跳到主要內容

臺灣博碩士論文加值系統

(3.235.120.150) 您好!臺灣時間:2021/07/31 14:48
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:米立哲
研究生(外文):Milo Richard
論文名稱:Knowledge Attitude and Practice of Haitians Living at the Border of Haiti-Dominican Republic Towards Pulmonary Tuberculosis
論文名稱(外文):Knowledge Attitude and Practice of Haitians Living at the Border of Haiti-Dominican Republic Towards Pulmonary Tuberculosis
指導教授:邱淑媞邱淑媞引用關係
指導教授(外文):Shu-Ti Chiou
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:英文
論文頁數:81
中文關鍵詞:Pulmonary TuberculosisHaiti-DominicanHaitians
外文關鍵詞:Pulmonary TuberculosisHaiti-DominicanHaitians
相關次數:
  • 被引用被引用:0
  • 點閱點閱:96
  • 評分評分:
  • 下載下載:7
  • 收藏至我的研究室書目清單書目收藏:0
Objectives: Assess the Knowledge, information sources, attitude and potential practice of people near the border Haitian-Dominican Republic about TB, and explore the relationship between their behaviour and their knowledge of the disease.
Methods: Data were gathered from cross sectional survey conducted among 470 adults (>16 years) in the four Departements compounding the border from Nov 8th to Dec 22d 2006. A convenient sample was selected by a comity created for the study, compounded with members from the NTP and local representative of WHO were interviewed; each 5th person who passed in the selected places were drawn randomly to be interviewed until the needed size is achieved , using a pre-tested questionnaire approved for this purpose by the local WHO representative Bureau.
Results: Mean score for knowledge was 3.63 among 7 and 0.82 among 2 for attitude; 29.7% have a Knowledge score above 4.66, 31 % got 2, the maximum score for attitude, but 97% said that they would go to hospital for care if they get TB; people in the N-E have a higher knowledge score than the other areas; Health workers and media are the two main sources for TB information. The multiple regression logistic analysis showed that respondents who live in the N-E, having low TB Knowledge, and illiterates were less likely to have a positive Attitude to TB
Conclusion: Knowledge gap existed and was associated with attitude to TB among this high risk population. Further research on health education intervention and its effects on improving attitude and practice were needed
Objectives: Assess the Knowledge, information sources, attitude and potential practice of people near the border Haitian-Dominican Republic about TB, and explore the relationship between their behaviour and their knowledge of the disease.
Methods: Data were gathered from cross sectional survey conducted among 470 adults (>16 years) in the four Departements compounding the border from Nov 8th to Dec 22d 2006. A convenient sample was selected by a comity created for the study, compounded with members from the NTP and local representative of WHO were interviewed; each 5th person who passed in the selected places were drawn randomly to be interviewed until the needed size is achieved , using a pre-tested questionnaire approved for this purpose by the local WHO representative Bureau.
Results: Mean score for knowledge was 3.63 among 7 and 0.82 among 2 for attitude; 29.7% have a Knowledge score above 4.66, 31 % got 2, the maximum score for attitude, but 97% said that they would go to hospital for care if they get TB; people in the N-E have a higher knowledge score than the other areas; Health workers and media are the two main sources for TB information. The multiple regression logistic analysis showed that respondents who live in the N-E, having low TB Knowledge, and illiterates were less likely to have a positive Attitude to TB
Conclusion: Knowledge gap existed and was associated with attitude to TB among this high risk population. Further research on health education intervention and its effects on improving attitude and practice were needed
Table of content………………………………………………………………………………2
Acronyms and abbreviations…………………………………………………………………..5
Acknowledgement……………………………………………………………………………..8
Abstract………………………………………………………………………………………10 Introduction ………………………………………………………………………………….11
1.1 Background………………………………………………………………………….11
1.1.1 Presentation of Haiti……………………………………………………….....12
1.1.2 History of the tuberculosis in Haiti………………………………………..14
1.2 Research question…………………………………………………………………..16
1.3 Specific aims………………………………………………………………………16
2- Literature review…………………………………………………………………………..17
2.1 Medical aspects of tuberculosis………………………………………………..….17
2.1.1 Definition of tuberculosis…………………………………………………...17
2.1.2 Modes of transmission…………………………………………………...17
2.1.3 Symptoms and signs of pulmonary TB…………………………………..18
2.1.4 Diagnosis………………………………………………………………...19
2.1.5 Treatment………………………………………………………………..20
2.1.6 Prophylaxis………………………………………………………………21
2.2 Socio-demographic characteristic of KAP related to TB detection……………..21
