Desalu Olufemi O, Adeoti Adekunle O, Fadeyi Abayomi, Salami Alakija K, Fawibe Ademola E, Oyedepo Olanrewaju O
Department of Medicine, University of Ilorin Teaching Hospital, PMB 1459, Ilorin 240001, Nigeria.
Tuberc Res Treat. 2013;2013:369717. doi: 10.1155/2013/369717. Epub 2013 Jan 14.
Objectives. To determine the awareness of the warning signs, risk factors, and treatment of tuberculosis among urban Nigerians. Methods. This was a cross-sectional survey among 574 adults in Ilorin, Nigeria. Semistructured questionnaire was administered by trained interviewers to obtain information about awareness of tuberculosis warning signs, risk factors, and treatment. Results. Majority of the subjects (71.4%) were aware of at least one warning sign of tuberculosis. Cough (66.2%), weight loss (38.0%), and haemoptysis (30.7%) were the most identified warning signs. The predictors of awareness of warning sign were increasing age (r + 0.12), higher family income (r + 0.10), higher level of education (r + 0.10), and belonging to Christian faith (r + 0.11). Awareness of risk factors for tuberculosis was higher for tobacco smokers (77.0%) and history of contact with a case of TB (76.0%). Less than half were aware of HIV infection (49.8%), alcohol consumption (42.5%), chronic kidney disease (40.4%), extremes of ages (39.4%), cancers (36.9%), and diabetes mellitus (27.5%) as risk factors for TB. Tuberculosis was reported to be curable by 74.6% of the subjects and 67.9% knew that there are medications for treatment of tuberculosis, while 11.5% knew the duration of treatment. Conclusion. This study has revealed that the awareness of HIV and noncommunicable diseases as risk factors for TB is poor. This study has therefore demonstrated the need for health education programs that will emphasize recognition, identification, and modification of risk factor for TB.
目的。确定尼日利亚城市居民对结核病警示体征、风险因素及治疗方法的知晓情况。方法。这是一项针对尼日利亚伊洛林574名成年人的横断面调查。由经过培训的访谈员发放半结构化问卷，以获取有关结核病警示体征、风险因素及治疗方法知晓情况的信息。结果。大多数受试者（71.4%）知晓至少一种结核病警示体征。咳嗽（66.2%）、体重减轻（38.0%）和咯血（30.7%）是最常被提及的警示体征。警示体征知晓情况的预测因素包括年龄增长（r + 0.12）、家庭收入较高（r + 0.10）、教育程度较高（r + 0.10）以及属于基督教信仰（r + 0.11）。吸烟者（77.0%）和有结核病接触史者（76.0%）对结核病风险因素的知晓率较高。不到一半的人知晓HIV感染（49.8%）、饮酒（42.5%）、慢性肾脏病（40.4%）、极端年龄（39.4%）、癌症（36.9%）和糖尿病（27.5%）是结核病的风险因素。74.6%的受试者报告称结核病可治愈，67.9%的人知道有治疗结核病的药物，而11.5%的人知道治疗疗程。结论。本研究表明，对HIV和非传染性疾病作为结核病风险因素的知晓情况较差。因此，本研究证明需要开展健康教育项目，强调对结核病风险因素的识别、确认及修正。
