Abstract
BackgroundThe aim of this study is to evaluate the awareness status, attitudes, and care-seeking behaviors concerning tuberculosis (TB) and associated factors among the public in Inner Mongolia, China.MethodsA five-stage sampling was conducted, in which counties as the primary survey units and towns, villages, and households as sub-survey units were selected progressively. A standardized questionnaire was used to collect TB information. Complex survey analysis methods, including the procedures of survey frequency and survey logistic regression, were applied for analysis of TB knowledge and associated factors. The sample was weighted by survey design, non-respondent, and post-stratification adjustment.ResultsAmong 10 581 respondents, awareness that TB is an infectious disease was 86.7%. Knowing that a cough lasting ≥3 weeks is suggestive of TB was 26.9%. Knowledge about TB dispensaries in county administrative areas was reported by 68.3% of respondents, and knowledge about the free TB detection/treatment policy was reported by 57.5% of respondents. About 52.5% of participants would stigmatize TB patients. Compared with the majority Han ethnic group, Mongolians and other minorities were 1.52–2.18 times more likely to know about TB curability, TB symptoms, the free detection/treatment policy, and TB dispensaries’ locations, but were less likely to know about the TB transmission mode (odds ratio, 0.74; 95% confidence interval, 0.65–0.84). The main sources of TB information were TV (65.6%) and other persons (47.2%). In the past year, 19.7% of TB knowledge was from acquaintances, and 16.1% was from TB institutes.ConclusionsImprovement in knowledge about TB risk (symptoms and transmission), the free treatment policy, and facilities is necessary and should be provided through effective multimedia for different target populations.
Highlights
China has the second largest tuberculosis (TB) epidemic in the world, with an estimated annual incidence of 1.30 million cases and 160 000 deaths, and the prevalence of pulmonary TB in 2000 was 367 per 100 000 people.[1]
To monitor the progress of the implementation, Inner Mongolia participated in a national population-based cross-sectional study on knowledge, attitudes, and practices (KAP) concerning TB in public in 2006.11 Information about TB knowledge at the national level was published by the Chinese Center for Disease Control and Prevention (China CDC); information about Inner Mongolia, the region with the largest population of Mongolians in China, has not been reported
Study population and sampling Participants were residents of Inner Mongolia aged 12 to 65 years who had lived at their present residence for more than six months before the survey started
Summary
China has the second largest tuberculosis (TB) epidemic in the world, with an estimated annual incidence of 1.30 million cases and 160 000 deaths, and the prevalence of pulmonary TB in 2000 was 367 per 100 000 people.[1]. The 4th national TB survey showed that the prevalence of TB and smear-positive TB was 612 and 146.4 per 100 000 people in Inner Mongolia in 2000, respectively.[10] China issued a 10-year National TB Control Plan (2001–2010), aiming to achieve 80% TB awareness among the public, 90% training of TB prevention techniques among village doctors, and 100% involvement in TB prevention and treatment by medical institutes.[1,2] Since a series of health promotion activities have been carried out, including a campaign to spread knowledge about TB using posters and commercials on TV and in other media.[2] To monitor the progress of the implementation, Inner Mongolia participated in a national population-based cross-sectional study on knowledge, attitudes, and practices (KAP) concerning TB in public in 2006.11 Information about TB knowledge at the national level was published by the Chinese Center for Disease Control and Prevention (China CDC); information about Inner Mongolia, the region with the largest population of Mongolians in China, has not been reported. Conclusions: Improvement in knowledge about TB risk (symptoms and transmission), the free treatment policy, and facilities is necessary and should be provided through effective multimedia for different target populations
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