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Tuberculosis in the era of infection with the human immunodeficiency virus

Assessment and comparison of community knowledge of both infections in rural Uganda

Bibliographic Data

ID19517263
AuthorsAshley Wynne (University of Alberta), Gian S Jhangri (0000-0001-8608-2104, University of Alberta), Solina Richter (0000-0002-9826-1430, University of Alberta), Arif Alibhai (University of Alberta), Tom Rubaale, Walter Kipp (University of Alberta, corresponding author)
Year2012
Volume12
Issue1
Pages36-36
Publication date2012-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC International Health and Human Rights (JOURNAL)
Journal identifiersISSN: 1472-698X • E-ISSN: 1472-698X
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1472-698x-12-36
PMID23254144
PMCIDPMC3541975
OpenAlexW2027893208
LanguageEN
Citations received1
References cited13

BACKGROUND: In Uganda, despite a significant public health burden of tuberculosis (TB) in the context of high human immunodeficiency virus (HIV) prevalence, little is known about community knowledge of TB. The purpose of this study was to assess and compare knowledge about TB and HIV in the general population of western Uganda and to examine common knowledge gaps and misconceptions. METHODS: We implemented a multi-stage survey design to randomly survey 360 participants from one district in western Uganda. Weighted summary knowledge scores for TB and HIV were calculated and multiple linear regression (with knowledge score as the dependant variable) was used to determine significant predictors. Six focus group discussions were conducted to supplement survey findings. RESULTS: Mean (SD) HIV knowledge score was 58 (12) and TB knowledge score was 33 (15), both scores out of 100. The TB knowledge score was statistically significantly (p < 0.001) lower. Multivariate regression models included age, sex, marital status, education, residence, and having a friend with HIV/TB as independent variables. TB knowledge was predicted by rural residence (coefficient = -6.27, 95% CI: -11.7 to -0.8), and age ≥45 years (coefficient = 7.45, 95% CI: 0.3-14.6). HIV knowledge was only predicted by higher education (coefficient = 0.94, 95%CI: 0.3-1.6). Focus group participants mentioned various beliefs in the aetiology of TB including sharing cups, alcohol consumption, smoking, air pollution, and HIV. Some respondents believed that TB was not curable. CONCLUSION: TB knowledge is low and many misconceptions about TB exist: these should be targeted through health education programs. Both TB and HIV-infection knowledge gaps could be better addressed through an integrated health education program on both infections, whereby TB program managers include HIV information and vice versa

Environmental health · Focus group · Geography · Marital status · Pathology · Population · Psychological intervention · Public health · Residence · Tuberculosis · Demography · Diagnosis and treatment of tuberculosis · HIV/AIDS Research and Interventions · Medicine · Nursing · Tuberculosis Research and Epidemiology · Epidemiology · Gerontology · Internal Medicine

  • Tuberculosis and human immunodeficiency virus

    Ashley Wynne, Solina Richter et al.•AIDS Care•2014

  • Barriers to accessing highly active antiretroviral therapy by HIV‐positive women attending an antenatal clinic in a regional hospital in western Uganda

    Open Access•Putu Duff, Walter Kipp et al.•Journal of the International AIDS…•2010

  • Public knowledge and attitudes toward HIV/Aids and antiretroviral therapy in Kabarole district, western Uganda

    Walter Kipp, Walter Eigen Kipp et al.•AIDS Care•2009

  • Explanatory Models and Help-Seeking Behavior

    Open Access•Elialilia S Okello, Stella Neema•Qualitative Health Research•2007

  • Delays in presenting for tuberculosis treatment associated with fear of learning one is HIV-positive

    Valerie Møller, Ida Erstad et al.•African Journal of AIDS Research•2011

  • Prejudice and misconceptions about tuberculosis and HIV in rural and urban communities in Ethiopia

    Open Access•Amare Deribew, Gemeda Abebe et al.•BMC Public Health•2010

  • Concepts and a model for the comparison of medical systems as cultural systems

    Open Access•A Kleinman•Social Science & Medicine Part B…•1978

  • Drinking, Smoking, and Morality

    Open Access•Valerie Møller, Ida Erstad et al.•Social Indicators Research•2010

Unique citing works1
Citations per year0,08
Citation span2014 - 2014 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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