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      Knowledge, Attitude, and Practices Toward Tuberculosis Among Health Faculty and Non-Health Faculty Students of Kabul University and Kabul University of Medical Sciences, Kabul, Afghanistan

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          Abstract

          Introduction

          Afghanistan ranks 24th among the countries with a high TB death rate. The number of TB patients has unfortunately increased by 3% during 2022 compared to 2021. University students are among the high-risk groups for TB. The frequent and high level of person-to-person contact in universities increases the transmission of infectious diseases including TB. This study aimed to evaluate the level of knowledge, attitude, and practices of university students regarding tuberculosis to better understand the situation.

          Methods

          A cross-sectional questionnaire-based study was conducted among 415 health and non-health faculty students between October and December 2022. Multi-stage stratified sampling technique was used to collect the data and data were analyzed using SPSSv25. Cross-tabulation and a Chi-Square test were used to identify differences between groups.

          Results

          The results of this study showed that 18.1% of health and 2.4% of non-health faculty students had good knowledge about TB. There was a significant difference in the knowledge of health and non-health faculty students (P value<0.01). The level of good attitude of health and non-health faculty students about TB was 26.7% and 14.9%, respectively. Regarding practices, 41.9% of health faculty students and 29.8% of non-health faculty students had good practices about TB. There was a significant difference in the attitude (P value = 0.03) and practices (P value = 0.024) of health and non-health faculty students (health faculty students had better knowledge, attitude, and practices.).

          Conclusion

          The knowledge, attitude, and practices of health and non-health faculty students were insufficient about TB. The practice level of health faculty students was poorer than what was expected based on their field. Television and the Internet played a good role in informing students about TB. So, both can be used for transferring good knowledge, positive attitudes, and correct practices about TB to society.

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          Most cited references10

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          Knowledge, attitudes, and practices related to TB among the general population of Ethiopia: Findings from a national cross-sectional survey

          Introduction Ethiopia is among the high-burden countries for tuberculosis (TB), TB/HIV, and drug-resistant TB. The aim of this nationwide study was to better understand TB-related knowledge, attitudes, and practices (KAPs) and generate evidence for policy and decision-making. Materials and methods We conducted a cross-sectional TB KAP survey in seven regions and two city administrations of Ethiopia. Eighty kebeles (wards) and 40 health centers were randomly selected for the study. Using systematic sampling, 22 households and 11 TB patients were enrolled from each selected village and health center, respectively. Variables with a value of p = < 0.25 were included in the model for logistic regression analysis. Results Of 3,503 participants, 884 (24.4%), 836 (24.1%), and 1,783 (51.5%) were TB patients, families of TB patients, and the general population, respectively. The mean age was 34.3 years, and 50% were women. Forty-six percent were heads of households, 32.1% were illiterate, 20.3% were farmers, and 19.8% were from the lowest quintile. The majority (95.5%) had heard about TB, but only 25.8% knew that TB is caused by bacteria. Cough or sneezing was reported as the commonest means of TB transmission. The majority (85.3%) knew that TB could be cured. Men, better-educated people, and TB patients and their families have higher knowledge scores. Of 2,483 participants, 96% reported that they would go to public health facilities if they developed TB symptoms. Discussion Most Ethiopians have a high level of awareness about TB and seek care in public health facilities, and communities are generally supportive. Inadequate knowledge about TB transmission, limited engagement of community health workers, and low preference for using community health workers were the key challenges. Conclusions Given misconceptions about TB’s causes, low preference for use of community health workers, and inadequate engagement, targeted health education interventions are required to improve TB services.
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            Knowledge, attitude and associated factors towards tuberculosis in Lesotho: a population based study