2.2.1 Definition of Knowledge………………………………………………..22
2.2.2 Definition of Attitude…………………………………………………...23
2.2.3 Definition of Practice…………………………………………………...23
2.3 KAP in tuberculosis……………………………………………………………...24
2.4 What do individuals should know about TB……………………………………..22
2.5 Factors associated with TB knowledge…………………………………………..23
2.6 Factors associated with TB attitude………………………………………………24
2.7 Factors associated with TB Practice………………………………………………26
2.8 Lessons learnt from the literature review………………………………………...27
3-Methodology………………………………………………………………………………29
3.1Research design and sample……………………………………………………29
3.2 Inclusion criteria………………………………………………………………29
3.3 instruments……………………………………………………………………30
3.4 Data analysis………………………………………………………………….30
4 Results……………………………………………………………………………………...31
4.1 Interpretation of the grouping variables (TbA)……………………………….31
4.2 Socio-demographic data ..........………………………………………………31
4.3 Migration and health conditions data ..........…………………………………31
4.4 Knowledge............…………………………………………………………..32
4.5 Attitude ………………………………………………………………….....33
4.6 Practice……………………………………………………………………..34
5 Discussions…………………………………………………………………………………35
5.1 Socio-demographics……………………………………………………....35
5.2 Knowledge about TB…………………………………………………….35
5.3 Attitude to TB……………………………………………………………38
5.4 Practices towards TB …………………………………………………...40
6 Conclusions………………………………………………………………………………...41
6.1 Strengths………………………………………………………………..42
6.2 Weaknesses……………………………………………………………42
6.3 Recommendations…………………………………………………….43
References……………………………………………………………………………………45
List of tables………………………………………………………………………………….51
Table A Grouping of variables……………………………………………………………….51
Table 1 Socio-demographic data……………………………………………………………..55
Table 2 Migration and health conditions data………………………………………………..56
Table 3 Frequency of correct answer about TB knowledge, TB attitude and TB practice…..57
Tables 4,5,6 Univariate logistic regression analysis of explanatory variables……….......58-61
Table 7, 8, 9 multivariate logistic regression analysis…………………………...............64-66
Appendix: Questionnaire....................................................................................................67-85
WHO full report TB 2009: Global Tuberculosis Control Epidemiology, Strategy, Financing
-Annual Report of the NTP, Haiti 2007
-General census on population and housing in Haiti, IHSI 2003
-Plan Stratégique Nationale de lutte contre la tuberculose en Haïti 2006 (National strategic plan, 2006)
www.who/htm/tb/2008.400
Donald .A and al, Management of Tuberculosis, A Guide for low income countries
International Union against TB and Lung Disease (Union), 2000
-www.memerriam-webster.com/dictionary/knowledge
-www.en.wikipedia.org/wiki/Attitude_ (psychology)
- World Health Organization, New Technology for Tuberculosis Control: a framework for their adoption, introduction and implementation, 2007 (WHO/HTM/STB/2007.40)
- World Health Organization, Advocacy, Communication and Social Mobilization (ACSM) for tuberculosis control: a handbook for country program, 2007
- World Health Organization, Advocacy, Communication and Social Mobilization for TB control: a guide to developing knowledge, attitude and practice surveys, 2008 (WHO/HTM/STB/2008.46)
-Wang J, Fei Y, Sheng H, Xu B: Gender differences in knowledge of tuberculosis and associated health care seeking behaviours: a cross sectional study in a rural area of China, BMC, Public Health, 2008 Oct 8; 8; 354
-Long Q, Li Y, Wang Y, Yue Y, Tang C, Tang S, Squire SB, Tolhurst R : Barriers to accessing TB diagnosis for rural to urban migrants with chronic cough in Chongqing , China : a mixed methods study, BMC, Health service Res, 2008 Oct 2;8; 202
-Xu B, Jian QW, Xiu Y, and Diwan VK: Diagnosis delays in access to tuberculosis in counties with or without the National Tuberculosis control Program in rural China. Scandinavian Journal of Public Health. 2007, 35; (4): 396-402
-Hoa NP, Thorson AE, Long NH, Diwan VK : knowledge of tuberculosis and associated health seeking behaviour among rural Vietnamese adults with a cough for at least three weeks, Scandinavian Journal of Public Health Suppl , 2003;62:59-65
-Mfinanga SG, Mutayoba BK, Kawha A , Kimaro G, Mtandu R, Ngadaya E, Egwaga S, Kitua AY: the magnitude and factors associated with delays in management of smear positive tuberculosis in Dar -es- Salaam, Tanzania; BMC Health Serv. Res. 2008 Jul 27; 8: 158
-Storla DG, Yimer S, Buine GA: A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC public Health, 2008 Jan 14; 8: 15
-Teixeira EG, Menzies D, Cunha AJ, Luiz RR, Rhufino-Netto A, Scartozoni MS, Portela P, Traiman A : knowledge and practices of medical students to prevent tuberculosis transmission in Rio de Janeiro , Brazil; Revista Pan-Americana de Salud Publica, 2008 Oct, 24;(4): 265-70.
