Department of Community Health and Primary Care, College of Medicine, University of Lagos, Idiaraba, Lagos, Nigeria.
Department of Community Health and Primary Health Care, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
Ann Afr Med. 2021 Jul-Sep;20(3):184-192. doi: 10.4103/aam.aam_40_20.
Tuberculosis (TB), though preventable and curable, remains a global health problem, ranked one of the top causes of death worldwide, despite the World Health Organization's strategies. This may be due to the stigma surrounding the disease.
This study assesses TB stigma in light of knowledge, attitudes, and preventive practices among individuals in an urban community.
This was a descriptive, cross-sectional study among 317 residents of Surulere, Lagos, Nigeria, selected by multi-stage sampling.
Data were collected using a pretested, semi-structured, interviewer-administered questionnaire and analyzed using Epi InfoTM version 7.2.2.6 2018 (Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA).
Descriptive variables were summarized as frequencies, and the Chi-square test was used to test the associations. The level of significance was predetermined at P ≤0.05.
Most participants were between the age group of 21 and 40 years. Approximately 9 out of every 10 respondents (91.8%) were aware of TB. Overall, only 2.4% of respondents had good knowledge of TB, more than half (59.1%) had positive attitudes toward TB, about one-third (37.1%) had good preventive practices and 22.7% of respondents expressed TB stigma, 63.6% would show no compassion or desire to help people with TB while 64.3% would rather people with TB were never employed. However, good knowledge translated into less stigma (P <0.001).
Most participants were aware of TB, although knowledge, attitude, and practice levels were poor. Knowledge was found to reduce TB stigma, reinforcing the need for improved community literacy regrading TB. This has the potential to influence health-seeking behavior and promote better TB prevention, detection, and treatment outcomes.
尽管世界卫生组织制定了相关战略，但结核病（TB）仍是一个全球性的健康问题，它是全球排名前几位的死亡原因之一，尽管可预防且可治愈，但这种情况依然存在。这可能是由于该疾病所带来的耻辱感所致。
本研究评估了拉各斯苏里勒雷（Surulere）城区社区个体中与结核病耻辱感相关的知识、态度和预防行为。
这是一项在尼日利亚拉各斯苏里勒雷（Surulere）城区社区的 317 名居民中进行的描述性、横断面研究，采用多阶段抽样方法进行选择。
使用经过预测试的半结构化访谈式调查问卷收集数据，并使用 Epi InfoTM 版本 7.2.2.6 2018（美国亚特兰大疾病控制与预防中心（CDC））进行分析。
总结描述性变量作为频率，并使用卡方检验来检验关联。预设显著性水平为 P≤0.05。
大多数参与者年龄在 21 至 40 岁之间。大约每 10 个受访者中就有 9 个（91.8%）知晓结核病。总体而言，仅有 2.4%的受访者对结核病有较好的了解，超过一半（59.1%）对结核病持积极态度，约三分之一（37.1%）有良好的预防行为，22.7%的受访者表示存在结核病耻辱感，63.6%的受访者表示不会同情或愿意帮助结核病患者，而 64.3%的受访者希望结核病患者永远无法就业。然而，良好的知识确实降低了结核病耻辱感（P<0.001）。
大多数参与者知晓结核病，尽管知识、态度和行为水平较差。知识被发现可降低结核病耻辱感，这强调了提高社区结核病知识普及的必要性。这有可能影响寻求医疗服务的行为，并促进更好的结核病预防、检测和治疗结果。
