Abstract
BackgroundMyths and misconceptions about TB can serve as a barrier to efforts at reducing stigmatisation of people infected and affected by the disease. Understanding such drivers of myths and misconceptions is important for improving information, education and communication (IEC) efforts of national control and preventive interventions. This study therefore assesses the influence of interaction of spatial, socioeconomic and demographic characteristics on myths and misconceptions.MethodsData was drawn from male (N = 4,546) and female (N = 4,916) files of the 2008 Ghana Demographic and Health Survey. A myth and misconception variable was created from five-related constructs with internal consistency score of r = 0. 8802 for males (inter-item correlation: 0.5951) and for females, r = 0. 0.9312 (inter-item correlation: 0.7303). The Pearson Chi-square was used to test the bivariate relationship between the independent variables and the dependent variable. Logistic regression was subsequently used to explore the factors determining myths and misconceptions of TB transmission.ResultsMajority of Ghanaians (males: 66.75%; females: 66.13%) did not hold myths and misconceptions about TB transmission. Females resident in the Upper East (aOR = 0.31, CI = 0.17-0.55) and Upper West (aOR = 0.41, CI = 0.24-0.69) and males resident in the Northern (aOR = 0.23, CI = 0.13-0.39) and the Greater Accra (aOR = 0.25, CI = 0.16-0.39) regions were independently associated with no misconceptions about TB transmission. Significant differences were also found in education, ethnicity and age.ConclusionThat spatial and other socioeconomic difference exists in myths and misconceptions suggest the need for spatial, socioeconomic and demographic segmentations in IEC on TB. This holds potentials for reaching out to those who are in critical need of information and education on the transmission processes of TB.
Highlights
Myths and misconceptions about TB can serve as a barrier to efforts at reducing stigmatisation of people infected and affected by the disease
The results (Table 1) showed that region of residence, educational level, religious affiliation, ethnicity, household wealth status, exposure to print, radio and television, marital status and age cohort were all associated with myths and misconceptions about TB transmission
Urban–rural residence was found to be associated with myths and misconceptions of TB transmission among women, no such associations were found from the males’ data
Summary
Myths and misconceptions about TB can serve as a barrier to efforts at reducing stigmatisation of people infected and affected by the disease. Understanding such drivers of myths and misconceptions is important for improving information, education and communication (IEC) efforts of national control and preventive interventions. In 1993, tuberculosis (TB) was declared a global emergency and the estimated number of infections was about 70 million with 1.6 million deaths. Of the estimates in 2009, 55 per cent was reported in Asia, 30 per cent in Africa. Efforts to reduce the lethal effects of TB have been intensified through concerted global actions (e.g. the Millennium Development Goals, goal 6). This is notwithstanding the positive signal that ‘halting and reversing the spread of TB’ has been achieved at the global level [4]
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