尼日利亚农村社区公众对肺结核的认知与态度评估

Evaluation of public awareness and attitude to pulmonary tuberculosis in a Nigerian rural community.

作者信息

Anochie Philip Ifesinachi, Onyeneke Edwina Chinwe, Onyeozirila Anthony Chidiebere, Igbolekwu Leonard Chibuzo, Onyeneke Bestman Chukwuemeka, Ogu Angelina Chinyere

机构信息

MD, TB/HIV and AIDS Research Group, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.

MD, St. Joseph's Hospital, Department of Medicine and Surgery, Owerri, Imo state, Nigeria.

出版信息

Germs. 2013 Jun 1;3(2):52-62. doi: 10.11599/germs.2013.1037.

DOI:10.11599/germs.2013.1037

PMID:24432287

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3882830/

Abstract

INTRODUCTION

Community based interventions have long been linked to tuberculosis control efforts. Effectively treated and cured patients living within their home communities are often the best advocates and may become the drivers of social mobilization to support control of tuberculosis.

METHODS

A descriptive cross-sectional knowledge, attitude, behavioral and practice (KABP) survey on tuberculosis was carried out in a rural Nigerian community. We used the multi-stage sampling method for subject selection. We administered an interview schedule consisting of a pre-tested structured interviewer-administered questionnaire, together with in-depth interviews and focus group discussions.

RESULTS

We applied the questionnaire to 1186 people in designated rural households. Most of the participants, (1154, 97.3%) had prior knowledge and awareness about tuberculosis as a disease, 612 (51.6%) considered tuberculosis a result of HIV/AIDS epidemics or malnutrition, and 451 (38%) believed that it can be cured by Western medicine. The unwillingness of respondents to relate with TB patients was generally high (97%, 1150), even where levels of awareness and knowledge were high.

CONCLUSION

These results should be used to orient tuberculosis control programs, especially those aimed at mobilizing people for tuberculosis control and eradication.

摘要

引言

基于社区的干预措施长期以来一直与结核病控制工作相关联。在家乡社区中得到有效治疗和治愈的患者往往是最佳倡导者，并且可能成为支持结核病控制的社会动员的推动者。

方法

在尼日利亚一个农村社区开展了一项关于结核病的描述性横断面知识、态度、行为和实践（KABP）调查。我们采用多阶段抽样方法选择研究对象。我们实施了一份访谈提纲，其中包括一份经过预测试的结构化访谈问卷，以及深入访谈和焦点小组讨论。

结果

我们将问卷应用于指定农村家庭中的1186人。大多数参与者（1154人，97.3%）对结核病作为一种疾病有先前的了解和认识，612人（51.6%）认为结核病是艾滋病毒/艾滋病流行或营养不良的结果，451人（38%）认为它可以通过西药治愈。即使在意识和知识水平较高的情况下，受访者与结核病患者接触的意愿普遍较低（97%，1150人）。