Determinants of transmission prevention behavior among Tuberculosis patients in Surabaya, Indonesia

IF 1.8 Q3 INFECTIOUS DISEASES

Infection Prevention in Practice Pub Date : 2024-09-21 DOI:10.1016/j.infpip.2024.100404

Ni Njoman Juliasih , Luluk Fadhoh Sakinah , Reny Mareta Sari , Hudi Winarso , Salmon Charles P.T. Siahaan , Erik Jaya Gunawan

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Abstract

Background

Tuberculosis (TB) is associated with significant morbidity and mortality, causing significant health challenges globally. Meanwhile, Indonesia ranks second worldwide in terms of TB prevalence, with East Java being among the most affected provinces. Surabaya, in particular, a major city reported approximately 4.628 cases in 2021, underscoring the urgent need to prevent transmission through behavior of patients. Therefore, this study aimed to analyze determinants of transmission behavior among TB patients in Surabaya, Indonesia.

Methods

The methodology used in this study was a cross-sectional design and the participants were 144 TB patients at three community health centers in Surabaya, selected using simple random sampling. Variables including knowledge level, supportive behavior, and medication adherence were analyzed and data collection was carried out using a structured questionnaire. Additionally, data analysis was performed with statistical methods to determine the significance of variables.

Results

The results showed that knowledge (P-value = <0.001), supportive behavior (P-value = 0.001), and medication adherence (P-value = 0.004) had a significant effect on transmission prevention behavior among TB patients.

Conclusion

Based on our results, it was concluded that higher knowledge level, supportive behavior, and medication adherence had a significant correlation with increased social support provided by patients in preventing and controlling TB transmission. Therefore, there is a need to implement targeted programs to enhance prevention behavior.

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印度尼西亚泗水肺结核患者预防传播行为的决定因素

背景肺结核（TB）与严重的发病率和死亡率相关，在全球范围内造成了重大的健康挑战。与此同时，印度尼西亚的结核病发病率在全球排名第二，东爪哇省是受影响最严重的省份之一。尤其是泗水，这座大城市在 2021 年报告了约 4628 例病例，这凸显了通过患者行为预防传播的迫切性。因此，本研究旨在分析印度尼西亚泗水肺结核患者传播行为的决定因素。方法本研究采用横断面设计，参与者为泗水三个社区医疗中心的 144 名肺结核患者，采用简单随机抽样法选出。研究分析了包括知识水平、支持行为和服药依从性在内的变量，并使用结构化问卷进行了数据收集。结果结果显示，知识水平（P 值 = <0.001）、支持行为（P 值 = 0.001）和服药依从性（P 值 = 0.004）对肺结核患者的传播预防行为有显著影响。因此，有必要实施有针对性的计划来加强预防行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection Prevention in Practice Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

0.00%

发文量

审稿时长

61 days