Tuberculosis Knowledge, Attitudes, and Practice in Middle- and Low-Income Countries: A Systematic Review.

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Oana Marilena Craciun, Malen Del Rosario Torres, Agustín Benito Llanes, María Romay-Barja
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引用次数: 0

Abstract

Tuberculosis (TB) is the leading cause of death from an infectious agent in the world. Most tuberculosis cases are concentrated in low- and middle-income countries. The aim of this study is to better understand tuberculosis-related knowledge about TB disease, prevention, treatment and sources of information, attitudes towards TB patients and their stigmatization and prevention, diagnosis and treatment practices in the general population of middle- and low-income countries, with a high tuberculosis burden, and provide evidence for policy development and decision-making. A systematic review of 30 studies was performed. Studies reporting on knowledge, attitudes, and practices surveys were selected for systematic review through database searching. Population knowledge about TB signs and symptoms, prevention practices, and treatment means was found inadequate. Stigmatization is frequent, and the reactions to possible diagnoses are negative. Access to health services is limited due to difficulties in transportation, distance, and economic cost. Deficiencies in knowledge and TB health-seeking practices were present regardless of the living area, gender, or country; however, it seems that there is a frequent association between less knowledge about TB and a lower socioeconomic and educational level. This study revealed gaps in knowledge, attitude, and practices in focused in middle- and low-income countries. Policymakers could take into account the evidence provided by the KAP surveys and adapt their strategies based on the identified gaps, promoting innovative approaches and empowering the communities as key stakeholders. It is necessary to develop education programs on symptoms, preventive practices, and treatment for TB, to reduce transmission and stigmatization. It becomes also necessary to provide communities with innovative healthcare solutions to reduce their barriers to access to diagnosis and treatment.

Abstract Image

中低收入国家的结核病知识、态度和实践:系统综述。
结核病(TB)是世界上传染性病原体导致死亡的主要原因。大多数结核病病例集中在低收入和中等收入国家。本研究的目的是更好地了解结核病、预防、治疗和信息来源、对结核病患者的态度及其污名化和预防、诊断和治疗做法在结核病负担高的中低收入国家的一般人群中的结核病相关知识,并为政策制定和决策提供证据。对30项研究进行了系统回顾。通过数据库检索,选择有关知识、态度和实践调查的研究进行系统综述。人们对结核病体征和症状、预防做法和治疗手段的了解不足。污名化很常见,对可能的诊断的反应是消极的。由于交通、距离和经济成本方面的困难,获得保健服务的机会有限。无论居住地区、性别或国家如何,都存在知识和结核病求医实践方面的不足;然而,关于结核病的知识较少与较低的社会经济和教育水平之间似乎经常存在关联。这项研究揭示了中低收入国家在知识、态度和实践方面的差距。政策制定者可以考虑KAP调查提供的证据,并根据已确定的差距调整其战略,促进创新方法,并赋予社区作为关键利益相关者的权力。有必要制定有关结核病症状、预防措施和治疗的教育规划,以减少传播和污名化。还必须向社区提供创新的医疗保健解决方案,以减少他们获得诊断和治疗的障碍。
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
Journal of Tropical Medicine
Journal of Tropical Medicine Immunology and Microbiology-Parasitology
CiteScore
3.90
自引率
4.50%
发文量
0
审稿时长
14 weeks
期刊介绍: Journal of Tropical Medicine is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies on all aspects of tropical diseases. Articles on the pathology, diagnosis, and treatment of tropical diseases, parasites and their hosts, epidemiology, and public health issues will be considered. Journal of Tropical Medicine aims to facilitate the communication of advances addressing global health and mortality relating to tropical diseases.
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