-Mark SM, Deluca N, Walton W: knowledge, attitude and risk perceptions about tuberculosis: US National Health interview Survey, International Journal of tuberculosis and lung diseases, 2008 Nov; 12 (11) 1261-7
-West L, Gadkoski LB, OstbyeT, Piedrahita C, and Stout JE: tuberculosis knowledge, attitudes and beliefs among North Carolinians at increase risk of infection; NC med Journal, 2008 Jan-Feb; 69 (1):14-20
-Kirtland KA, Lopez-De-Fede, Harris M: knowledge and perceived risk of tuberculosis: US racial and regional differences. Ethn Dis. 2006 spring 16 (2): 468-75.
-Suganthi P, Shada VK, Ahmed J, Umadevi G, Kumar P, Srivastava R, Magesh V, Gupta J, Sharda MA: Health seeking and knowledge among persons with pulmonary symptoms and tuberculosis case in Bangalore slums; International Journal of TB and lung diseases, 2008 Nov 12; (11): 1268-73.
-Roy A, Abubakar I, Yates S, Chapman A, Lipman M, Monk P, Catchpole M, National knowledge service TB project Board: Evaluating knowledge gain from TB leaflets for prison and homeless sector staff : the National knowledge service TB pilot; European Journal of Public Health, 2008 Dec; 18;(6) 600-3.
-Kilal AM, Mushi AK, Lema LA, Kunda J, Makasi CE, Mwaseba D, Range NS, Mfinanga GS: Perceptions of tuberculosis and treatment seeking behaviours in IIala and Kinondoni municipalities in Tanzania; The Tanzanian Journal of Health research , 2008 April ; 10; (2):89-94.
-Mangesho PE, Shavo E, Makunde WH, Keto GB, Mandara CI, Kamugisha ML, Kilal AM, Ishengoma DR: Community knowledge attitudes and practices towards tuberculosis and its treatment Mpwapwa district, central Tanzania; Tanzan Health res Bull, 2007 Jan; 9; (1) 38-43.
-Enarson DA: Controlling tuberculosis: we can’t do if we don’t find the cases. East Mediterranean Health Journal, 2003 Jul; 9; (4): 509-17.

-Hoa NP, Chuc NT, Thorson A: knowledge, attitudes and practices about tuberculosis and choice of communication channels in a rural community in Vietnam; Health Policy 2009 April; 90; (1): 8-12.
-Agboatwalla M, Kazi GN, and Shah SK, Tariq M: Gender perspectives on knowledge and practices regarding tuberculosis in urban and rural areas in Pakistan; East Mediterranean Health Journal, 2003 Jul; 9; (4): 732-40.
-Jaramillo E: Pulmonary tuberculosis and health seeking behaviour: how to get a delayed diagnosis in Cali, Colombia; Tropical Medicine International Health, 1998 Feb; 3 ;( 2):138-44.
-Ngamvithayapong J, Yanai H, Winkvist A; Diwan V: Health seeking behaviour and diagnosis for pulmonary tuberculosis in an HIV epidemic mountainous area of Thailand; International journal of tuberculosis and lung diseases, 2001Nov; 5 ;( 11): 1013-20.
