Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: Findings from a national cross-sectional survey
Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: Findings from a national cross-sectional survey
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DOI：
10.1371/journal.pone.0224196
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发表时间：
2019-10-28
期刊：
影响因子：
3.7
通讯作者：
Suarez, Pedro
中科院分区：
文献类型：
--
作者：
Datiko, Daniel G.;Habte, Dereje;Suarez, Pedro
埃塞俄比亚是结核病、结核病/艾滋病和耐药结核病的高负担国家之一。这项全国性研究的目的是为了更好地了解结核病相关的知识，态度和做法（KAP），并产生证据的政策和decision-making.Materials and MethodsWe进行了横截面结核病KAP调查在7个地区和两个城市的埃塞俄比亚政府。随机选择了80个kebeles（病房）和40个卫生中心进行研究。采用系统抽样方法，每个村抽取22户居民，每个卫生院抽取11名结核病患者。结果在3,503名参与者中，884人（24.4%）、836人（24.1%）和1,783人（51.5%）分别为结核病患者、结核病患者家属和一般人群。平均年龄为34.3岁，50%为女性。46%是户主，32.1%是文盲，20.3%是农民，19.8%来自最低的五分之一。大多数人（95.5%）听说过结核病，但只有25.8%知道结核病是由细菌引起的。据报告，咳嗽或打喷嚏是结核病传播的最常见途径。大多数人（85.3%）知道结核病是可以治愈的。男性、受过良好教育的人、结核病患者及其家属的知识得分较高。在2，483名参与者中，96%的人报告说，如果他们出现结核病症状，他们会去公共卫生机构。结核病传播的知识不足，有限的社区卫生工作者的参与，和使用社区卫生工作者的低偏好是关键的challenges.ConclusionsGiven误解结核病的原因，低偏好使用社区卫生工作者，和参与不足，有针对性的健康教育干预措施，需要改善结核病服务。
IntroductionEthiopia is among the high-burden countries for tuberculosis (TB), TB/HIV, and drug-resistant TB. The aim of this nationwide study was to better understand TB-related knowledge, attitudes, and practices (KAPs) and generate evidence for policy and decision-making.Materials and methodsWe conducted a cross-sectional TB KAP survey in seven regions and two city administrations of Ethiopia. Eighty kebeles (wards) and 40 health centers were randomly selected for the study. Using systematic sampling, 22 households and 11 TB patients were enrolled from each selected village and health center, respectively. Variables with a value of p = < 0.25 were included in the model for logistic regression analysis.ResultsOf 3,503 participants, 884 (24.4%), 836 (24.1%), and 1,783 (51.5%) were TB patients, families of TB patients, and the general population, respectively. The mean age was 34.3 years, and 50% were women. Forty-six percent were heads of households, 32.1% were illiterate, 20.3% were farmers, and 19.8% were from the lowest quintile. The majority (95.5%) had heard about TB, but only 25.8% knew that TB is caused by bacteria. Cough or sneezing was reported as the commonest means of TB transmission. The majority (85.3%) knew that TB could be cured. Men, better-educated people, and TB patients and their families have higher knowledge scores. Of 2,483 participants, 96% reported that they would go to public health facilities if they developed TB symptoms.DiscussionMost Ethiopians have a high level of awareness about TB and seek care in public health facilities, and communities are generally supportive. Inadequate knowledge about TB transmission, limited engagement of community health workers, and low preference for using community health workers were the key challenges.ConclusionsGiven misconceptions about TB's causes, low preference for use of community health workers, and inadequate engagement, targeted health education interventions are required to improve TB services.