            Background Lesotho has one of the highest rates of tuberculosis (TB) incidence and TB-HIV co-infection in the world. Our study aimed to assess the knowledge, attitude and associated factors towards TB in the general population of Lesotho. Methods A cross-sectional analysis from the Lesotho Demographic and Health Survey (LDHS) 2014 was carried out among 9247 respondents. We used the chi-square test as well as univariate and multivariate logistic regression analyses to assess the associations of socio-demographic variables with respondent knowledge of and attitude towards TB. Results The overall knowledge of TB in the general population of Lesotho was adequate (59.9%). There was a significant difference between female and male respondents regarding knowledge about TB (67.0% vs. 41.8%). Almost 95% of respondents had “heard of an illness called tuberculosis”, and 80.5% knew that TB can be cured. Only 11.5% knew the correct cause of TB (TB is caused by Mycobacterium tuberculosis). Female respondents were relatively aware of TB, knew about the correct cause and mode for transmission of TB and knew that TB is a curable disease compared to male respondents. A higher proportion of respondents (72.8%) had a positive attitude towards TB. Multivariate logistic regression analysis showed that sex (adjusted odds ratio [AOR] = 2.45, 95% CI: 2.10–2.86; p < 0.001), age (AOR) =1.76, 95% CI: 1.29–2.41; p < 0.001), educational level (AOR = 6.26, 95% CI: 3.90–10.06; p < 0.001), formerly married or cohabitated (AOR = 1.42, 95% CI: 1.10–1.85; p = 0.008), mass media exposure (AOR = 1.33, 95% CI: 1.08–1.64; p = 0.008) and occupation (AOR = 1.20, 95% CI: 1.00–1.44; p = 0.049) were strongly associated with respondent knowledge of TB. Sex (AOR = 1.19, 95% CI: 1.01–1.41; p = 0.034), educational level (AOR = 1.661, 95% CI: 06–2.60; p = 0.028), mass media exposure (AOR = 1.31, 95% CI: 1.06–1.62; p = 0.012) and occupation (AOR = 1.26, 95% CI: 1.04–1.52; p = 0.016) were strongly associated with respondent attitude towards TB. Conclusion Strategies to improve the knowledge of Lesotho’s people about TB should focus on males, young residents, those who are illiterate, those who are unmarried and farmers. Special attention should be given to males, young residents, rural residents, those who are illiterate and farmers to improve their attitude towards TB in Lesotho.
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              Assessment of knowledge, attitudes and practices regarding tuberculosis among final year students in Yazd, central Iran

              Tuberculosis (TB) remains a global health problem. Treatment and prevention of TB has shifted from inpatient to outpatient settings. A report from the World Health Organization has emphasized educational strategy to ensure students graduate with the appropriate knowledge, skills, and attitudes essential to the effective management of TB. The objective of this study was to determine the level of knowledge, attitudes and practices among medical students. The survey was done from 2012 to 2013. Knowledge, attitudes and practices were assessed regarding tuberculosis with a questionnaire. Knowledge mean score of students was 16.13 ± 2.06 and Attitude score was 36.08 ± 3.76, Knowledge and attitude levels of students were moderate to high in the majority of them. Practice score of the study subjects was 22.77 ± 4.95, 11.9% of students had poor practice level. 43% did not know that a sputum smear is the most important method used for diagnosis of TB. Two-thirds of them did not know the distance that should be kept from contagious patients. Half of them believed that the BCG vaccination has no role in the prevention of TB. This study concluded that more efforts should be made to improve the knowledge of students regarding TB transmission and the role of sputum smear in diagnosis. The importance of the BCG vaccination should be emphasized.
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                Author and article information

                Journal
                Adv Med Educ Pract
                Adv Med Educ Pract
                amep
                Advances in Medical Education and Practice
                Dove
                1179-7258
                13 July 2023
                2023
                : 14
                : 753-761
                Affiliations
                [1 ]Epidemiology and Biostatistics, Public Health Faculty, Kabul University of Medical Sciences , Kabul, Afghanistan
                [2 ]Environmental and Occupational Health, Public Health Faculty, Kabul University of Medical Sciences , Kabul, Afghanistan
                Author notes
                Correspondence: Nagina Alimi, Email naginaalimi@gmail.com
                Article
                411323
                10.2147/AMEP.S411323
                10353910
                37469613
                3f0d262a-fc30-4278-99b3-56d4f2ba6d01
                © 2023 Alimi and Sakhi.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 13 April 2023
                : 02 July 2023
                Page count
                Figures: 0, Tables: 5, References: 22, Pages: 9
                Categories
                Original Research

                tuberculosis,students,kabul university,kabul university of medical sciences,knowledge,attitude,practice

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