Abstract

BackgroundTuberculosis (TB) is contagious and the transmission risk is high in congregate settings like school. Incidence of TB among adolescents is significantly high hence an education programme was developed to improve knowledge, attitude, practice and stigma (KAPS) among them.MethodsThis school-based, non-randomised controlled study was conducted among secondary school students with a total of 236 respondents. The KAPS score were assessed before and 1 month after using self-administered validated KAPS questionnaire on TB. Analysis was done using repeated measures ANOVA.ResultsThe mean percentage score (SD) for baseline knowledge, attitude, practice and stigma score for the respondents were 54.0 (4.48), 65.6 (1.74), 70.0 (1.43) and 66.0 (6.88), respectively. There was a significant difference (P < 0.001) in the knowledge and stigma score for intervention group compared to control group, adjusted for gender, ethnicity and smoking status 4 weeks post-TB educational programme. However, with regards to attitude and practice score, there was no significant difference (P = 0.210 and P = 0.243, respectively).ConclusionTB education programme was effective in improving knowledge and stigma related to TB. This health education programme can be used as one of the strategies for the prevention and control of TB in schools.

Highlights

  • Despite having a comprehensive tuberculosis (TB) control programme, Malaysia has a high number of cases with TB continues to be a global health problem that affects millions of people each year

  • A national study found that children and adolescents accounted for 8.5% of the TB cases with high TB incidence was reported between age group of 10 to 19 years old [3]

  • There were no significant differences in age, vaping status or substance use and abuse between the groups

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Summary

Introduction

Despite having a comprehensive tuberculosis (TB) control programme, Malaysia has a high number of cases with TB continues to be a global health problem that affects millions of people each year. A national study found that children and adolescents accounted for 8.5% of the TB cases with high TB incidence was reported between age group of 10 to 19 years old [3]. The respondents were secondary school students aged 14 and 16 years old. It represents the age group of Malaysian adolescents who are at risk for TB. Tuberculosis (TB) is contagious and the transmission risk is high in congregate settings like school. Incidence of TB among adolescents is significantly high an education programme was developed to improve knowledge, attitude, practice and stigma (KAPS) among them

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