Knowledge and Perceptions of Latent Tuberculosis Infection among Chinese Immigrants in a Canadian Urban Centre

International journal of family medicine Pub Date : 2015-11-24 DOI:10.1155/2015/546042

Jie Gao, N. Berry, D. Taylor, S. Venners, V. Cook, Maureen Mayhew

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引用次数: 32

Abstract

Background. Since most tuberculosis (TB) cases in immigrants to British Columbia (BC), Canada, develop from latent TB infection (LTBI), treating immigrants for LTBI can contribute to the eradication of TB. However, adherence to LTBI treatment is a challenge that is influenced by knowledge and perceptions. This research explores Chinese immigrants' knowledge and perceptions towards LTBI in Greater Vancouver. Methods. This mixed methods study included a cross-sectional patient survey at BC's Provincial TB clinics and two focus group discussions (FGDs) with Chinese immigrants. Data from FGDs were coded and analyzed in Simplified Chinese. Codes, themes, and selected quotes were then translated into English. Results. The survey identified a mean basic knowledge score: 40.0% (95% CI: 38.3%, 41.7%). FGDs confirmed that Chinese immigrants' knowledge of LTBI was low, and they confused it with TB disease to the extent of experiencing LTBI associated stigma. Participants also expressed difficulties navigating the health system which impeded testing and treatment of LTBI. Online videos were the preferred format for receiving health information. Conclusion. We identified striking gaps in knowledge surrounding an LTBI diagnosis. Concerns of stigma may influence acceptance and adherence of LTBI treatment in Chinese immigrants. Integrating these findings into routine health care is recommended.

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加拿大城市中心华人移民潜伏性肺结核感染的知识和认知

背景。由于加拿大不列颠哥伦比亚省(BC)移民中的大多数结核病(TB)病例是由潜伏性结核感染(LTBI)发展而来的，因此对LTBI移民进行治疗有助于根除结核病。然而，坚持LTBI治疗是一项挑战，受到知识和观念的影响。本研究探讨了华人移民对大温哥华地区LTBI的认知和认知。方法。这项混合方法研究包括在不列颠哥伦比亚省结核病诊所进行横断面患者调查，并与中国移民进行两次焦点小组讨论(fgd)。FGDs的数据以简体中文编码和分析。然后将代码、主题和精选的引语翻译成英语。结果。调查确定了平均基础知识得分:40.0% (95% CI: 38.3%， 41.7%)。FGDs证实，中国移民对LTBI的认识较低，他们将LTBI与结核病混淆到经历LTBI相关污名的程度。与会者还表示，在阻碍LTBI检测和治疗的卫生系统中遇到困难。在线视频是接受健康信息的首选格式。结论。我们发现围绕LTBI诊断的知识存在显著差距。对污名的担忧可能会影响中国移民对LTBI治疗的接受和坚持。建议将这些发现纳入日常卫生保健。

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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International journal of family medicine

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