Knowledge and attitudes towards TB among healthcare workers in Yogyakarta, Indonesia.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-09-21 DOI:10.5588/pha.22.0017

S Main, B Dwihardiani, A Hidayat, S Khodijah, J Greig, G Chan, A E Parry, B Nababan, I Billy, P du Cros, R Triasih

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Abstract

Setting: Healthcare workers (HCWs) are at an increased risk of TB worldwide. Individual knowledge and attitudes may influence HCW behaviour, and subsequently, TB risk. Indonesia has the second highest case-load globally.

Objective: To measure TB knowledge and attitudes among a subsection of HCWs in Yogyakarta, Indonesia, and to explore factors associated with knowledge.

Design: A cross-sectional study using an online survey targeting all HCW staff was conducted among HCWs from four pre-selected healthcare facilities in Yogyakarta. Descriptive analysis and a multivariable linear regression were undertaken.

Results: Of 792 HCWs, 290 (37%) completed the survey; 64% (n = 185) were medical staff, 33% (n = 95) reported previously being tested for active TB and 8% (n = 24) for latent TB. The mean knowledge score was 7.2/11 (SD 1.5): this was higher among medical staff and those with university education (average score increase: 0.53, 95% CI 0.15 to 0.90; and 0.38, 95% CI 0.01 to 0.74, respectively). Participants agreed that free access to TB screening (93%) and treatment (93%) should be available, and 57% of medical and 77% of non-medical staff would take preventive therapy if eligible.

Conclusion: Participants had practical understanding of TB; however, gaps were identified in knowledge about TB disease progression and prevention. Prevention programmes were viewed positively. We suggest further TB education and engagement programmes for HCWs.

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印度尼西亚日惹医护人员对结核病的认识和态度。

背景：在全球范围内，医护人员（HCWs）罹患肺结核的风险都在增加。个人的知识和态度可能会影响医护人员的行为，进而影响结核病风险。印度尼西亚是全球病例数第二高的国家：测量印尼日惹部分高危卫生工作者的结核病知识和态度，并探讨与知识相关的因素：设计：在日惹四个预选医疗机构的医护人员中开展了一项横断面研究，采用在线调查的方式对所有医护人员进行调查。研究进行了描述性分析和多变量线性回归：在 792 名医护人员中，有 290 人（37%）完成了调查；64%（n = 185）为医务人员，33%（n = 95）称曾接受过活动性肺结核检测，8%（n = 24）称曾接受过潜伏性肺结核检测。平均知识得分为 7.2/11（标准差 1.5）：医务人员和受过大学教育的人员得分更高（平均得分增加了 0.53，95% CI）：平均得分分别增加了 0.53，95% CI 0.15 至 0.90；以及 0.38，95% CI 0.01 至 0.74）。参与者同意应提供免费的结核病筛查（93%）和治疗（93%），57%的医务人员和 77%的非医务人员会在符合条件的情况下接受预防性治疗：结论：参与者对结核病有切实的了解，但在结核病进展和预防方面的知识存在差距。预防计划得到了积极的评价。我们建议针对医护人员进一步开展结核病教育和参与计划。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.