Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan
Abstract Background Ambulatory based treatment of tuberculosis has been recently introduced in Kazakhstan. We sought to assess the attitudes of the general population, TB patients and their household members towards ambulatory TB treatment and identify how knowledge of TB is associated with these at...
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doaj-77f59d54165f4d26a228807ab890b3002020-11-25T03:04:13ZengBMCBMC Health Services Research1472-69632020-06-0120111010.1186/s12913-020-05413-0Knowledge and attitudes towards ambulatory treatment of tuberculоsis in KazakhstanMeruyert Darisheva0Melissa Tracy1Assel Terlikbayeva2Baurzhan Zhussupov3Neil Schluger4Tara McCrimmon5Columbia University Global Health Research Center of Central AsiaSchool of Public Health, Department of Epidemiology and Biostatistics, University at AlbanyColumbia University Global Health Research Center of Central AsiaKazakh National Medical UniversityDepartment of Epidemiology, Columbia University Mailman School of Public HealthColumbia University School of Social WorkAbstract Background Ambulatory based treatment of tuberculosis has been recently introduced in Kazakhstan. We sought to assess the attitudes of the general population, TB patients and their household members towards ambulatory TB treatment and identify how knowledge of TB is associated with these attitudes. Methods New pulmonary TB cases and their household and community controls were recruited from three regions of Kazakhstan in 2012–2014. 1083 participants completed audio computer-assisted self interviews to assess their knowledge of TB and attitudes towards ambulatory care. Mixed effects logistic regression models were used to identify factors associated with attitudes toward ambulatory TB treatment. Results The proportion of people who considered ambulatory TB treatment as appropriate was very low (24.9%). Positive attitudes towards ambulatory TB treatment were significantly associated with region of residence, higher level of education, family support and experience with TB. The association between sufficient tuberculosis knowledge and favorable attitude toward ambulatory treatment was stronger among community controls compared to TB patients and their family members. Conclusions This study provides insight into attitudes toward ambulatory TB treatment among different groups and the specific influence of TB knowledge on these attitudes. Our findings can inform the process of integration of new TB treatment strategies and the development of appropriate education and advocacy programs in the general population.http://link.springer.com/article/10.1186/s12913-020-05413-0TuberculosisTB treatmentKazakhstanTB attitudeTB knowledge |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Meruyert Darisheva Melissa Tracy Assel Terlikbayeva Baurzhan Zhussupov Neil Schluger Tara McCrimmon |
spellingShingle |
Meruyert Darisheva Melissa Tracy Assel Terlikbayeva Baurzhan Zhussupov Neil Schluger Tara McCrimmon Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan BMC Health Services Research Tuberculosis TB treatment Kazakhstan TB attitude TB knowledge |
author_facet |
Meruyert Darisheva Melissa Tracy Assel Terlikbayeva Baurzhan Zhussupov Neil Schluger Tara McCrimmon |
author_sort |
Meruyert Darisheva |
title |
Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan |
title_short |
Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan |
title_full |
Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan |
title_fullStr |
Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan |
title_full_unstemmed |
Knowledge and attitudes towards ambulatory treatment of tuberculоsis in Kazakhstan |
title_sort |
knowledge and attitudes towards ambulatory treatment of tuberculоsis in kazakhstan |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2020-06-01 |
description |
Abstract Background Ambulatory based treatment of tuberculosis has been recently introduced in Kazakhstan. We sought to assess the attitudes of the general population, TB patients and their household members towards ambulatory TB treatment and identify how knowledge of TB is associated with these attitudes. Methods New pulmonary TB cases and their household and community controls were recruited from three regions of Kazakhstan in 2012–2014. 1083 participants completed audio computer-assisted self interviews to assess their knowledge of TB and attitudes towards ambulatory care. Mixed effects logistic regression models were used to identify factors associated with attitudes toward ambulatory TB treatment. Results The proportion of people who considered ambulatory TB treatment as appropriate was very low (24.9%). Positive attitudes towards ambulatory TB treatment were significantly associated with region of residence, higher level of education, family support and experience with TB. The association between sufficient tuberculosis knowledge and favorable attitude toward ambulatory treatment was stronger among community controls compared to TB patients and their family members. Conclusions This study provides insight into attitudes toward ambulatory TB treatment among different groups and the specific influence of TB knowledge on these attitudes. Our findings can inform the process of integration of new TB treatment strategies and the development of appropriate education and advocacy programs in the general population. |
topic |
Tuberculosis TB treatment Kazakhstan TB attitude TB knowledge |
url |
http://link.springer.com/article/10.1186/s12913-020-05413-0 |
work_keys_str_mv |
AT meruyertdarisheva knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan AT melissatracy knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan AT asselterlikbayeva knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan AT baurzhanzhussupov knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan AT neilschluger knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan AT taramccrimmon knowledgeandattitudestowardsambulatorytreatmentoftuberculosisinkazakhstan |
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