧以及结核病治疗的时间长度都会对就医行为产生负面影响。对结核病患者的污名化和回避通常反映了对 HIV 合并感染的假设。
社区对药物负担、护理质量、经济障碍、结核病病因、污名化和对多元化护理的偏好等问题表示关注，需要加以解决，以提高早期发现率。健康教育信息应强调结核病的可治愈性、治疗的可行性以及传统治疗师作为发现病例和促进治疗依从性的合作伙伴的参与。
