Igreja Evangélica Sinodal de Angola, Lubango, Angola.
Int J Tuberc Lung Dis. 2011 Jul;15(7):943-8. doi: 10.5588/ijtld.10.0588.
A passive case-finding strategy as present in the DOTS strategy presupposes a patient's willingness to seek care. This requires awareness of tuberculosis (TB) symptoms and the diagnostic process, and positive attitudes towards access and probability of cure.
To measure parameters of health-seeking intention in Southern Angola and to inform the design of context-specific interventions to improve case detection.
A survey in four communities based on the cough-to-cure pathway represented by five domains with either one or two proxy measures. These were assessed for association with appropriate health-seeking behaviour (visiting a medical institution or service).
In total, 805 individuals were included in the study. Appropriate health-seeking behaviour was positively associated with knowing the disease (OR 3.1, 95%CI 1.4-6.8), knowing key symptoms (OR 1.4, 95%CI 1.0-1.9), perceived curability (OR 1.3, 95%CI 1.0-1.6), and the perception that TB services were free of charge (OR 1.9, 95%CI 1.4-2.7). Respondents who perceived a personal risk for TB were less likely to have an appropriate intended health-seeking behaviour (OR 0.7, 95%CI 0.5-0.9).
Knowledge about TB should include key symptoms, perceived curability and information on access to services when designing interventions to improve case detection. The study highlights the importance of advocacy, social mobilisation and communication strategies.
DOTS 策略中的被动病例发现策略假定患者愿意寻求医疗。这需要对结核病（TB）症状和诊断过程有一定的了解，并对获得医疗的途径和治愈的可能性持有积极的态度。
测量安哥拉南部寻求医疗的意向参数，并为设计针对具体情况的干预措施以提高病例检出率提供信息。
在四个社区进行调查，基于咳嗽到治愈的途径，该途径由五个领域组成，每个领域都有一个或两个代理指标。这些指标与适当的寻求医疗行为（即前往医疗机构或服务机构）相关联。
共有 805 人参与了研究。适当的寻求医疗行为与了解疾病（OR 3.1，95%CI 1.4-6.8）、了解关键症状（OR 1.4，95%CI 1.0-1.9）、可治愈性的认知（OR 1.3，95%CI 1.0-1.6）和对 TB 服务免费的认知（OR 1.9，95%CI 1.4-2.7）呈正相关。认为自己有患结核病风险的受访者不太可能有适当的预期寻求医疗行为（OR 0.7，95%CI 0.5-0.9）。
在设计旨在提高病例检出率的干预措施时，应将结核病的知识包括关键症状、可治愈性和获得服务的信息。该研究强调了倡导、社会动员和沟通策略的重要性。
