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Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey
BACKGROUND: Early diagnosis and treatment of tuberculosis (TB) are the mainstay of global and national TB control efforts. However, the gap between expected and reported cases persists for various reasons attributable to the TB services and care-seeking sides of the TB care cascade. Understanding in...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568354/ https://www.ncbi.nlm.nih.gov/pubmed/33069220 http://dx.doi.org/10.1186/s12889-020-09685-3 |
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author | Bashorun, Adedapo Olufemi Linda, Christopher Omoleke, Semeeh Kendall, Lindsay Donkor, Simon D. Kinteh, Ma-Ansu Danso, Baba Leigh, Lamin Kandeh, Sheriff D’Alessandro, Umberto Adetifa, Ifedayo Morayo O. |
author_facet | Bashorun, Adedapo Olufemi Linda, Christopher Omoleke, Semeeh Kendall, Lindsay Donkor, Simon D. Kinteh, Ma-Ansu Danso, Baba Leigh, Lamin Kandeh, Sheriff D’Alessandro, Umberto Adetifa, Ifedayo Morayo O. |
author_sort | Bashorun, Adedapo Olufemi |
collection | PubMed |
description | BACKGROUND: Early diagnosis and treatment of tuberculosis (TB) are the mainstay of global and national TB control efforts. However, the gap between expected and reported cases persists for various reasons attributable to the TB services and care-seeking sides of the TB care cascade. Understanding individual and collective perspectives of knowledge, attitudes, beliefs and other social circumstances around TB can inform an evidence-based approach in engaging communities and enhance their participation in TB case detection and treatment. METHODS: The study was conducted during the Gambian survey of TB prevalence. This was a nationwide cross-sectional multistage cluster survey with 43,100 participants aged ≥15 years in 80 clusters. The study sample, a random selection of 10% of the survey population within each cluster responded to a semi-structured questionnaire administered by trained fieldworkers to assess the knowledge, attitudes and practice of the participants towards TB. Overall knowledge, attitude and practice scores were dichotomised using the computed mean scores and analysed using descriptive, univariable and multivariable logistic regression. RESULTS: All targeted participants (4309) were interviewed. Majority were females 2553 (59.2%), married 2614 (60.7%), had some form of education 2457 (57%), and were unemployed 2368 (55%). Although 3617 (83.9%) of the participants had heard about TB, only 2883 (66.9%) were considered to have good knowledge of TB. Overall 3320 (77%) had unfavourable attitudes towards TB, including 1896 (44%) who indicated a preference for staying away from persons with TB rather than helping them. However, 3607(83.7%) appeared to have the appropriate health-seeking behaviours with regard to TB as 4157 (96.5%) of them were willing to go to the health facility if they had symptoms suggestive of TB. CONCLUSIONS: About 3 in 10 Gambians had poor knowledge on TB, and significant stigma towards TB and persons with TB persists. Interventions to improve TB knowledge and address stigma are required as part of efforts to reduce the burden of undiagnosed TB in the country. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s12889-020-09685-3. |
format | Online Article Text |
id | pubmed-7568354 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75683542020-10-20 Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey Bashorun, Adedapo Olufemi Linda, Christopher Omoleke, Semeeh Kendall, Lindsay Donkor, Simon D. Kinteh, Ma-Ansu Danso, Baba Leigh, Lamin Kandeh, Sheriff D’Alessandro, Umberto Adetifa, Ifedayo Morayo O. BMC Public Health Research Article BACKGROUND: Early diagnosis and treatment of tuberculosis (TB) are the mainstay of global and national TB control efforts. However, the gap between expected and reported cases persists for various reasons attributable to the TB services and care-seeking sides of the TB care cascade. Understanding individual and collective perspectives of knowledge, attitudes, beliefs and other social circumstances around TB can inform an evidence-based approach in engaging communities and enhance their participation in TB case detection and treatment. METHODS: The study was conducted during the Gambian survey of TB prevalence. This was a nationwide cross-sectional multistage cluster survey with 43,100 participants aged ≥15 years in 80 clusters. The study sample, a random selection of 10% of the survey population within each cluster responded to a semi-structured questionnaire administered by trained fieldworkers to assess the knowledge, attitudes and practice of the participants towards TB. Overall knowledge, attitude and practice scores were dichotomised using the computed mean scores and analysed using descriptive, univariable and multivariable logistic regression. RESULTS: All targeted participants (4309) were interviewed. Majority were females 2553 (59.2%), married 2614 (60.7%), had some form of education 2457 (57%), and were unemployed 2368 (55%). Although 3617 (83.9%) of the participants had heard about TB, only 2883 (66.9%) were considered to have good knowledge of TB. Overall 3320 (77%) had unfavourable attitudes towards TB, including 1896 (44%) who indicated a preference for staying away from persons with TB rather than helping them. However, 3607(83.7%) appeared to have the appropriate health-seeking behaviours with regard to TB as 4157 (96.5%) of them were willing to go to the health facility if they had symptoms suggestive of TB. CONCLUSIONS: About 3 in 10 Gambians had poor knowledge on TB, and significant stigma towards TB and persons with TB persists. Interventions to improve TB knowledge and address stigma are required as part of efforts to reduce the burden of undiagnosed TB in the country. SUPPLEMENTARY INFORMATION: Supplementary information accompanies this paper at 10.1186/s12889-020-09685-3. BioMed Central 2020-10-17 /pmc/articles/PMC7568354/ /pubmed/33069220 http://dx.doi.org/10.1186/s12889-020-09685-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Bashorun, Adedapo Olufemi Linda, Christopher Omoleke, Semeeh Kendall, Lindsay Donkor, Simon D. Kinteh, Ma-Ansu Danso, Baba Leigh, Lamin Kandeh, Sheriff D’Alessandro, Umberto Adetifa, Ifedayo Morayo O. Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title | Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title_full | Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title_fullStr | Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title_full_unstemmed | Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title_short | Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey |
title_sort | knowledge, attitude and practice towards tuberculosis in gambia: a nation-wide cross-sectional survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568354/ https://www.ncbi.nlm.nih.gov/pubmed/33069220 http://dx.doi.org/10.1186/s12889-020-09685-3 |
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