Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries
Abstract Background Tuberculosis (TB) remains a significant public health burden in Sub-Saharan Africa (SSA), accounting for about 25% of global TB cases. In several communities, TB diagnosis, treatment, and control have become a critical challenge, largely due to the intention to conceal TB status...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-024-09064-y |
| _version_ | 1797275668509097984 |
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| author | William Dormechele Emmanuel Osei Bonsu Caleb Boadi Mercy Oseiwah Adams Benedictus Atsu Hlormenu Stephen Kwakye Addo Bright Boatey Bossman Isaac Yeboah Addo |
| author_facet | William Dormechele Emmanuel Osei Bonsu Caleb Boadi Mercy Oseiwah Adams Benedictus Atsu Hlormenu Stephen Kwakye Addo Bright Boatey Bossman Isaac Yeboah Addo |
| author_sort | William Dormechele |
| collection | DOAJ |
| description | Abstract Background Tuberculosis (TB) remains a significant public health burden in Sub-Saharan Africa (SSA), accounting for about 25% of global TB cases. In several communities, TB diagnosis, treatment, and control have become a critical challenge, largely due to the intention to conceal TB status among family members. It is therefore crucial to understand the factors associated with the intentions to conceal TB status among family members in SSA. Methods This quantitative study utilised data from the most recent Demographic and Health Surveys (DHS). The objective was to examine the factors associated with the intention to conceal the TB status of family members. The sample consisted of 58,849 individuals aged 10 years or older from seven SSA countries. Binary logistic regression was employed to assess the associations between TB status concealment and various socio-demographic and economic variables. Results The overall prevalence of TB status concealment intentions for the seven countries was 28.0% (95% CI: 27.6–28.4). Malawi and Eswatini accounted for the highest (47.3%) and lowest (3.0%) prevalence of TB concealment intentions respectively. TB status concealment intentions decreased with increasing age (p < 0.001). Living in rural areas was associated with lower odds of intending to conceal the TB of family members compared to living in urban areas (aOR = 0.92; p = 0.008). Higher education levels were associated with lower odds of TB status concealment intentions (aOR = 0.50; p < 0.001) compared to lower education levels. As participants wealth index increased, the odds of TB status concealment intentions decreased (aOR = 0.83; p < 0.001). Country of residence also showed significant associations with individuals in Ghana (aOR = 4.51; p < 0.001), Lesotho (aOR = 2.08; p < 0.001), Malawi (aOR = 4.10; p < 0.001), Namibia (aOR = 4.40; p < 0.001), and Sao-Tome and Principe (aOR = 5.56; p < 0.001) showing higher odds of TB status concealment intentions compared to Eswatini. Conclusions The findings conclude that several social determinants of health, including age, urbanicity, education, and wealth contribute to TB status concealment intentions for family members. Considering these factors is important for designing targeted interventions to improve TB control in the sample. In light of the unavailability of cultural variables in the dataset, future research can leverage qualitative approaches to conduct a more comprehensive exploration of the cultural factors linked to TB status concealment intentions in the population. |
| first_indexed | 2024-03-07T15:17:47Z |
| format | Article |
| id | doaj.art-24b7a38040ea4354a5a098557d92c5b1 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-07T15:17:47Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-24b7a38040ea4354a5a098557d92c5b12024-03-05T17:48:49ZengBMCBMC Infectious Diseases1471-23342024-02-0124111410.1186/s12879-024-09064-yDeterminants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countriesWilliam Dormechele0Emmanuel Osei Bonsu1Caleb Boadi2Mercy Oseiwah Adams3Benedictus Atsu HlormenuStephen Kwakye AddoBright Boatey Bossman4Isaac Yeboah Addo5Navrongo Health Research Centre, Upper East RegionDepartment of Epidemiology and Biostatistics, Kwame Nkrumah University of Science and TechnologyDepartment of Operations and Management Information Systems, University of GhanaAsesewa Government Hospital, Ghana Health ServiceInformation Technology Directorate, Aspire International SchoolCentre for Social Research in Health, University of New South WalesAbstract Background Tuberculosis (TB) remains a significant public health burden in Sub-Saharan Africa (SSA), accounting for about 25% of global TB cases. In several communities, TB diagnosis, treatment, and control have become a critical challenge, largely due to the intention to conceal TB status among family members. It is therefore crucial to understand the factors associated with the intentions to conceal TB status among family members in SSA. Methods This quantitative study utilised data from the most recent Demographic and Health Surveys (DHS). The objective was to examine the factors associated with the intention to conceal the TB status of family members. The sample consisted of 58,849 individuals aged 10 years or older from seven SSA countries. Binary logistic regression was employed to assess the associations between TB status concealment and various socio-demographic and economic variables. Results The overall prevalence of TB status concealment intentions for the seven countries was 28.0% (95% CI: 27.6–28.4). Malawi and Eswatini accounted for the highest (47.3%) and lowest (3.0%) prevalence of TB concealment intentions respectively. TB status concealment intentions decreased with increasing age (p < 0.001). Living in rural areas was associated with lower odds of intending to conceal the TB of family members compared to living in urban areas (aOR = 0.92; p = 0.008). Higher education levels were associated with lower odds of TB status concealment intentions (aOR = 0.50; p < 0.001) compared to lower education levels. As participants wealth index increased, the odds of TB status concealment intentions decreased (aOR = 0.83; p < 0.001). Country of residence also showed significant associations with individuals in Ghana (aOR = 4.51; p < 0.001), Lesotho (aOR = 2.08; p < 0.001), Malawi (aOR = 4.10; p < 0.001), Namibia (aOR = 4.40; p < 0.001), and Sao-Tome and Principe (aOR = 5.56; p < 0.001) showing higher odds of TB status concealment intentions compared to Eswatini. Conclusions The findings conclude that several social determinants of health, including age, urbanicity, education, and wealth contribute to TB status concealment intentions for family members. Considering these factors is important for designing targeted interventions to improve TB control in the sample. In light of the unavailability of cultural variables in the dataset, future research can leverage qualitative approaches to conduct a more comprehensive exploration of the cultural factors linked to TB status concealment intentions in the population.https://doi.org/10.1186/s12879-024-09064-yTB disclosureHealth secrecyStigmaFamily healthInfectious diseaseAfrica |
| spellingShingle | William Dormechele Emmanuel Osei Bonsu Caleb Boadi Mercy Oseiwah Adams Benedictus Atsu Hlormenu Stephen Kwakye Addo Bright Boatey Bossman Isaac Yeboah Addo Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries BMC Infectious Diseases TB disclosure Health secrecy Stigma Family health Infectious disease Africa |
| title | Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries |
| title_full | Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries |
| title_fullStr | Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries |
| title_full_unstemmed | Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries |
| title_short | Determinants of intention to conceal tuberculosis status among family members: an analysis of seven Sub-Saharan African countries |
| title_sort | determinants of intention to conceal tuberculosis status among family members an analysis of seven sub saharan african countries |
| topic | TB disclosure Health secrecy Stigma Family health Infectious disease Africa |
| url | https://doi.org/10.1186/s12879-024-09064-y |
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