Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study
Tuberculosis (TB) remains a major public health challenge in India. Healthcare workers (HCWs) and TB patients are critical to disease transmission and prevention. This study evaluated and compared knowledge, attitudes, and practices related to TB infection control. This was a mixed-method study that...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e56368-e56368 |
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| creator | Shihora, Jeel Damor, Naresh C Parmar, Alpesh Pankaj, Nikhil Murugan, Yogesh |
| description | Tuberculosis (TB) remains a major public health challenge in India. Healthcare workers (HCWs) and TB patients are critical to disease transmission and prevention. This study evaluated and compared knowledge, attitudes, and practices related to TB infection control.
This was a mixed-method study that included a cross-sectional survey conducted among 167 HCWs and 346 patients with TB at tertiary hospitals in western Gujarat using a validated questionnaire. Additionally, 20 HCWs and 20 patients were interviewed to gain qualitative insights. Between-group analyses were performed, and multivariate regressions identified predictors of knowledge and compliance, while thematic analysis explored qualitative insights.
A total of 142/167 (85.0%) HCWs had good knowledge, whereas 208/346 (60.1%) patients had good knowledge. A total of 151/167 (90.4%) HCWs had positive attitudes, whereas 242/346 (69.9%) patients had positive attitudes. A total of 159/167 (95.2%) HCWs practiced good preventive behaviors, whereas 225/346 (65.0%) patients did. HCWs demonstrated significantly higher mean knowledge scores (9.2 vs. 7.1, p |
| doi_str_mv | 10.7759/cureus.56368 |
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This was a mixed-method study that included a cross-sectional survey conducted among 167 HCWs and 346 patients with TB at tertiary hospitals in western Gujarat using a validated questionnaire. Additionally, 20 HCWs and 20 patients were interviewed to gain qualitative insights. Between-group analyses were performed, and multivariate regressions identified predictors of knowledge and compliance, while thematic analysis explored qualitative insights.
A total of 142/167 (85.0%) HCWs had good knowledge, whereas 208/346 (60.1%) patients had good knowledge. A total of 151/167 (90.4%) HCWs had positive attitudes, whereas 242/346 (69.9%) patients had positive attitudes. A total of 159/167 (95.2%) HCWs practiced good preventive behaviors, whereas 225/346 (65.0%) patients did. HCWs demonstrated significantly higher mean knowledge scores (9.2 vs. 7.1, p<0.001) and higher median attitude scores (ranging from 5 with IQR 4-5 to 5 with IQR 5-5) compared to patients (ranging from 4 with IQR 3-5 to 5 with IQR 4-5) across all attitude statements assessed using the Likert scale (p<0.001). Being an HCW was associated with good knowledge (adjusted odds ratio (AOR) 2.5, 95% CI 1.5-4.1), positive attitudes (AOR 2.2, 95% CI 1.4-3.6), and good practices (AOR 3.1, 95% CI 1.8-5.2). The qualitative themes highlighted the need for accessible education, clear communication, adequate resourcing, and personal responsibility.
This study identified gaps in TB prevention knowledge and practices among patients compared to those among HCWs in India. Tailored educational initiatives, optimized health communication, improved infrastructure, and accessible messaging can help individuals assimilate appropriate infection control behaviors among healthcare system actors and communities toward ending TB.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.56368</identifier><identifier>PMID: 38633958</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Attitudes ; Cronbach's alpha ; Data collection ; Disease control ; Infections ; Informed consent ; Interviews ; Knowledge ; Likert scale ; Medical personnel ; Nurses ; Outpatient care facilities ; Patients ; Pharmacists ; Physicians ; Prevention ; Preventive Medicine ; Public Health ; Pulmonology ; Qualitative research ; Questionnaires ; Regression analysis ; Sample size ; Sampling techniques ; Tuberculosis ; Validity</subject><ispartof>Curēus (Palo Alto, CA), 2024-03, Vol.16 (3), p.e56368-e56368</ispartof><rights>Copyright © 2024, Shihora et al.</rights><rights>Copyright © 2024, Shihora et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Shihora et al. 2024 Shihora et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-49846a7587b4030a6789a9e08ef19416f35e2e0eb00d8f0cf1a7afa8ebe72e323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022008/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022008/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38633958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shihora, Jeel</creatorcontrib><creatorcontrib>Damor, Naresh C</creatorcontrib><creatorcontrib>Parmar, Alpesh</creatorcontrib><creatorcontrib>Pankaj, Nikhil</creatorcontrib><creatorcontrib>Murugan, Yogesh</creatorcontrib><title>Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Tuberculosis (TB) remains a major public health challenge in India. Healthcare workers (HCWs) and TB patients are critical to disease transmission and prevention. This study evaluated and compared knowledge, attitudes, and practices related to TB infection control.
