Knowledge, Health Seeking Behavior and Perceived Stigma towards Tuberculosis among Tuberculosis Suspects in a Rural Community in Southwest Ethiopia
Knowledge, Health Seeking Behavior and Perceived Stigma towards Tuberculosis among Tuberculosis Suspects in a Rural Community in Southwest Ethiopia
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DOI：
10.1371/journal.pone.0013339
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发表时间：
2010-10-11
期刊：
影响因子：
3.7
通讯作者：
Colebunders, Robert
中科院分区：
文献类型：
--
作者：
Abebe, Gemeda;Deribew, Amare;Colebunders, Robert
背景：耻辱感和缺乏认识可能导致结核病（TB）的迟发性和低发现率。我们进行了一项研究，在埃塞俄比亚西南部的农村结核病嫌疑人，以评估知识和对结核病和他们的健康seeking behavior.Methods的耻辱：社区为基础的横断面调查进行了2009年2月至3月在Gilgel Gibe实地研究区。任何15岁及以上咳嗽至少2周的人都被认为是结核病嫌疑人，并被纳入研究。由经过培训的人员使用预先测试的结构化问卷收集数据。结果：476例可疑肺结核患者中，395例（83.0%）听说过结核病，“邪眼”是最常见的病因，占50.4%。与未受过教育的个体相比，能够读写的个体更有可能了解结核病[（粗OR = 2.98，（95% CI：1.25，7.08）]，更有可能知道结核病是由微生物引起的[（调整后OR = 3.16，（95% CI：1.77，5.65）]。男性比女性更可能知道结核病的病因[（校正OR = 1.92，（95%CI：1.22，3.03）]。51.3%的结核病可疑者认为自己患结核病后会被他人轻视。199人（51.2%）报告了对结核病的高度耻辱。220人（46.2%）未因疾病寻求帮助。既往接受过抗结核治疗的个体比未接受过抗结核治疗的个体更有可能有适当的求医行为[（调整OR = 3.65，95%CI：1.89，7.06）]。我们观察到不适当的就医行为和对结核病的耻辱。埃塞俄比亚的结核病控制计划应教育农村社区，特别是女性和未受过教育的个人，了解结核病的病因和早期诊断和治疗的重要性。
Background: Perceived stigma and lack of awareness could contribute to the late presentation and low detection rate of tuberculosis (TB). We conducted a study in rural southwest Ethiopia among TB suspects to assess knowledge about and stigma towards TB and their health seeking behavior.Methods: A community based cross sectional survey was conducted from February to March 2009 in the Gilgel Gibe field research area. Any person 15 years and above with cough for at least 2 weeks was considered a TB suspect and included in the study. Data were collected by trained personnel using a pretested structured questionnaire. Logistic regression analysis was done using SPSS 15.0 statistical software.Results: Of the 476 pulmonary TB suspects, 395 (83.0%) had ever heard of TB; "evil eye'' (50.4%) was the commonly mentioned cause of TB. Individuals who could read and write were more likely to be aware about TB [(crude OR = 2.98, (95% CI: 1.25, 7.08)] and more likely to know that TB is caused by a microorganism [(adjusted OR = 3.16, (95% CI: 1.77, 5.65)] than non-educated individuals. Males were more likely to know the cause of TB [(adjusted OR = 1.92, (95% CI: 1.22, 3.03)] than females. 51.3% of TB suspects perceived that other people would consider them inferior if they had TB. High stigma towards TB was reported by 199(51.2%). 220 (46.2%) did not seek help for their illness. Individuals who had previous anti-TB treatment were more likely to have appropriate health seeking behavior [(adjusted OR = 3.65, (95% CI: 1.89, 7.06)] than those who had not.Conclusion: There was little knowledge about TB in the Gilgel Gibe field research area. We observed inappropriate health seeking behavior and stigma towards TB. TB control programs in Ethiopia should educate rural communities, particularly females and non-educated individuals, about the cause and the importance of early diagnosis and treatment of TB.