Knowledge and Attitudes About Tuberculosis Among U.S.-Born Blacks and Whites with Tuberculosis

Howley, Meredith M.; Rouse, Chaturia; Katz, Donald L.; Colson, Paul W.; Hirsch‐Moverman, Yael; Royce, Rachel A.

doi:10.1007/s10903-014-0105-9

Cited by 8 publications

(20 citation statements)

References 24 publications

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“…Patients with higher levels of education contribute to greater knowledge about TB from the outside world. Knowledge of TB can improve health-related behaviors such as taking anti-TB drugs on time and seeking care in a timely manner 57 . This will contribute to the effective control of the disease and reduce the patients’ stigma, thus reducing psychological distress and improving the QOL.…”

Section: Discussionmentioning

confidence: 99%

The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

Chen

et al. 2021

Sci Rep

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The complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychological distress, and QOL and to examine whether experienced stigma and psychological distress play a mediating role. A cross-sectional survey was conducted between November 2020 and March 2021 in Dalian, Liaoning Province, Northeast China. Data were obtained from 473 TB patients using a structured questionnaire. Structural equation modelling was used to examine the hypothetical model. The research model provided a good fit to the measured data. All research hypotheses were supported: (1) social support, experienced stigma and psychological distress were associated with QOL; (2) experienced stigma fully mediated the effect of social support on psychological distress; (3) psychological distress fully mediated the effect of experienced stigma on QOL; and (4) experienced stigma and psychological distress were sequential mediators between social support and QOL. This study elucidated the pathways linking social support, experienced stigma, and psychological distress to QOL and provides an empirical basis for improving the QOL of TB patients.

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Section: Discussionmentioning

confidence: 99%

The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

Chen

et al. 2021

Sci Rep

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“…Most of the studies were rated to have a low risk of bias ( n = 35) 10 , 17–27 , 29 , 31 , 33–35 , 38 , 39 , 41–44 , 46 , 47 , 49–54 , 56 , 60–62 , and 12 studies had a moderate level of risk of bias 28 , 30 , 32 , 36 , 37 , 40 , 45 , 48 , 55 , 57–59 ( Supplementary Appendix 7 ). The risk of bias primarily arose from a lack of reporting on the sampling frame ( n = 28) 10 , 17 , 28–30 , 32–34 , 37 , 38 , 40 , 41 , 43–48 , 50 , 52–55 , 57–59 , 61 , 62 and the sampling method where convenience sampling or voluntary sample was used ( n = 20).…”

Section: Resultsmentioning

confidence: 99%

“…The risk of bias primarily arose from a lack of reporting on the sampling frame ( n = 28) 10 , 17 , 28–30 , 32–34 , 37 , 38 , 40 , 41 , 43–48 , 50 , 52–55 , 57–59 , 61 , 62 and the sampling method where convenience sampling or voluntary sample was used ( n = 20). 17 , 21 , 22 , 27 , 29–31 , 33 , 36 , 38 , 42–44 , 46 , 47 , 49 , 50 , 52 , 56 , 58 Hence, there was uncertainty on whether the true close representation of the target population was established. Moreover, half of the studies ( n = 23) did not use pilot-tested and validated study instruments for data collection.…”

Section: Resultsmentioning

confidence: 99%

“…The review found that many had poor understanding of LTBI clinical characteristics, 10 , 17–19 , 21–26 , 29 , 31 , 33–36 , 38 , 39 , 41 , 42 , 44 , 45 , 48–52 , 54 , 56 , 59 role of Bacillus Calmette–Guérin (BCG) vaccination 17 , 18 , 20 , 21 , 25 , 26 , 31 , 33 , 34 , 37 , 39 , 44 , 46 , 48 , 51 , 55 , 59 and the risk factors for TB reactivation. 24 , 36–39 , 41 , 42 , 49 , 50 , 52 , 53 For example, one common misconception was that BCG vaccination was often thought to confer lifelong immunity, even among healthcare workers. 17 , 18 , 21 , 25 , 31 , 36 , 44 , 51 This could have led to poor compliance and adherence to LTBI treatment and management guidelines.…”

Section: Resultsmentioning

confidence: 99%

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How can we improve latent tuberculosis infection management using behaviour change wheel: a systematic review

Wong

Lee

2023

Journal of Public Health

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Background To ensure the effective delivery of latent tuberculosis infection (LTBI) care, it is vital to overcome potential challenges in LTBI management. This systematic review aims to identify the barriers and interventions to improve LTBI management using the Capability, Opportunity, and Motivation-Behaviour (COM-B) model and Behaviour Change Wheel (BCW). Methods A systematic literature search was performed on five electronic databases from database inception to 3 November 2021. A two-step technique was used in the data synthesis process: (i) the barriers of LTBI management were identified using the COM-B model, followed by (ii) mapping of intervention functions from BCW to address the identified barriers. Results Forty-seven eligible articles were included in this review. The findings highlighted the need for a multifaceted approach in tackling the barriers in LTBI management across the public, provider and system levels. The barriers were summarized into suboptimal knowledge and misperception of LTBI, as well as stigma and psychosocial burden, which could be overcome with a combination of intervention functions, targeting education, environment restructuring, persuasion, modelling, training, incentivization and enablement. Conclusions The remedial strategies using BCW to facilitate policy reforms in LTBI management could serve as a value-added initiative in the global tuberculosis control and prevention program.

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“…Several challenges associated with Black or African Americans may be contributing to these high rates of TB infection. These challenges include lengthy treatment, patients’ reluctance to take medication for several months, inadequate treatment, genetic complexities, latent TB infection, higher unemployment, poor housing and transportation conditions, and cultural barriers including health literacy, beliefs and other stigma associated to TB infection among certain populations [ 17 , 18 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Sociodemographic Factors with Tuberculosis Outcomes in Mississippi

et al. 2023

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Tuberculosis (TB) is one of the leading causes of death worldwide. In the US, the national incidence of reported TB cases was 2.16 per 100,000 persons in 2020 and 2.37 per 100,000 persons in 2021. Furthermore, TB disproportionately affects minorities. Specifically, in 2018, 87% of reported TB cases occurred in racial and ethnic minorities in Mississippi. Data from TB patients from the Mississippi Department of Health (2011–2020) were used to examine the association between sociodemographic subgroups (race, age, place of birth, gender, homelessness, and alcohol use) with TB outcome variables. Of the 679 patients with active TB cases in Mississippi, 59.53% were Black, and 40.47% were White. The mean age was 46 ± ten years; 65.1% were male, and 34.9% were female. Among patients with previous TB infections, 70.8% were Black, and 29.2% were White. The rate of previous TB cases was significantly higher among US-born (87.5%) persons compared with non-US-born persons (12.5%). The study suggested that sociodemographic factors play a significant role in TB outcome variables. This research will help public health professionals to develop an effective TB intervention program that addresses sociodemographic factors in Mississippi.

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Knowledge and Attitudes About Tuberculosis Among U.S.-Born Blacks and Whites with Tuberculosis

Cited by 8 publications

References 24 publications

The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

How can we improve latent tuberculosis infection management using behaviour change wheel: a systematic review

Association of Sociodemographic Factors with Tuberculosis Outcomes in Mississippi

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