Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis
Background: The tuberculosis (TB) literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. Aims: To investigate knowledge about TB, perceptio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | The Journal of Association of Chest Physicians |
| Subjects: | |
| Online Access: | http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2013;volume=1;issue=2;spage=44;epage=49;aulast=Zafar |
| _version_ | 1811309602794373120 |
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| author | Mubashir Zafar |
| author_facet | Mubashir Zafar |
| author_sort | Mubashir Zafar |
| collection | DOAJ |
| description | Background: The tuberculosis (TB) literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. Aims: To investigate knowledge about TB, perceptions of (access to) TB treatment, and adherence to treatment among a Pakistani population. Setting and Design: Descriptive cross-sectional study. Materials and Methods: A total of 175 participants were selected nonrandomly, 100 were TB patient and 75 were non-TB patient in proportion to the total number of participants in each ward of hospital. Statistical Analysis: Analysis of attitudes and perceptions toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types done by frequency counts and percentages. Regression analysis and logistic regression analysis were performed to test whether differences in age, gender, and education level led to different knowledge scores and different attitudes and preferences toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types. All statistical analyses were performed using Statistical Package for Social Sciences (SPSS) 16.0. Result: TB knowledge can be considered fairly well among this community. Respondents′ perceptions suggest that stigma may influence TB patients′ decision in health seeking behavior and adherence to TB treatment. A full 95% of those interviewed believe people with TB tend to hide their TB status out of fear of what others may say. Conclusion: Most of the subjects were unaware of TB that seems to be due to their illiteracy and those who knew had got the knowledge from media, but the majority of the patients who were on directly observed treatment, short-course (DOTS) were found to be satisfied. |
| first_indexed | 2024-04-13T09:45:34Z |
| format | Article |
| id | doaj.art-40250035574e4b4a8cc345d23f962133 |
| institution | Directory Open Access Journal |
| issn | 2320-8775 2320-9089 |
| language | English |
| last_indexed | 2024-04-13T09:45:34Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Journal of Association of Chest Physicians |
| spelling | doaj.art-40250035574e4b4a8cc345d23f9621332022-12-22T02:51:47ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752320-90892013-01-0112444910.4103/2320-8775.123210Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosisMubashir ZafarBackground: The tuberculosis (TB) literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. Aims: To investigate knowledge about TB, perceptions of (access to) TB treatment, and adherence to treatment among a Pakistani population. Setting and Design: Descriptive cross-sectional study. Materials and Methods: A total of 175 participants were selected nonrandomly, 100 were TB patient and 75 were non-TB patient in proportion to the total number of participants in each ward of hospital. Statistical Analysis: Analysis of attitudes and perceptions toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types done by frequency counts and percentages. Regression analysis and logistic regression analysis were performed to test whether differences in age, gender, and education level led to different knowledge scores and different attitudes and preferences toward TB, adherence to TB treatment, health seeking behavior, and TB treatment types. All statistical analyses were performed using Statistical Package for Social Sciences (SPSS) 16.0. Result: TB knowledge can be considered fairly well among this community. Respondents′ perceptions suggest that stigma may influence TB patients′ decision in health seeking behavior and adherence to TB treatment. A full 95% of those interviewed believe people with TB tend to hide their TB status out of fear of what others may say. Conclusion: Most of the subjects were unaware of TB that seems to be due to their illiteracy and those who knew had got the knowledge from media, but the majority of the patients who were on directly observed treatment, short-course (DOTS) were found to be satisfied.http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2013;volume=1;issue=2;spage=44;epage=49;aulast=ZafarAdherenceattitudeawarenessknowledgeperceptiontreatmenttuberculosis |
| spellingShingle | Mubashir Zafar Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis The Journal of Association of Chest Physicians Adherence attitude awareness knowledge perception treatment tuberculosis |
| title | Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| title_full | Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| title_fullStr | Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| title_full_unstemmed | Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| title_short | Initiation and adherence to TB treatment in a Pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| title_sort | initiation and adherence to tb treatment in a pakistani community influenced more by perceptions than by knowledge of tuberculosis |
| topic | Adherence attitude awareness knowledge perception treatment tuberculosis |
| url | http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2013;volume=1;issue=2;spage=44;epage=49;aulast=Zafar |
| work_keys_str_mv | AT mubashirzafar initiationandadherencetotbtreatmentinapakistanicommunityinfluencedmorebyperceptionsthanbyknowledgeoftuberculosis |