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Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia

Gemeda Abebe, Amare Deribew, Ludwig Apers, Kifle Woldemichael, Jaffer Shiffa, Markos Tesfaye, Alemseged Abdissa, Fetene Deribie, Chali Jira, Mesele Bezabih, et al. (2010) PLOS ONE. 5(10).
abstract
Background: Perceived stigma and lack of awareness could contribute to the late presentation and low detection rate of tuberculosis (TB). We conducted a study in rural southwest Ethiopia among TB suspects to assess knowledge about and stigma towards TB and their health seeking behavior. Methods: A community based cross sectional survey was conducted from February to March 2009 in the Gilgel Gibe field research area. Any person 15 years and above with cough for at least 2 weeks was considered a TB suspect and included in the study. Data were collected by trained personnel using a pretested structured questionnaire. Logistic regression analysis was done using SPSS 15.0 statistical software. Results: Of the 476 pulmonary TB suspects, 395 (83.0%) had ever heard of TB; "evil eye'' (50.4%) was the commonly mentioned cause of TB. Individuals who could read and write were more likely to be aware about TB [(crude OR = 2.98, (95% CI: 1.25, 7.08)] and more likely to know that TB is caused by a microorganism [(adjusted OR = 3.16, (95% CI: 1.77, 5.65)] than non-educated individuals. Males were more likely to know the cause of TB [(adjusted OR = 1.92, (95% CI: 1.22, 3.03)] than females. 51.3% of TB suspects perceived that other people would consider them inferior if they had TB. High stigma towards TB was reported by 199(51.2%). 220 (46.2%) did not seek help for their illness. Individuals who had previous anti-TB treatment were more likely to have appropriate health seeking behavior [(adjusted OR = 3.65, (95% CI: 1.89, 7.06)] than those who had not. Conclusion: There was little knowledge about TB in the Gilgel Gibe field research area. We observed inappropriate health seeking behavior and stigma towards TB. TB control programs in Ethiopia should educate rural communities, particularly females and non-educated individuals, about the cause and the importance of early diagnosis and treatment of TB.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
DIAGNOSIS, GENDER, CARE SEEKING, SERVICE DELAY, PULMONARY TUBERCULOSIS, SMEAR-POSITIVE TUBERCULOSIS, VIETNAM, TB, PREVALENCE, PATIENT
journal title
PLOS ONE
PLoS One
volume
5
issue
10
article number
e13339
pages
7 pages
Web of Science type
Article
Web of Science id
000282748100033
JCR category
BIOLOGY
JCR impact factor
4.411 (2010)
JCR rank
12/84 (2010)
JCR quartile
1 (2010)
ISSN
1932-6203
DOI
10.1371/journal.pone.0013339
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1235129
handle
http://hdl.handle.net/1854/LU-1235129
date created
2011-05-24 21:27:10
date last changed
2016-12-21 15:42:01
@article{1235129,
  abstract     = {Background: Perceived stigma and lack of awareness could contribute to the late presentation and low detection rate of tuberculosis (TB). We conducted a study in rural southwest Ethiopia among TB suspects to assess knowledge about and stigma towards TB and their health seeking behavior. Methods: A community based cross sectional survey was conducted from February to March 2009 in the Gilgel Gibe field research area. Any person 15 years and above with cough for at least 2 weeks was considered a TB suspect and included in the study. Data were collected by trained personnel using a pretested structured questionnaire. Logistic regression analysis was done using SPSS 15.0 statistical software. Results: Of the 476 pulmonary TB suspects, 395 (83.0\%) had ever heard of TB; {\textacutedbl}evil eye'' (50.4\%) was the commonly mentioned cause of TB. Individuals who could read and write were more likely to be aware about TB [(crude OR = 2.98, (95\% CI: 1.25, 7.08)] and more likely to know that TB is caused by a microorganism [(adjusted OR = 3.16, (95\% CI: 1.77, 5.65)] than non-educated individuals. Males were more likely to know the cause of TB [(adjusted OR = 1.92, (95\% CI: 1.22, 3.03)] than females. 51.3\% of TB suspects perceived that other people would consider them inferior if they had TB. High stigma towards TB was reported by 199(51.2\%). 220 (46.2\%) did not seek help for their illness. Individuals who had previous anti-TB treatment were more likely to have appropriate health seeking behavior [(adjusted OR = 3.65, (95\% CI: 1.89, 7.06)] than those who had not. Conclusion: There was little knowledge about TB in the Gilgel Gibe field research area. We observed inappropriate health seeking behavior and stigma towards TB. TB control programs in Ethiopia should educate rural communities, particularly females and non-educated individuals, about the cause and the importance of early diagnosis and treatment of TB.},
  articleno    = {e13339},
  author       = {Abebe, Gemeda and Deribew, Amare and Apers, Ludwig and Woldemichael, Kifle and Shiffa, Jaffer and Tesfaye, Markos and Abdissa, Alemseged and Deribie, Fetene and Jira, Chali and Bezabih, Mesele and Aseffa, Abraham and Duchateau, Luc and Colebunders, Robert},
  issn         = {1932-6203},
  journal      = {PLOS ONE},
  keyword      = {DIAGNOSIS,GENDER,CARE SEEKING,SERVICE DELAY,PULMONARY TUBERCULOSIS,SMEAR-POSITIVE TUBERCULOSIS,VIETNAM,TB,PREVALENCE,PATIENT},
  language     = {eng},
  number       = {10},
  pages        = {7},
  title        = {Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia},
  url          = {http://dx.doi.org/10.1371/journal.pone.0013339},
  volume       = {5},
  year         = {2010},
}

Chicago
Abebe, Gemeda, Amare Deribew, Ludwig Apers, Kifle Woldemichael, Jaffer Shiffa, Markos Tesfaye, Alemseged Abdissa, et al. 2010. “Knowledge, Health Seeking Behavior and Perceived Stigma Towards Tuberculosis Among Tuberculosis Suspects in a Rural Community in Southwest Ethiopia.” Plos One 5 (10).
APA
Abebe, G., Deribew, A., Apers, L., Woldemichael, K., Shiffa, J., Tesfaye, M., Abdissa, A., et al. (2010). Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia. PLOS ONE, 5(10).
Vancouver
1.
Abebe G, Deribew A, Apers L, Woldemichael K, Shiffa J, Tesfaye M, et al. Knowledge, health seeking behavior and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in southwest Ethiopia. PLOS ONE. 2010;5(10).
MLA
Abebe, Gemeda, Amare Deribew, Ludwig Apers, et al. “Knowledge, Health Seeking Behavior and Perceived Stigma Towards Tuberculosis Among Tuberculosis Suspects in a Rural Community in Southwest Ethiopia.” PLOS ONE 5.10 (2010): n. pag. Print.