Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India

Improving patients' tuberculosis (TB) knowledge is a salient component of TB control strategies. Patient knowledge of TB may encourage infection prevention behaviors and improve treatment adherence. The purpose of this study is to examine how TB knowledge and infection prevention behaviors chan...

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Published in:PloS one 2018-10, Vol.13 (10), p.e0206245-e0206245
Main Authors: Huddart, Sophie, Bossuroy, Thomas, Pons, Vincent, Baral, Siddhartha, Pai, Madhukar, Delavallade, Clara
Format: Article
Language:English
Subjects:
Adhesion
Behavior
Biology and Life Sciences
Care and treatment
Control
Correlation analysis
Cough
Disease transmission
Education
Educational aspects
Epidemiology
Health
Health aspects
Households
Infections
Infectious diseases
Knowledge
Longitudinal studies
Medical personnel
Medicine and Health Sciences
Occupational health
Patients
Prevention
Research and Analysis Methods
Social Sciences
Tuberculosis
Tuberculosis patients
Workers
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creator Huddart, Sophie
Bossuroy, Thomas
Pons, Vincent
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description Improving patients' tuberculosis (TB) knowledge is a salient component of TB control strategies. Patient knowledge of TB may encourage infection prevention behaviors and improve treatment adherence. The purpose of this study is to examine how TB knowledge and infection prevention behaviors change over the course of treatment. A matched patient-health worker dataset (n = 6,031) of publicly treated TB patients with NGO-provided treatment support health workers was compiled in nine Indian cities from March 2013 to September 2014. At the beginning and end of TB treatment, patients were asked about their knowledge of TB symptoms, transmission, and treatment and infection prevention behaviors. Patients beginning TB treatment (n = 3,424) demonstrated moderate knowledge of TB; 52.5% (50.8%, 54.2%) knew that cough was a symptom of TB and 67.2% (65.6%, 68.7%) knew that TB was communicable. Overall patient knowledge was significantly associated with literacy, education, and income, and was higher at the end of treatment than at the beginning (3.7%, CI: 3.02%, 4.47%). Infection prevention behaviors like covering a cough (63.4%, CI: 61.2%, 65.0%) and sleeping separately (19.3%, CI: 18.0%, 20.7%) were less prevalent. The age difference between patient and health worker as well as a shared language significantly predicted patient knowledge and adherence to infection prevention behaviors. Social proximity between health worker and patients predicted greater knowledge and adherence to infection prevention behaviors but the latter rate remains undesirably low.
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Patient knowledge of TB may encourage infection prevention behaviors and improve treatment adherence. The purpose of this study is to examine how TB knowledge and infection prevention behaviors change over the course of treatment. A matched patient-health worker dataset (n = 6,031) of publicly treated TB patients with NGO-provided treatment support health workers was compiled in nine Indian cities from March 2013 to September 2014. At the beginning and end of TB treatment, patients were asked about their knowledge of TB symptoms, transmission, and treatment and infection prevention behaviors. Patients beginning TB treatment (n = 3,424) demonstrated moderate knowledge of TB; 52.5% (50.8%, 54.2%) knew that cough was a symptom of TB and 67.2% (65.6%, 68.7%) knew that TB was communicable. Overall patient knowledge was significantly associated with literacy, education, and income, and was higher at the end of treatment than at the beginning (3.7%, CI: 3.02%, 4.47%). Infection prevention behaviors like covering a cough (63.4%, CI: 61.2%, 65.0%) and sleeping separately (19.3%, CI: 18.0%, 20.7%) were less prevalent. The age difference between patient and health worker as well as a shared language significantly predicted patient knowledge and adherence to infection prevention behaviors. 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subjects Adhesion
Behavior
Biology and Life Sciences
Care and treatment
Control
Correlation analysis
Cough
Disease transmission
Education
Educational aspects
Epidemiology
Health
Health aspects
Households
Infections
Infectious diseases
Knowledge
Longitudinal studies
Medical personnel
Medicine and Health Sciences
Occupational health
Patients
Prevention
Research and Analysis Methods
Social Sciences
Tuberculosis
Tuberculosis patients
Workers
title Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India
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