This was a mixed-method study that included a cross-sectional survey conducted among 167 HCWs and 346 patients with TB at tertiary hospitals in western Gujarat using a validated questionnaire. Additionally, 20 HCWs and 20 patients were interviewed to gain qualitative insights. Between-group analyses were performed, and multivariate regressions identified predictors of knowledge and compliance, while thematic analysis explored qualitative insights.
A total of 142/167 (85.0%) HCWs had good knowledge, whereas 208/346 (60.1%) patients had good knowledge. A total of 151/167 (90.4%) HCWs had positive attitudes, whereas 242/346 (69.9%) patients had positive attitudes. A total of 159/167 (95.2%) HCWs practiced good preventive behaviors, whereas 225/346 (65.0%) patients did. HCWs demonstrated significantly higher mean knowledge scores (9.2 vs. 7.1, p<0.001) and higher median attitude scores (ranging from 5 with IQR 4-5 to 5 with IQR 5-5) compared to patients (ranging from 4 with IQR 3-5 to 5 with IQR 4-5) across all attitude statements assessed using the Likert scale (p<0.001). Being an HCW was associated with good knowledge (adjusted odds ratio (AOR) 2.5, 95% CI 1.5-4.1), positive attitudes (AOR 2.2, 95% CI 1.4-3.6), and good practices (AOR 3.1, 95% CI 1.8-5.2). The qualitative themes highlighted the need for accessible education, clear communication, adequate resourcing, and personal responsibility.
This study identified gaps in TB prevention knowledge and practices among patients compared to those among HCWs in India. Tailored educational initiatives, optimized health communication, improved infrastructure, and accessible messaging can help individuals assimilate appropriate infection control behaviors among healthcare system actors and communities toward ending TB.</description><subject>Attitudes</subject><subject>Cronbach's alpha</subject><subject>Data collection</subject><subject>Disease control</subject><subject>Infections</subject><subject>Informed consent</subject><subject>Interviews</subject><subject>Knowledge</subject><subject>Likert scale</subject><subject>Medical personnel</subject><subject>Nurses</subject><subject>Outpatient care facilities</subject><subject>Patients</subject><subject>Pharmacists</subject><subject>Physicians</subject><subject>Prevention</subject><subject>Preventive Medicine</subject><subject>Public Health</subject><subject>Pulmonology</subject><subject>Qualitative research</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Sample size</subject><subject>Sampling techniques</subject><subject>Tuberculosis</subject><subject>Validity</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1u1DAUhS0EolXpjjWyxIbFpFzHSeywQaOK_ohWRVDE0nKcmxmXTFz8M21fgafGw7RVYeUr-9Pnc3UIec3gQIi6fW-SxxQO6oY38hnZLVkjC8lk9fzJvEP2Q7gCAAaiBAEvyQ6XDedtLXfJ78-TuxmxX-CMzmO0MfUYZlRPPf3icY1TtGvMozbRGgz0Ky607-20oJepQ2_S6IINdL5y-eoE9RiXRnukP5z_iT5sRTraLArUTvR06q3-QOf03N5iX5xjXLqefsvf3r0iLwY9Bty_P_fI96NPl4cnxdnF8enh_KwwHCAWVSurRotaiq4CDroRstUtgsSBtRVrBl5jiYAdQC8HMAPTQg9aYoeiRF7yPfJx671O3Qp7k6N5Paprb1fa3ymnrfr3ZbJLtXBrxRiUJYDMhnf3Bu9-JQxRrWwwOI56QpeC4lCxkpei3aBv_0OvXPJT3m9DtTl7LetMzbaU8S4Ej8NjGgZqU7TaFq3-Fp3xN083eIQfauV_AIFNpuI</recordid><startdate>20240318</startdate><enddate>20240318</enddate><creator>Shihora, Jeel</creator><creator>Damor, Naresh C</creator><creator>Parmar, Alpesh</creator><creator>Pankaj, Nikhil</creator><creator>Murugan, Yogesh</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240318</creationdate><title>Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study</title><author>Shihora, Jeel ; Damor, Naresh C ; Parmar, Alpesh ; Pankaj, Nikhil ; Murugan, Yogesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-49846a7587b4030a6789a9e08ef19416f35e2e0eb00d8f0cf1a7afa8ebe72e323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Attitudes</topic><topic>Cronbach's alpha</topic><topic>Data collection</topic><topic>Disease