Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea

Tuberculosis remains one of the major causes of morbidity and mortality in Equatorial Guinea, with an estimated incidence of 280 per 100,000 inhabitants, an estimated mortality rate of 96 per 100,000 inhabitants, and a treatment non-adherence rate of 21.4%. This study aimed to identify the factors a...

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Autores: Vericat-Ferrer, Marta, Ayala, Alba, Ncogo, Policarpo, Eyene-Acuresila, Juan, García, Belén, Benito, Agustin, Romay-Barja, Maria
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/15859
Acceso en línea:http://hdl.handle.net/20.500.12105/15859
Access Level:acceso abierto
Palabra clave:Health Knowledge, Attitudes, Practice
Tuberculosis
Cross-Sectional Studies
Equatorial Guinea
Female
Humans
Middle Aged
Social Stigma
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spelling Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial GuineaVericat-Ferrer, MartaAyala, AlbaNcogo, PolicarpoEyene-Acuresila, JuanGarcía, BelénBenito, AgustinRomay-Barja, MariaHealth Knowledge, Attitudes, PracticeTuberculosisCross-Sectional StudiesEquatorial GuineaFemaleHumansMiddle AgedSocial StigmaTuberculosis remains one of the major causes of morbidity and mortality in Equatorial Guinea, with an estimated incidence of 280 per 100,000 inhabitants, an estimated mortality rate of 96 per 100,000 inhabitants, and a treatment non-adherence rate of 21.4%. This study aimed to identify the factors associated to TB-related knowledge, attitudes, and stigma in order to design community intervention strategies that could improve TB diagnostic and treatment adherence in Equatorial Guinea. A nationwide cross-sectional survey of 770 household caregivers was conducted in Equatorial Guinea about TB knowledge, attitudes, and practices. Knowledge, attitude, and stigma scores were calculated through correct answers and the median was used as cut-off. Associated factors were analyzed calculating prevalence ratio (PR) and a 95% confidence interval (95% CI) through Poisson regression with robust variance. The percentage of women was 53.0% and median age was 46 years (IQR: 33-60). The percentage of caregivers with high TB related knowledge was 34.9%, with a bad attitude (52.5%) and low stigma (40.4%). A greater probability of having good knowledge was observed in those 45 years old or less (PR: 1.3, 95% CI: 1.1-1.6), those with higher education level (PR: 1.4, 95% CI: 1.1-1.8) and higher wealth (PR: 1.4, 95% CI: 1.0-2.0), while sex (PR = 0.8, 95% CI: 0.6-0.9), religion (PR = 1.4, 95% CI: 1.0-1.8), and good knowledge (PR = 1.4, 95% CI: 1.2-1.7) were associated with good attitudes. Wage employment (PR = 95% CI: 1.2-1.4), feeling well informed (PR = 0.7, 95% CI: 0.6-0.8), having good TB knowledge (PR = 1.3, 95% CI: 1.1-1.7), and some sources of information were associated with having lower TB-related stigma. This study found that a high percentage of caregivers in Equatorial Guinea lack important knowledge about TB disease and have bad attitudes and high TB-related stigma. Given the epidemiological situation of TB in the country, it is urgent to improve TB knowledge and awareness among Equatorial Guinea's general population.Multidisciplinary Digital Publishing Institute (MDPI)Instituto de Salud Carlos IIIFundación CSAI (Salud, Infancia y Bienestar Social)20232023-04-2020222022-07-0620222022-07-06research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/20.500.12105/15859reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/158592026-06-12T12:43:37Z
dc.title.none.fl_str_mv Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
title Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
spellingShingle Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
Vericat-Ferrer, Marta
Health Knowledge, Attitudes, Practice
Tuberculosis
Cross-Sectional Studies
Equatorial Guinea
Female
Humans
Middle Aged
Social Stigma
title_short Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
title_full Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
title_fullStr Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
title_full_unstemmed Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
title_sort Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea
dc.creator.none.fl_str_mv Vericat-Ferrer, Marta
Ayala, Alba
Ncogo, Policarpo
Eyene-Acuresila, Juan
García, Belén
Benito, Agustin
Romay-Barja, Maria
author Vericat-Ferrer, Marta
author_facet Vericat-Ferrer, Marta
Ayala, Alba
Ncogo, Policarpo
Eyene-Acuresila, Juan
García, Belén
Benito, Agustin
Romay-Barja, Maria
author_role author
author2 Ayala, Alba
Ncogo, Policarpo
Eyene-Acuresila, Juan
García, Belén
Benito, Agustin
Romay-Barja, Maria
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
Fundación CSAI (Salud, Infancia y Bienestar Social)
dc.subject.none.fl_str_mv Health Knowledge, Attitudes, Practice
Tuberculosis
Cross-Sectional Studies
Equatorial Guinea
Female
Humans
Middle Aged
Social Stigma
topic Health Knowledge, Attitudes, Practice
Tuberculosis
Cross-Sectional Studies
Equatorial Guinea
Female
Humans
Middle Aged
Social Stigma
description Tuberculosis remains one of the major causes of morbidity and mortality in Equatorial Guinea, with an estimated incidence of 280 per 100,000 inhabitants, an estimated mortality rate of 96 per 100,000 inhabitants, and a treatment non-adherence rate of 21.4%. This study aimed to identify the factors associated to TB-related knowledge, attitudes, and stigma in order to design community intervention strategies that could improve TB diagnostic and treatment adherence in Equatorial Guinea. A nationwide cross-sectional survey of 770 household caregivers was conducted in Equatorial Guinea about TB knowledge, attitudes, and practices. Knowledge, attitude, and stigma scores were calculated through correct answers and the median was used as cut-off. Associated factors were analyzed calculating prevalence ratio (PR) and a 95% confidence interval (95% CI) through Poisson regression with robust variance. The percentage of women was 53.0% and median age was 46 years (IQR: 33-60). The percentage of caregivers with high TB related knowledge was 34.9%, with a bad attitude (52.5%) and low stigma (40.4%). A greater probability of having good knowledge was observed in those 45 years old or less (PR: 1.3, 95% CI: 1.1-1.6), those with higher education level (PR: 1.4, 95% CI: 1.1-1.8) and higher wealth (PR: 1.4, 95% CI: 1.0-2.0), while sex (PR = 0.8, 95% CI: 0.6-0.9), religion (PR = 1.4, 95% CI: 1.0-1.8), and good knowledge (PR = 1.4, 95% CI: 1.2-1.7) were associated with good attitudes. Wage employment (PR = 95% CI: 1.2-1.4), feeling well informed (PR = 0.7, 95% CI: 0.6-0.8), having good TB knowledge (PR = 1.3, 95% CI: 1.1-1.7), and some sources of information were associated with having lower TB-related stigma. This study found that a high percentage of caregivers in Equatorial Guinea lack important knowledge about TB disease and have bad attitudes and high TB-related stigma. Given the epidemiological situation of TB in the country, it is urgent to improve TB knowledge and awareness among Equatorial Guinea's general population.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-07-06
2022
2022-07-06
2023
2023-04-20
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/15859
url http://hdl.handle.net/20.500.12105/15859
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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