尼日利亚城市贫民窟结核病知识、态度和行为的预测因素：一项横断面研究。
Predictors of tuberculosis knowledge, attitudes and practices in urban slums in Nigeria: a cross-sectional study.
作者信息
Balogun Mobolanle Rasheedat, Sekoni Adekemi Oluwayemisi, Meloni Seema Thakore, Odukoya Oluwakemi Ololade, Onajole Adebayo Temitayo, Longe-Peters Olukemi Arinola, Ogunsola Folasade Tolulope, Kanki Phyllis Jean
机构信息
Department of Community Health and Primary Care, College of Medicine of the University of Lagos, Lagos, Nigeria.
Department of Immunology and Infectious Diseases, Harvard TH Chan School of Public Health, Boston, MA, USA.
出版信息
Pan Afr Med J. 2019 Feb 4;32:60. doi: 10.11604/pamj.2019.32.60.14622. eCollection 2019.
INTRODUCTION
Nigeria is among six countries responsible for the majority of tuberculosis (TB) cases in the world. The Nigerian government has emphasized community-based case finding to increase detection of TB. This process requires efforts to improve knowledge, attitudes and practices (KAP) of TB, particularly in the poorest of communities. This study presents data from a KAP survey administered in two underserved Nigerian communities.
METHODS
a structured survey was administered by trained interviewers among adult residents in two slum communities in Lagos, Nigeria. Participants were selected through multistage random sampling. KAP scores were computed and the predictors of higher scores were assessed.
RESULTS
a total of 504 respondents were surveyed. The mean KAP scores were relatively low: 9.8 ± 7.1 for knowledge (out of a maximum 34), 5.3 ± 3.4 for attitude (maximum = 10), and 5.2 ± 1.5 for practice (maximum = 7). The predictors of good knowledge were increasing age, post secondary education and professional occupation. The predictors of positive attitude were post secondary education and good TB knowledge. Good knowledge was a predictor of good practice.
CONCLUSION
our findings underscore the need to improve the education about TB in underserved communities. Improving KAP scores will ultimately lead to higher rates of TB detection and treatment.
引言
尼日利亚是全球六个结核病病例数占多数的国家之一。尼日利亚政府强调以社区为基础的病例发现工作，以增加结核病的检测率。这一过程需要努力改善对结核病的知识、态度和行为（KAP），尤其是在最贫困的社区。本研究展示了在尼日利亚两个服务不足社区进行的KAP调查数据。
方法
由经过培训的访谈员对尼日利亚拉各斯两个贫民窟社区的成年居民进行结构化调查。通过多阶段随机抽样选择参与者。计算KAP得分并评估得分较高的预测因素。
结果
共对504名受访者进行了调查。KAP平均得分相对较低：知识方面为9.8±7.1（满分34分），态度方面为5.3±3.4（满分10分），行为方面为5.2±1.5（满分7分）。知识水平良好的预测因素包括年龄增长、高等教育和职业。积极态度的预测因素包括高等教育和良好的结核病知识。良好的知识是良好行为的预测因素。
结论
我们的研究结果强调了在服务不足社区改善结核病教育的必要性。提高KAP得分最终将导致更高的结核病检测和治疗率。
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