Andoseh Genevieve, Tiani Lionel U, Ambassa Cyriaque A, Thiomo Diane Kamdem, Assam Assam Jean Paul, Tchinda Cedric F, Numfor Leonard N, Ntoumi Francine, Beng Véronique Penlap
Department of Biochemistry, Faculty of Science, University of Yaoundé I, Yaoundé, Cameroon.
Laboratory for Tuberculosis Research and Pharmacology, Biotechnology Center of Nkolbisson (BTC), University of Yaoundé I, Yaoundé, Cameroon.
J Public Health Afr. 2025 May 14;16(1):717. doi: 10.4102/jphia.v16i1.717. eCollection 2025.
COVID-19 and tuberculosis (TB) were the top two leading causes of death from a single infectious agent in 2022.
This study aimed at assessing COVID-19 knowledge, attitude, and practices (KAP) and their associated factors among pulmonary TB patients and healthy individuals in Yaoundé, Cameroon.
The study was conducted at the Jamot Hospital in Yaoundé, a main referral hospital for TB management in Cameroon.
A cross-sectional design was used to recruit a consecutive sample of TB patients and healthy participants at Jamot Hospital and communities in Yaoundé, Cameroon, from April 2022 to March 2023. Data on socio-demographic characteristics and COVID-19 KAP were collected and analysed using logistic regression with significance considered at < 0.05.
Out of 409 participants, 67.5% had good knowledge, 54% had a favourable attitude, and 22.5% had good practices towards COVID-19. Multivariate analysis identified TB status, age, sex, and marital status as significant factors influencing KAP scores. Good knowledge and good practices were associated with being healthy, young, and single ( < 0.05). In addition, the female gender, good knowledge, and favourable attitudes were associated with good practices ( < 0.05).
Gaps in COVID-19 KAP among TB patients highlight the need for targeted public health interventions, with a focus on TB patients, males, the elderly, and married individuals for better control.
Tuberculosis patients are not adopting positive prevention practices as required, thus increasing their risk of getting COVID-19 and transmitting TB, necessitating urgent action.
2022年，新型冠状病毒肺炎（COVID-19）和结核病（TB）是单一感染源导致死亡的两大主要原因。
本研究旨在评估喀麦隆雅温得肺结核患者和健康个体对COVID-19的知识、态度和行为（KAP）及其相关因素。
该研究在雅温得的贾莫特医院进行，这是喀麦隆结核病管理的主要转诊医院。
采用横断面设计，于2022年4月至2023年3月在喀麦隆雅温得的贾莫特医院和社区连续招募肺结核患者和健康参与者样本。收集社会人口学特征和COVID-19 KAP数据，并使用逻辑回归进行分析，显著性水平设定为<0.05。
在409名参与者中，67.5%对COVID-19有良好的知识了解，54%有积极的态度，22.5%有良好的行为。多变量分析确定结核病状态、年龄、性别和婚姻状况是影响KAP得分的重要因素。良好的知识了解和良好的行为与健康、年轻和单身相关（<0.05）。此外，女性、良好的知识了解和积极的态度与良好的行为相关（<
0.05）。
肺结核患者在COVID-19 KAP方面存在差距，这凸显了有针对性的公共卫生干预措施的必要性，重点是肺结核患者、男性、老年人和已婚人士，以实现更好的控制。
结核病患者未按要求采取积极的预防措施，从而增加了感染COVID-19和传播结核病的风险，因此需要紧急行动。
