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      Assessment of knowledge regarding tuberculosis among non-medical university students in Bangladesh: a cross-sectional study

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          Abstract

          Background

          Tuberculosis (TB) is the second leading cause of human death and TB is one of the major public health problems in Bangladesh. The aim of the present study was to assess the Knowledge about TB among non-medical university students in Bangladesh.

          Methods

          A cross-sectional survey was performed on 839 non-medical university students. Data were collected from University of Rajshahi from March to August 2013 using a standard semi-structured questionnaire. Chi-square test was utilized to find the factors which are associated with students’ knowledge about TB.

          Results

          Among 839 students, male and female were 68.2 % and 31.8 % respectively. Most of the students (94.4 %) were informed about the term TB, among them 50 % got information from electronic media. More than 50 % students believed that TB is a communicable disease, 42.8 % students agreed that bacteria is an agent for TB, most of the subjects (93 %) had the knowledge about the vaccination against TB and 97.6 % students believed that TB is curable. However, students had poor knowledge about latent TB (13.7 %) and DOTs program (28.5 %). χ 2-test demonstrated that gender, residence, type of family and parents education were associated with students’ knowledge of TB.

          Conclusion

          In the present study demonstrated that the level of general knowledge about TB was insufficient among non-medical university students. Consequently, health education program is needed to improve the knowledge among university students regarding TB.

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          Most cited references16

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          Knowledge about tuberculosis among undergraduate health care students in 15 Italian universities: a cross-sectional study

          Background The Italian Study Group on Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health conducted a multicentre survey aiming to evaluate undergraduate health care students’ knowledge of tuberculosis and tuberculosis control measures in Italy. Methods In October 2012–June 2013, a sample of medical and nursing students from 15 Italian universities were enrolled on a voluntary basis and asked to complete an anonymous questionnaire investigating both general knowledge of tuberculosis (aetiology, clinical presentation, outcome, screening methods) and personal experiences and practices related to tuberculosis prevention. Data were analysed through multivariable regression using Stata software. Results The sample consisted of 2,220 students in nursing (72.6%) and medicine (27.4%) courses. Our findings clearly showed that medical students had a better knowledge of tuberculosis than did nursing students. Although the vast majority of the sample (up to 95%) answered questions about tuberculosis aetiology correctly, only 60% of the students gave the correct responses regarding clinical aspects and vaccine details. Overall, 66.9% of the students had been screened for tuberculosis, but less than 20% of those with a negative result on the tuberculin skin test were vaccinated. Multivariable regression analysis showed that age and type of study programme (nursing vs. medical course) were determinants of answering the questions correctly. Conclusions Although our data showed sufficient knowledge on tuberculosis, this survey underlines the considerable need for improvement in knowledge about the disease, especially among nursing students. In light of the scientific recommendations concerning tuberculosis knowledge among students, progress of current health care curricula aimed to develop students’ skills in this field is needed.
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            A survey of TB knowledge among medical students in Southwest China: is the information reaching the target?

            Objectives Tuberculosis (TB) control in schools is a concern in low-income and middle-income countries with high TB burdens. TB knowledge is recognised as important for TB control in China, which has one of the highest TB prevalence in the world. Accordingly, National TB Control Guideline in China emphasised TB-health education in schools as one of the core strategies for improving TB knowledge among the population. It was important to assess the level of TB knowledge in schools following 5-year implementation of the guideline, to determine whether the information was reaching the targets. Design A cross-sectional study. Methods and study setting This survey assessed TB knowledge and access to TB-health information by questionnaire survey with 1486 undergraduates from two medical universities in Southwest China. Results Overall, the students had inadequate TB knowledge. Only 24.1%, 27.2% and 34.1% of the students had knowledge of TB symptoms of cough/blood-tinged sputum, their local TB dispensaries and free TB treatment policy, respectively. Very few (14.5%) had heard about the Directly Observed Therapy Short Course (DOTS), and only about half (54%) had ever accessed TB-health education information. Exposure to health education messages was significantly associated with increased knowledge of the five core TB knowledge as follows: classic TB symptoms of cough/blood-tinged sputum (OR (95% CI) 0.5(0.4 to 0.7)), TB modes of transmission (OR (95% CI) 0.4(0.3 to 0.5)), curability of TB (OR (95% CI) 0.6(0.5 to 0.7)), location and services provided by TB local dispensaries (OR (95% CI) 0.6(0.5 to 0.8)) and the national free TB treatment policy (OR (95% CI) 0.7(0.5 to 0.8)). Conclusions The findings pose the question of whether it is time for a rethink of the current national and global approach to TB-health education/promotion which favours promotion of awareness on World TB Days rather than regular community sensitisation efforts.
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              Assessment of knowledge, attitudes and practices regarding tuberculosis among final year students in Yazd, central Iran

              Tuberculosis (TB) remains a global health problem. Treatment and prevention of TB has shifted from inpatient to outpatient settings. A report from the World Health Organization has emphasized educational strategy to ensure students graduate with the appropriate knowledge, skills, and attitudes essential to the effective management of TB. The objective of this study was to determine the level of knowledge, attitudes and practices among medical students. The survey was done from 2012 to 2013. Knowledge, attitudes and practices were assessed regarding tuberculosis with a questionnaire. Knowledge mean score of students was 16.13 ± 2.06 and Attitude score was 36.08 ± 3.76, Knowledge and attitude levels of students were moderate to high in the majority of them. Practice score of the study subjects was 22.77 ± 4.95, 11.9% of students had poor practice level. 43% did not know that a sputum smear is the most important method used for diagnosis of TB. Two-thirds of them did not know the distance that should be kept from contagious patients. Half of them believed that the BCG vaccination has no role in the prevention of TB. This study concluded that more efforts should be made to improve the knowledge of students regarding TB transmission and the role of sputum smear in diagnosis. The importance of the BCG vaccination should be emphasized.
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                Author and article information

                Contributors
                masud.raj82@gmail.com
                sayem072003@yahoo.com
                mel.dascoh@gmail.com
                mnurul58@yahoo.com
                rafique_pops@yahoo.com
                tkzrea@ummc.edu.my
                hossain95@yahoo.com
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                28 July 2015
                28 July 2015
                2015
                : 15
                : 716
                Affiliations
                [ ]Department of Population Science & Human Resource Development, University of Rajshahi, Rajshahi, 6205 Bangladesh
                [ ]Divisional TB Expert, National Tuberculosis Control Program, Directorate General of Health Services, Dhaka, Bangladesh
                [ ]Development Association for self-reliance, Communication and Health, Rajshahi, 6201 Bangladesh
                [ ]Department of Statistics, University of Rajshahi, Rajshahi, 6205 Bangladesh
                [ ]National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia
                Article
                2071
                10.1186/s12889-015-2071-0
                4517636
                26215721
                9b647bed-5d6e-4dbd-822f-e5f8ec0ab107
                © Rana et al. 2015

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 20 December 2014
                : 17 July 2015
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2015

                Public health
                tuberculosis,knowledge,non-medical university students,socio-economic factors,χ2-test

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