Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지
DOI QR코드

DOI QR Code

Knowledge, Attitudes, and Practices Regarding Tuberculosis in Timor-Leste: Results From the Demographic and Health Survey 2016

  • Pengpid, Supa (ASEAN Institute for Health Development, Mahidol University) ;
  • Peltzer, Karl (Department of Research Administration and Development, University of Limpopo, Turfloop Campus)
  • Received : 2018.07.24
  • Accepted : 2019.01.18
  • Published : 2019.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The aim of this study was to assess knowledge, attitudes, and practices regarding tuberculosis (TB) in the general population in Timor-Leste. Methods: In the nationally representative cross-sectional 2016 Timor-Leste Demographic and Health Survey, 4622 men (aged 15-59 years) and 12 607 women (aged 15-49 years) were randomly selected using stratified multistage sampling and interviewed. Results: Overall, 66.9% of men and 62.8% of women were aware of TB, 4.4% of men and 12.6% of women had TB courtesy stigma, and 83.3% of men and 88.6% of women reported intention to receive TB treatment. The $mean{\pm}standard$ deviation overall TB knowledge score was $3.9{\pm}2.0$ (out of 8) among men and $3.0{\pm}1.8$ among women. In a multivariable linear regression analysis, among both men and women, older age, higher education, rural residence, and sources of TB information (family/friends, school/workplace, health care provider, Internet, television, and newspaper) were associated with higher TB knowledge scores. In addition, among women, higher wealth status and having heard about TB from the radio were associated with higher TB knowledge scores. Negative associations with TB courtesy stigma were found for urban residence and having heard about TB from family or friends among men, and for older age, higher TB knowledge, and TB information sources (family/friends and school/workplace) among women. Among both men and women, higher TB knowledge scores and having heard of TB from a health care provider were associated with intention to receive TB treatment. Conclusions: This study identified socio-demographic risk factors for deficiences in population-based TB knowledge in Timor-Leste; these findings should be considered when designing TB communication, prevention, and control strategies.

Keywords

References

  1. World Health Organization. Global tuberculosis report 2018 [cited 2019 Jan 10]. Available from: https://www.who.int/tb/publications/global_report/en/.
  2. Global Fund. Timor-Leste: overview; 2014 [cited 2018 May 5]. Available from: https://www.theglobalfund.org/en/portfolio/country/?loc=TLS&k=9da0b8b2-7521-4c14-ab9a-7f1140e-5247a.
  3. Hou X, Witter S, Zaman RU, Engelhardt K, Hafidz F, Julia F, et al. What do health workers in Timor-Leste want, know and do? Findings from a national health labour market survey. Hum Resour Health 2016;14(1):69. https://doi.org/10.1186/s12960-016-0164-1
  4. Price JA, Soares AI, Asante AD, Martins JS, Williams K, Wiseman VL. "I go I die, I stay I die, better to stay and die in my house": understanding the barriers to accessing health care in Timor-Leste. BMC Health Serv Res 2016;16(1):535. https://doi.org/10.1186/s12913-016-1762-2
  5. National Statistics Directorate, Ministry of Finance. Timor-Leste Demographic and Health Survey 2009-10; 2010 [cited 2019 Jan 10]. Available from: https://dhsprogram.com/pubs/pdf/FR235/FR235.pdf.
  6. Gelaw SM. Socioeconomic factors associated with knowledge on tuberculosis among adults in Ethiopia. Tuberc Res Treat 2016;2016:6207457. https://doi.org/10.1155/2016/6207457
  7. Rood EJJ, Mergenthaler C, Bakker MI, Redwood L, Mitchell EM. Using 15 DHS surveys to study epidemiological correlates of TB courtesy stigma and health-seeking behaviour. Int J Tuberc Lung Dis 2017;21(11):60-68. https://doi.org/10.5588/ijtld.16.0909
  8. Pengpid S, Peltzer K, Puckpinyo A, Tiraphat S, Viripiromgool S, Apidechkul T, et al. Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in Thailand. J Infect Dev Ctries 2016;10(7):694-703. https://doi.org/10.3855/jidc.6963
  9. Hoa NP, Chuc NT, Thorson A. Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in a rural community in Vietnam. Health Policy 2009;90(1): 8-12. https://doi.org/10.1016/j.healthpol.2008.08.006
  10. Storla DG, Yimer S, Bjune GA. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 2008;8:15. https://doi.org/10.1186/1471-2458-8-15
  11. Nichter M. Illness semantics and international health: the weak lungs/TB complex in the Philippines. Soc Sci Med 1994;38(5): 649-663. https://doi.org/10.1016/0277-9536(94)90456-1
  12. Agho KE, Hall J, Ewald B. Determinants of the knowledge of and attitude towards tuberculosis in Nigeria. J Health Popul Nutr 2014;32(3):520-538.
  13. Sreeramareddy CT, Harsha Kumar HN, Arokiasamy JT. Prevalence of self-reported tuberculosis, knowledge about tuberculosis transmission and its determinants among adults in India: results from a nation-wide cross-sectional household survey. BMC Infect Dis 2013;13:16. https://doi.org/10.1186/1471-2334-13-16
  14. Naidoo P, Simbayi L, Labadarios D, Ntsepe Y, Bikitsha N, Khan G, et al. Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa. BMC Public Health 2016;16:276. https://doi.org/10.1186/s12889-016-2951-y
  15. Amo-Adjei J. Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana. BMC Public Health 2016;16(1):1196. https://doi.org/10.1186/s12889-016-3842-y
  16. Mushtaq MU, Majrooh MA, Ahmad W, Rizwan M, Luqman MQ, Aslam MJ, et al. Knowledge, attitudes and practices regarding tuberculosis in two districts of Punjab, Pakistan. Int J Tuberc Lung Dis 2010;14(3):303-310.
  17. Portero NJ, Rubio YM, Pasicatan MA. Socio-economic determinants of knowledge and attitudes about tuberculosis among the general population of Metro Manila, Philippines. Int J Tuberc Lung Dis 2002;6(4):301-306.
  18. World Health Organization. Strengthening TB prevention and control in Timor-Leste; 2014 [cited 2018 Jun 12]. Available from: http://origin.searo.who.int/timorleste/mediacentre/strengthening_tb_prevention_control.pdf.
  19. General Directortate of Statistics. Timor-Leste Demography and Health Survey 2016; 2018 [cited 2018 Jun 10]. Available from: https://dhsprogram.com/pubs/pdf/FR329/FR329.pdf.
  20. Ma E, Ren L, Wang W, Takahashi H, Wagatsuma Y, Ren Y, et al. Demographic and socioeconomic disparity in knowledge about tuberculosis in Inner Mongolia, China. J Epidemiol 2015;25(4):312-320. https://doi.org/10.2188/jea.JE20140033

Cited by

  1. Knowledge, attitude and practice towards tuberculosis in Gambia: a nation-wide cross-sectional survey vol.20, pp.1, 2019, https://doi.org/10.1186/s12889-020-09685-3