Knowledge, Attitude and Practices of Patients as Regard to Tuberculosis

Year 2020, Volume: 10 Issue: 01, 24 - 30, 15.03.2020

Chijioke A. Nsofor Ugochiturum S. Okonkwo

https://doi.org/10.5799/jmid.700508

Abstract

Objectives: Knowledge about tuberculosis (TB) and the perceived risk to individuals, families, and communities in Nigeria may increase the tendency of care-seeking with greatest importance. This study was aimed to determine the level of knowledge about TB in Aba, Nigeria; and its association with the attitude and practices of patients towards TB.
Methods: Data on socio-demographic characteristics, and questions regarding the etiology, transmission, prevention, treatment of TB, beliefs about TB and healthcare-seeking behavior were collected cross-sectional from 288 adult patients from November 2017 to March, 2018 in Living Word and Seventh Day Adventist Hospitals, Aba. Participants were patients who indicated willingness by filling a consent form and were at least 18 years old. Data collected were analyzed using Chi-squared test and multiple regression models.
Results: One-hundred eighty-eight (65.2%) of the study population had adequate knowledge about TB. The sources of knowledge were health workers (136 participants, 47.2%), Media (76, 26.4%), Friends (28, 9.7%), Family (28, 9.7%) and others (40, 13.9%). Their knowledge about TB was associated with level of education (α value= 0.05) but not with tendency to seek care from nearest facilities before hospital. The length of time they spent before visiting the hospital when they had TB symptoms was associated with their level of knowledge about TB, level of education, sex and severity of symptoms.
Conclusions: Level of knowledge about TB in the study area still needs to be improved. Means of creating awareness about TB should be diversified and the stop TB program strengthened. J Microbiol Infect Dis 2020; 10(1):24-30.

Keywords

Tuberculosis, Knowledge, Practice, Delay, Care-seeking

References

• 1. Kempinski R, Krasnik A. Prevention of arteriosclerotic heart disease. An epidemiological study of knowledge, attitudes and practices in a community in Israel. Ugeskr Laeger 1974; 136:1931-1938. 2. Suleiman M, Sahal N, Sodemann M, Elsony A. Tuberculosis awareness in Gezira, Sudan: knowledge, attitude and practice case–control survey. East Mediterr Health J 2014; 20:120-129. 3. Khalil A, Abdalrahim M. Knowledge, attitudes, and practices towards prevention and early detection of chronic kidney disease. Int Nurs Rev 2014; 61:237–245. 4. Matsumoto-Takahashi EL, Tongol-Rivera P. Patient knowledge on malaria symptoms is a key to promoting universal access of patients to effective malaria treatment in Palawan, the Philippines. PLoS One 2015; 10(6):e0127858. 5. Masud R, Abu S, Reazul K, Nurul I. Assessment of knowledge regarding TB among non-medical university students in Bangladesh: a cross-sectional study. BMC Public Health 2015; 15:716. 6. Bansal AB, Pakhare AP, Kapoor N. Knowledge, attitude, and practices related to cervical cancer among adult women: a hospital-based cross-sectional study. J Na Sci Biol Med 2015; 6:324-328. 7. Teran CC, Gorena UD, Gonzalez BC. Knowledge, attitudes and practices on HIV/AIDS and prevalence of HIV in the general population of Sucre. Braz J Infect Dis 2015; 19:369–375. 8. Francisco GS, Jay CB, Daniel BJ, Larry JS. Treating cardiovascular disease with antimicrobial agents: a survey of knowledge, attitudes, and practices among physicians in the United States. Clin Infect Dis 2001; 33:171–176 9. Biya O, Gidado S, Abraham A, et al. Knowledge, care-seeking behavior, and factors associated with patient delay among newly-diagnosed pulmonary tuberculosis patients, Federal Capital Territory, Nigeria. Pan Afr Med J 2010; 18 (Supp 1):6. 10. Okeibunor JC, Onyeneho NG, Chukwu JN, Post E. Where do tuberculosis patients go for treatment before reporting to DOTS clinics in southern Nigeria? Tanzania Health Research Bulletin 2007; 9(2):94–101. 11. Isara AR and Akpodiete A. Concerns about the knowledge and attitude of multidrug‑resistant tuberculosis among health care workers and patients in Delta State, Nigeria. Nigerian Journal of Clinical Practice 2015; 18 (5). http://www.njcponline.com 12. Abioye IA, Omotayo, MO, Alakija W. Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria Afr Health Sci 2011; 11(S1):S100–S104. 13. Ibrahim LM, Hadejia IS, Nguku P, Dankoli R, Waziri NE, Akhimien MO. Factors associated with interruption of treatment among pulmonary tuberculosis patients in Plateau State, Nigeria. Pan Afr Med J 2014; 17:78. 14. Bisallah CI, Rampal L, Munn-Sann L, et al. Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria – A randomized control trial PLoS One 2018; 13(2): e0192276. 15. National Population Commission. The Nigeria 2006 census figure, 2006. http://www.nigeriamasterweb.com 16. Hoiberg DH (2010) "Aba". Encyclopædia Britannica. I: A-Ak – Bayes (15th ed.). Chicago, Illinois: Encyclopædia Britannica, Inc. ISBN 978-1-59339-837-8. 17. Israel GS. Determining Sample Size. Program Evaluation and Organizational Development, IFAS, University of Florida (PEOD6) Agricultural Education and Communication Department, UF/IFAS Extension 2003, http://edis.ifas.ufl.edu Retrieved November, 2017. 18. World Health Organization. A Guide to Developing Knowledge, Attitude, and Practice Surveys Suiza: WHO; 2008. 19. Cohen J, Cohen P. Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences. New York, 1983; Taylor & Francis. 20. Tapera O, Kadzatsa W, Nyakabau AM, et al. Sociodemographic inequities in cervical cancer screening, treatment and care amongst women aged at least 25 years: evidence from surveys in Harare, Zimbabwe. BMC Public Health 2019; 19:428. 21. Wandwalo ER, Morkve O. Knowledge of disease and treatment among tuberculosis patients in Mwanza, Tanzania. Int J Tuberc Lung Dis 2000; 4(11):1041-1046. 22. Onyeonoro UU, Chukwu NJ, Oshi DC, Nwafor CC, Meka AO. Assessment of tuberculosis-related knowledge, attitudes and practices in Enugu, South East Nigeria. J Infect Dis Immun 2014; 6(1): 1-9.