The role of mass media exposure on tuberculosis knowledge and attitude among migrant and seasonal farmworkers in Northwest Ethiopia

• Published in: BMC infectious diseases 2020-08, Vol.20 (1), p.1-579, Article 579
• Main Authors: Gelaye, Kassahun Alemu, Debalkie, Getu, Ayele, Tadesse Awoke, Wami, Sintayehu Daba, Sisay, Malede Mequanent, Fetene, Destaw, Wolde, Haileab Fekadu, Akalu, Temesgen Yihunie
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Age; AIDS; Analysis; And seasonal farmworkers; Attitude; Attitudes; Bivariate analysis; Data collection; Disease transmission; Drug resistance; Drug therapy; Exposure; Family size; Farmworkers; Goodness of fit; Health promotion; HIV; Human immunodeficiency virus; Infectious diseases; Information sources; Knowledge; Mass media; Migrants; Occupational health; Prevention; Questionnaires; Regression analysis; Sample size; Sampling techniques; Sociodemographics; Statistical analysis; Supervisors; Tuberculosis; Urban health; West Gondar
• ISSN: 1471-2334; 1471-2334
• DOI: 10.1186/s12879-020-05316-9

Globally, tuberculosis (TB) is the 10th leading cause of death. Despite no country achieved its target, the world health organization (WHO) proposed a 90-90-90 approach to fastening the end TB strategy. Improvement and progression of TB control need good knowledge and a favorable attitude towards the disease. However, interventions designed don't take migrants and seasonal farmworkers into account. Therefore, this study aimed at estimating the level of knowledge and attitude on Tuberculosis among migrant and seasonal farmworkers in northwest Ethiopia. Community-based cross-sectional study was conducted in the West Gondar zone from October to November 2018. A two-stage cluster sampling was used to select 949 migrant and seasonal farmworkers. Both bivariate and multivariable logistic regression analyses were performed. A p-value of < 0.05 was used to declare statistical significance. The goodness of fit was checked using Hosmer and Lemeshow test. In this study, (41.8%), (95% CI: 38.73, 45.01) and (50.5%), (95% CI: 47.29, 53.65) of migrants and seasonal farmworkers had good knowledge and a favorable attitude, respectively. The odds of good knowledge among mass media exposed migrants were AOR = 1.42, 95% CI: (1.02, 2.01). Moreover, urban residence and having good knowledge increase the odds of favorable attitude by 1.66, (AOR = 1.7; 95% CI: 1.05, 2.62) and 4.3 (AOR = 4.3, 95%CI: 3.26, 5.75), respectively. In this study, the overall knowledge and attitude of migrant and seasonal farmworkers on TB were low. Family size and mass media exposure significantly affect knowledge of the migrants on TB. On the other hand, the attitude was affected by urban residence, health information, and having good knowledge. Health promotion interventions, focused on TB cause, mode of transmission, prevention, and treatment are important to migrant and seasonal farmworkers to improve the knowledge and attitude of migrants and seasonal farmworkers.