control</topic><topic>Infections</topic><topic>Informed consent</topic><topic>Interviews</topic><topic>Knowledge</topic><topic>Likert scale</topic><topic>Medical personnel</topic><topic>Nurses</topic><topic>Outpatient care facilities</topic><topic>Patients</topic><topic>Pharmacists</topic><topic>Physicians</topic><topic>Prevention</topic><topic>Preventive Medicine</topic><topic>Public Health</topic><topic>Pulmonology</topic><topic>Qualitative research</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Sample size</topic><topic>Sampling techniques</topic><topic>Tuberculosis</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shihora, Jeel</creatorcontrib><creatorcontrib>Damor, Naresh C</creatorcontrib><creatorcontrib>Parmar, Alpesh</creatorcontrib><creatorcontrib>Pankaj, Nikhil</creatorcontrib><creatorcontrib>Murugan, Yogesh</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shihora, Jeel</au><au>Damor, Naresh C</au><au>Parmar, Alpesh</au><au>Pankaj, Nikhil</au><au>Murugan, Yogesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-03-18</date><risdate>2024</risdate><volume>16</volume><issue>3</issue><spage>e56368</spage><epage>e56368</epage><pages>e56368-e56368</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Tuberculosis (TB) remains a major public health challenge in India. Healthcare workers (HCWs) and TB patients are critical to disease transmission and prevention. This study evaluated and compared knowledge, attitudes, and practices related to TB infection control.
This was a mixed-method study that included a cross-sectional survey conducted among 167 HCWs and 346 patients with TB at tertiary hospitals in western Gujarat using a validated questionnaire. Additionally, 20 HCWs and 20 patients were interviewed to gain qualitative insights. Between-group analyses were performed, and multivariate regressions identified predictors of knowledge and compliance, while thematic analysis explored qualitative insights.
A total of 142/167 (85.0%) HCWs had good knowledge, whereas 208/346 (60.1%) patients had good knowledge. A total of 151/167 (90.4%) HCWs had positive attitudes, whereas 242/346 (69.9%) patients had positive attitudes. A total of 159/167 (95.2%) HCWs practiced good preventive behaviors, whereas 225/346 (65.0%) patients did. HCWs demonstrated significantly higher mean knowledge scores (9.2 vs. 7.1, p<0.001) and higher median attitude scores (ranging from 5 with IQR 4-5 to 5 with IQR 5-5) compared to patients (ranging from 4 with IQR 3-5 to 5 with IQR 4-5) across all attitude statements assessed using the Likert scale (p<0.001). Being an HCW was associated with good knowledge (adjusted odds ratio (AOR) 2.5, 95% CI 1.5-4.1), positive attitudes (AOR 2.2, 95% CI 1.4-3.6), and good practices (AOR 3.1, 95% CI 1.8-5.2). The qualitative themes highlighted the need for accessible education, clear communication, adequate resourcing, and personal responsibility.
This study identified gaps in TB prevention knowledge and practices among patients compared to those among HCWs in India. Tailored educational initiatives, optimized health communication, improved infrastructure, and accessible messaging can help individuals assimilate appropriate infection control behaviors among healthcare system actors and communities toward ending TB.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38633958</pmid><doi>10.7759/cureus.56368</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Attitudes Cronbach's alpha Data collection Disease control Infections Informed consent Interviews Knowledge Likert scale Medical personnel Nurses Outpatient care facilities Patients Pharmacists Physicians Prevention Preventive Medicine Public Health Pulmonology Qualitative research Questionnaires Regression analysis Sample size Sampling techniques Tuberculosis Validity |
| title | Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study |
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