-Ngamvithayapong J, Winkvist A; Diwan V: High AIDS awareness may cause tuberculosis patient delay: results from an HIV epidemic area, Thailand; AIDS 2000 Jul 7; 14 (10):1413-19.
-Sanchez-Perez H, Flores-Hernandez J, Jansa J, Cayla J, Martin-Mateo M : Pulmonary tuberculosis and associated factors in areas of high levels of poverty in Chiapas, Mexico; International Journal of Epidemiology, 2001Apr;30 (2) : 386-93.
- Baldwin MR , Yori PP, Ford C, Moore DA, Gilman RH, Vidal C, Ticona E, Evans CA: Tuberculosis and nutrition : Diseases perception and health seeking behaviour of household contact in the Peruvian Amazon; International Journal of tuberculosis and lung diseases, 2004 Dec; 8; (12) 1484-91.
-Van der Werf MJ, Chechulin Y, Yegorova OB , Marcinuk T, Stopolyanskyi A, Voloschuk V, Zlobinec M, Vassall A, Veen J, Hasker E, Turchenko LV: Health seeking behaviour for tuberculosis in Kiev City, Ukraine; International Journal of tuberculosis and lung diseases, 2006 Apr;10 (4):390-5
-Mengiste. MM, Tesfay WT, Israel GT, Girmai WM, Madeley JR: Community knowledge, attitudes and practices on pulmonary tuberculosis and their choice of treatment supervisor in Tigray, Northern Ethiopia ; Ethiopia Journal of Health development, 2005 ; 19 special issue.
- Ailinger, RL, Dear MR: Latino immigrants’ explanatory models of tuberculosis infection. Qualitative Health Research, 7 (4), 521-531
- Banerjee, A. Harries, A.D, Nyirenda T, Salaniponi FM: Local perceptions of tuberculosis in a rural district in Malawi; international Journal of Tuberculosis and Lung diseases, 2000 ;4; (11) 1047-51
-Broekmans J F, Reichman LB, Hershfield ES: Tuberculosis control in low prevalence countries: A comprehensive international approach, 2000 (pp.75-93)
- Chin, D. P., Crane, C. M., Diul, M. Y., Sun, S. J., Agraz, R., Taylor, S. et al. Spread of Mycobacterium tuberculosis in a community implementing recommended elements of tuberculosis control. Journal of the American Medical Association, (2000); 283 ;( 22), 2968–2974.
-Daniel, T. M. (2000). The origins and pre-colonial epidemiology of tuberculosis in the Americas: Can we figure them out? International Journal of Tuberculosis & Lung Disease, 2000: 4(5), 395– 400.

-Grange, JM, Gandy, M., Farmer P., & Zumla, A. (2001): Historical declines in tuberculosis: Nature, nurture and the bio-social model. International Journal of Tuberculosis & Lung Disease, 5(3), 208–212.

-Lienhardt, C., Rowley, J., Manneh, K., Lahai, G., Nedham, D., Milligan, P. et al. Factors affecting time delay to treatment in a tuberculosis control programme in a sub-Saharan African country: The experience of The Gambia. International Journal of Tuberculosis & Lung Disease, 2001; 5(3), 233–239.

-Martinho APS DS, Maria FPMA, Ricardo AA X, Norma LCL, Cynthia B, Antonio RLC, Odimariles MSD, Ulisses RM, Wayner VS, Alexandre MK, Laura CR: Risks factors for treatment delay in pulmonary tuberculosis in Recife, Brazil; BMC Public Health, 2005; 5; 25
-Rodger A, Jaffar S, Paynter S, Hayward A, Carless J, Maguire H. Delay in the diagnosis of pulmonary tuberculosis, London, 1998–2000: analysis of surveillance data. BMJ. 2003; 326: 909–910.
-Allet Gomez MN, Alcaide Megias J, Canela Soler J, Mila Auge C, Jimenez Fuentes MA, De Souza Galvao ML, Solsona Peiro J. Estudio del retraso diagnostico de la tuberculosis pulmonar sintomatica. Arch Bronconeumol. 2003; 39:146–152.
-McDade R: A missed methods study on spirituality and the influence on TB medication adherence, 2007
-J Peterson T, M Casle W, Young JA, Meakin R, Moss AR: knowledge and attitudes about tuberculosis and tuberculosis control among homeless adults; International Journal of tuberculosis and lung diseases, 1999;3;(6):528-33
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top