Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa

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dc.contributor.authorNaidoo, Pamela
dc.contributor.authorSimbayi, Leickness
dc.contributor.authorLabadarios, Demetre
dc.contributor.authorNtsepe, Yoliswa
dc.contributor.authorBikitsha, Nwabisa
dc.contributor.authorKhan, Gadija
dc.contributor.authorSewpaul, Ronel
dc.contributor.authorMoyo, Sizulu
dc.contributor.authorRehle, Thomas
dc.date.accessioned2021-10-08T06:54:49Z
dc.date.available2021-10-08T06:54:49Z
dc.date.issued2016
dc.description.abstractBackgroundSouth Africa is one of the 22 high tuberculosis burden countries that contribute 80% of the global tuberculosis cases. Tuberculosis is infectious and due to its rapid and easy transmission route poses a threat to population health. Considering the importance of social and psychological factors in influencing health outcomes, appraising knowledge and awareness of tuberculosis, remain vital for effective tuberculosis control. The main aim of this study was to investigate the factors that predict knowledge about tuberculosis among 18–64 year old adults in South Africa.MethodsA cross-sectional survey method was used. Multi-stage disproportionate, stratified cluster sampling was used to select households within enumeration areas stratified by province and locality type. Based on the Human Sciences Research Council 2007 master sample, 500 Enumerator Areas representative of the socio-demographic profile of South Africa were identified and a random sample of 20 households was randomly selected from each Enumerator Area, yielding an overall sample of 10 000 households. The tuberculosis module contained in the South African National Health And Nutrition Examination Survey I was the only module that examined the social determinants of an infectious disease. This module was questionnaire-based with no biomarkers obtained to screen for the presence of tuberculosis disease among the participants. Data was collected by administering a researcher developed individual level questionnaire. Simple and multiple linear regression was used to determine the independent variables associated with tuberculosis knowledge.ResultsHalf the sample (52.6%) was female and the majority of the respondents were black African (76.5%). More than two thirds (68.0%) resided in urban areas, 56.9% did not complete high school and half were not in formal employment. Significant predictors of tuberculosis knowledge were race, sex, completion of high school, being in employment, having a diagnosis of the disease in ones’ life-time and learning about tuberculosis from television, brochures, health workers, and teachers.ConclusionsTo reduce the burden of tuberculosis in South Africa, media campaigns targeting both rural and urban communities should include conveying accurate information about the disease. Policy makers should also address structural barriers that vulnerable communities face.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2951-y) contains supplementary material, which is available to authorized users.
dc.identifier.apacitationNaidoo, P., Simbayi, L., Labadarios, D., Ntsepe, Y., Bikitsha, N., Khan, G., ... Rehle, T. (2016). Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa. <i>BMC Public Health</i>, 16(1), 174 - 177. http://hdl.handle.net/11427/34347en_ZA
dc.identifier.chicagocitationNaidoo, Pamela, Leickness Simbayi, Demetre Labadarios, Yoliswa Ntsepe, Nwabisa Bikitsha, Gadija Khan, Ronel Sewpaul, Sizulu Moyo, and Thomas Rehle "Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa." <i>BMC Public Health</i> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34347en_ZA
dc.identifier.citationNaidoo, P., Simbayi, L., Labadarios, D., Ntsepe, Y., Bikitsha, N., Khan, G., Sewpaul, R. & Moyo, S. et al. 2016. Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa. <i>BMC Public Health.</i> 16(1):174 - 177. http://hdl.handle.net/11427/34347en_ZA
dc.identifier.issn1471-2458
dc.identifier.ris TY - Journal Article AU - Naidoo, Pamela AU - Simbayi, Leickness AU - Labadarios, Demetre AU - Ntsepe, Yoliswa AU - Bikitsha, Nwabisa AU - Khan, Gadija AU - Sewpaul, Ronel AU - Moyo, Sizulu AU - Rehle, Thomas AB - BackgroundSouth Africa is one of the 22 high tuberculosis burden countries that contribute 80% of the global tuberculosis cases. Tuberculosis is infectious and due to its rapid and easy transmission route poses a threat to population health. Considering the importance of social and psychological factors in influencing health outcomes, appraising knowledge and awareness of tuberculosis, remain vital for effective tuberculosis control. The main aim of this study was to investigate the factors that predict knowledge about tuberculosis among 18–64 year old adults in South Africa.MethodsA cross-sectional survey method was used. Multi-stage disproportionate, stratified cluster sampling was used to select households within enumeration areas stratified by province and locality type. Based on the Human Sciences Research Council 2007 master sample, 500 Enumerator Areas representative of the socio-demographic profile of South Africa were identified and a random sample of 20 households was randomly selected from each Enumerator Area, yielding an overall sample of 10 000 households. The tuberculosis module contained in the South African National Health And Nutrition Examination Survey I was the only module that examined the social determinants of an infectious disease. This module was questionnaire-based with no biomarkers obtained to screen for the presence of tuberculosis disease among the participants. Data was collected by administering a researcher developed individual level questionnaire. Simple and multiple linear regression was used to determine the independent variables associated with tuberculosis knowledge.ResultsHalf the sample (52.6%) was female and the majority of the respondents were black African (76.5%). More than two thirds (68.0%) resided in urban areas, 56.9% did not complete high school and half were not in formal employment. Significant predictors of tuberculosis knowledge were race, sex, completion of high school, being in employment, having a diagnosis of the disease in ones’ life-time and learning about tuberculosis from television, brochures, health workers, and teachers.ConclusionsTo reduce the burden of tuberculosis in South Africa, media campaigns targeting both rural and urban communities should include conveying accurate information about the disease. Policy makers should also address structural barriers that vulnerable communities face.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2951-y) contains supplementary material, which is available to authorized users. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Public Health LK - https://open.uct.ac.za PY - 2016 SM - 1471-2458 T1 - Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa TI - Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa UR - http://hdl.handle.net/11427/34347 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34347
dc.identifier.vancouvercitationNaidoo P, Simbayi L, Labadarios D, Ntsepe Y, Bikitsha N, Khan G, et al. Predictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa. BMC Public Health. 2016;16(1):174 - 177. http://hdl.handle.net/11427/34347.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Pathology
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Public Health
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12889-016-2951-y
dc.subject.otherAdult participants 18–64 years old
dc.subject.otherCross-sectional national survey
dc.subject.otherHigh burden country
dc.subject.otherSocial determinants of TB
dc.subject.otherTB/HIV co-existence
dc.subject.otherTuberculosis (TB) knowledge
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAge Factors
dc.subject.otherAwareness
dc.subject.otherCross-Sectional Studies
dc.subject.otherFemale
dc.subject.otherHealth Knowledge, Attitudes, Practice
dc.subject.otherHumans
dc.subject.otherMale
dc.subject.otherMiddle Aged
dc.subject.otherNutrition Surveys
dc.subject.otherResidence Characteristics
dc.subject.otherSex Factors
dc.subject.otherSocioeconomic Factors
dc.subject.otherSouth Africa
dc.subject.otherTuberculosis
dc.subject.otherYoung Adult
dc.titlePredictors of knowledge about tuberculosis: results from SANHANES I, a national, cross-sectional household survey in South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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