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尼日利亚阿达马瓦州游牧民族对结核-艾滋病毒合并感染的认知。

Perceptions of TB-HIV comorbidity among the Nomads in Adamawa State, Nigeria.

机构信息

SUFABEL Community Development Initiative, Gombe, Gombe State, Nigeria.

Janna Health Foundation, Yola, Adamawa State, Nigeria.

出版信息

BMC Public Health. 2024 May 1;24(1):1208. doi: 10.1186/s12889-024-18414-z.

Abstract

The recalcitrance of Mycobacterium tuberculosis (MTB) to eradication was related to achieving a nonreplicating (dormant) state and the increasing global burden of HIV coinfection. Consequently, understanding the knowledge and perception of the population at risk of tuberculosis-HIV infection is essential to designing a strategy of intervention embraced by the target population. A cross-sectional study was conducted among Nomads in Adamawa State, Nigeria. A multistage sampling technique was employed to recruit consented participants. Self-administered questionnaires were used to gather the required information from 4 nomadic schoolteachers in each selected school. Data were entered into a Microsoft Excel sheet where trends and tables of collated data were developed. The findings show that only 13.5% of the participants expressed the correct perceptions of the complementary relationship between HIV and TB. More people in government employment (35%) understand the coexisting relationship of TB-HIV infections. At the same time, cattle herders and crop farmers who practice the prevalent occupation lack knowledge of TB-HIV relatedness. Across gender, only a proportion of males (14.8%) than females (10.5%) were more likely to show an understanding of the complementary association of HIV and TB, and this difference showed statistical significance (p = 0.0001). In conclusion, male gender, education at a degree or professional level, and employment with the government are factors associated with positive perceptions of TB/HIV relatedness. Thus, there is a need to intensify communication to educate Nomads on HIV and TB-related issues.

摘要

结核分枝杆菌 (MTB) 的难治性与其进入非复制(休眠)状态以及 HIV 合并感染的全球负担增加有关。因此,了解结核病-艾滋病病毒感染高危人群的知识和认知对于设计被目标人群接受的干预策略至关重要。本研究在尼日利亚阿达马瓦州的游牧民中进行了一项横断面研究。采用多阶段抽样技术招募同意参与的参与者。使用自我管理问卷从每个选定学校的 4 名游牧学校教师中收集所需信息。数据输入到 Microsoft Excel 工作表中,其中开发了趋势和汇总数据的表格。研究结果表明,只有 13.5%的参与者对 HIV 和 TB 之间的互补关系有正确的认识。更多在政府部门工作的人(35%)了解结核病-艾滋病病毒合并感染的关系。与此同时,从事普遍职业的牧民和庄稼农民缺乏对结核病-艾滋病病毒相关性的了解。在性别方面,只有一部分男性(14.8%)比女性(10.5%)更有可能理解 HIV 和 TB 之间的互补关系,这一差异具有统计学意义(p = 0.0001)。总之,男性、学位或专业水平的教育以及与政府的就业是与对结核病/艾滋病病毒相关性的积极认识相关的因素。因此,需要加强宣传,教育游牧民了解艾滋病毒和结核病相关问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/11061968/2c4e2daa8221/12889_2024_18414_Fig1_HTML.jpg

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