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南非林波波省迪克盖莱、马马博洛和莫蒂巴健康和人口监测系统农村社区中结核病的知识、态度和预防实践。

Knowledge, attitude and preventative practice of tuberculosis in rural communities of Dikgale, Mamabolo and Mothiba health and demographic surveillance system in Limpopo province, South Africa.

机构信息

Department of Pathology and Medical Sciences, Faculty of Health Sciences, University of Limpopo, Sovenga, South Africa.

Department of Public Health and Health Promotion, Faculty of Health Sciences, University of Limpopo, Sovenga, South Africa.

出版信息

BMC Public Health. 2023 Sep 1;23(1):1687. doi: 10.1186/s12889-023-15845-y.

Abstract

BACKGROUND

Tuberculosis continues to be a serious public health issue. To reduce the transmission of the disease, it is imperative to address the major obstacle of inadequate understanding regarding the causes, risk factors, treatments, and prevention of pulmonary TB. The study assessed knowledge, attitude, and preventative practices of tuberculosis among community members in Dikgale, Mamabolo and Mothiba (DIMAMO) Health Demographic Surveillance system, Limpopo Province South Africa.

METHODS

A cross-sectional clinic-based survey involving 360 participants was conducted at clinics at Dikgale, Mamabolo and Mothiba (DIMAMO) Health and Demographic Surveillance System. A standardised questionnaire on socio-demographic, knowledge, attitude and preventative practices towards tuberculosis based on (WHO) KAP-TB template guidelines was used to collect data. Descriptive statistics on Statistical Package for Social Sciences (SPSS) version 27.0 was used to analyse data.

RESULTS

The results of the cross-sectional survey on KAP-TB illustrated that the participants have good knowledge, attitude, and perception of TB. Majority of the participants (n = 270, 75%) had good general knowledge, while (n = 90, 25%) had poor knowledge about TB. However, the study reports (n = 57, 15.6%) having knowledge of causative agents of TB. Participants showed a favourable attitude toward people who are infected with TB. 87% showed a favourable attitude while only 12.46% showed an unfavourable attitude towards TB. Participants showed a good practice of (71.7%) while (28.3%) of participants had poor practice towards TB.

CONCLUSION

Health education interventions programme on TB needs to be intensified among the community members to improve TB awareness and reduce transmission. Focused educational interventions on TB aetiology and mode of transmission are required to increase TB preventative practices and improve health-seeking behaviour among community members.

摘要

背景

结核病仍然是一个严重的公共卫生问题。为了减少疾病的传播,必须解决对结核病的病因、风险因素、治疗和预防认识不足这一主要障碍。本研究评估了南非林波波省 Dikgale、Mamabolo 和 Mothiba(DIMAMO)健康人口监测系统中社区成员的结核病知识、态度和预防行为。

方法

在 Dikgale、Mamabolo 和 Mothiba(DIMAMO)健康和人口监测系统的诊所进行了一项基于 360 名参与者的横断面基于诊所的调查。使用基于(世界卫生组织)KAP-TB 模板指南的关于社会人口统计学、结核病知识、态度和预防行为的标准化问卷收集数据。使用统计软件包社会科学版(SPSS)版本 27.0 进行描述性统计分析。

结果

KAP-TB 的横断面调查结果表明,参与者对结核病有良好的知识、态度和看法。大多数参与者(n=270,75%)对结核病有良好的一般认识,而(n=90,25%)对结核病的认识较差。然而,研究报告(n=57,15.6%)了解结核病的病原体。参与者对感染结核病的人表现出有利的态度。87%的人表现出有利的态度,而只有 12.46%的人对结核病持不利的态度。参与者表现出良好的行为实践(71.7%),而(28.3%)的参与者对结核病的行为实践较差。

结论

需要加强针对社区成员的结核病健康教育干预计划,以提高结核病意识并减少传播。需要针对结核病的病因和传播方式开展重点教育干预,以提高结核病预防行为并改善社区成员的就医行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0227/10472723/ca7cdc91b02e/12889_2023_15845_Fig1_HTML.jpg

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