Latent tuberculosis infection: Misperceptions among non-U.S.–born-populations from countries where tuberculosis is common

Parmer, J. Norman; Macario, Everly; Tatum, Katharine; Brackett, Alejandra; Allen, Leeanna; Picard, Rachael; DeLuca, Nick; Dowling, Molly

doi:10.1080/17441692.2021.1947342

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…The gaps in LTBI management were known to be attributed to individual, provider and systemic factors. 7 , 8 These include patients’ worries about the negative impact of LTBI treatment, a lack of knowledge among healthcare providers in LTBI testing and treatment and a low prioritization of LTBI management in the healthcare system. 7 In view of these, a holistic view of the barriers to LTBI management would be beneficial for improvements targeting individual (patient and public), provider and system levels to be formulated.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

“…1 One issue identified in LTBI management was the lack of understanding and awareness of LTBI testing and treatment among healthcare providers and the general public, particularly populations from countries where TB is common. 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

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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“…However, TB stigma is relatively high in the community. Immigrants may feel singled out and stigmatized for other reasons [ 33 , 34 ]. One study in Eritrea [ 35 ] showed that restrained contacts due to fear of getting infected with TB, gossiping, and finger pointing in the community caused enacted and anticipated stigma among patients with TB.…”

Section: Discussionmentioning

confidence: 99%

Gender-Specific Association Between Perceived Stigma Toward Tuberculosis and Acceptance of Preventive Treatment Among College Students With Latent Tuberculosis Infection: Cross-Sectional Analysis

Yuan¹,

Jin²,

Bi³

et al. 2023

JMIR Public Health Surveill

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Background With the increasing enrollment scale of colleges, the number of students on campus has risen sharply in China. The number of students with tuberculosis (TB) and rifampicin-resistant TB in colleges has increased significantly. Preventive treatment of latent tuberculosis infection (LTBI) is an important means for TB prevention and control in colleges. At present, the acceptance of LTBI treatment among college students remains unclear. In addition, evidence shows stigma may be one of the key factors affecting acceptance of LTBI treatment. To date, there is little direct evidence on the gender-specific association between perceived stigma toward TB and acceptance of LTBI treatment among college students. Objective This study aimed to describe the acceptance of LTBI treatment among college students in an eastern province of China to explore the association between perceived stigma toward TB and acceptance of LTBI treatment and to examine the moderating effect of gender on the association. Methods Data were derived from the project on the evaluation of LTBI treatment and its effectiveness among college students in Shandong, China. In total, 1547 college students were included in the analysis. We considered covariates at the individual and family levels. Multilevel mixed-effects logistic regression was used to examine the moderating role of gender and also explore the association between perceived stigma toward TB and acceptance of LTBI treatment. Results The acceptance rate of LTBI treatment among the diagnosed college students was 46.7% (n=723). The proportion of female students (n=361, 51.5%) accepting LTBI treatment was higher than that of male students (n=362, 42.8%; P=.001). There was an interaction between perceived stigma toward TB and gender (OR 0.93, 95% CI 0.87-1.00; P=.06). Among college students with LTBI, perceived stigma toward TB was positively associated with acceptance of preventive treatment (OR 1.03, 95% CI 1.00-1.08, P=.05). Perceived stigma toward TB was positively associated with accepting LTBI treatment only among male students (OR 1.07, 95% CI 1.02-1.12; P=.005). Conclusions The acceptance rate of preventive treatment among college students with LTBI was low. Contrary to our expectations, perceived stigma toward TB was positively associated with acceptance of preventive treatment. Gender moderated this association; high perceived stigma toward TB was associated with acceptance of preventive treatment only in male gender. Gender-specific strategies are effective in improving the acceptability of LTBI treatment in colleges.

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“…Infectious diseases remain a signifcant threat to the wellbeing of people and the economies of countries worldwide [7,[50][51][52][53][54][55]. Our study included 16847 meningitis cases with 7 prospective and 9 retrospective study designs.…”

Section: Discussionmentioning

confidence: 99%

Association of Diabetes with Meningitis Infection Risks: A Systematic Review and Meta-Analysis

2022

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Background. The Global Burden of Disease Study in 2016 estimated that the global incident cases of meningitis have increased by 320,000 between 1990 and 2016. Current evidence suggests that diabetes may be a prime risk factor for meningitis among individuals, including older adults. However, findings of prior studies on this topic remain inconsistent, making a general conclusion relatively difficult. This study aimed to quantitatively synthesize the literature on the risk of meningitis associated with diabetes and compare the risk across different global regions. Method. Literature search and study design protocol followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was conducted in PubMed, Web of Science, African Journal Online, and Google Scholar using relevant MESH terms. A random effect model was used to pull effect sizes. Results. Initial search yielded 772 papers but 756 studies were excluded due to duplicity and not meeting inclusion criteria. In all, 16 papers involving 16847 cases were used. The pulled effect size (ES) of the association between diabetes and meningitis was 2.240 (OR = 2.240, 95% CI = 1.716–2.924). Regional-base analysis showed that diabetes increased the risk of developing meningitis in Europe (OR = 1.737, 95% CI = 1.299–2.323), Asia (OR = 2.192, 95% CI = 1.233–3.898), and North America (OR = 2.819, 95% CI = 1.159–6.855). These associations remained significant in the study design and etiological classe-based subgroup analyses. However, we surprisingly found no studies in Africa or South America. Conclusion. Diabetes is a risk factor for developing meningitis. Given that no research on this topic came from Africa and South America, our findings should be contextually interpreted. We, however, encourage studies on diabetes-meningitis linkages from all parts of the world, particularly in Africa and South America, to confirm the findings of the present study.

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Latent tuberculosis infection: Misperceptions among non-U.S.–born-populations from countries where tuberculosis is common

Cited by 6 publications

References 21 publications

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

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

Gender-Specific Association Between Perceived Stigma Toward Tuberculosis and Acceptance of Preventive Treatment Among College Students With Latent Tuberculosis Infection: Cross-Sectional Analysis

Association of Diabetes with Meningitis Infection Risks: A Systematic Review and Meta-Analysis

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