A comparative study of knowledge, attitude and determinants of tuberculosis associated stigma in rural and urban communities of Lagos state, Nigeria.

dc.contributor.authorOladele, DA
dc.contributor.authorBalogun, MR
dc.contributor.authorOdeyemi, K
dc.contributor.authorSalako, BL
dc.date.accessioned2022-09-02T12:26:38Z
dc.date.available2022-09-02T12:26:38Z
dc.date.issued2020
dc.descriptionScholarly articleen_US
dc.description.abstractBackground. Tuberculosis (TB) is an important public health concern in Nigeria. TB-associated stigma could lead to delayed diagnosis and care, treatment default, and multidrug resistance. Understanding of TB-associated stigma is therefore important for TB control. The study is aimed at determining and comparing the knowledge, attitude, and determinants of TB-associated stigma. Methodology. This was a comparative cross-sectional study among adults in urban and rural areas of Lagos State, Nigeria. Respondents were selected through a multistage sampling technique and interviewed using a semistructured questionnaire, which contained the Explanatory Model Interviewed Catalogue (EMIC) stigma scale. IBM SPSS Statistics Software package version 20 was used for analysis. Results. A total of 790 respondents were interviewed. High proportions of respondents in rural and urban areas were aware of TB (97.5% and 99.2%, respectively). Respondents in the urban areas had overall better knowledge of TB compared to the rural areas (59.4% vs. 23%; p < 0:001), while respondents in the rural areas had a better attitude to TB (60.5% vs. 49.9%; p = 0:002). The majority of respondents in rural and urban areas had TB-associated stigma (93% and 95.7%, respectively). The mean stigma score was higher in the urban compared to rural areas (17:43 ± 6:012 and 16:54 ± 6:324, respectively, p = 0:046). Marital status and ethnicity were the predictors of TB-associated stigma in the rural communities (AOR-0.257; CI-0.086-0.761; p = 0:014 and AOR–3.09; CI-1.087-8.812; p = 0:034, respectively), while average monthly income and age of respondents were the predictors of TB-associated stigma in urban areas (AOR–0.274; CI–0.009-0.807; p = 0:019 and AOR-0.212; CI–0.057-0.788; p = 0:021, respectively). Conclusion. TB-associated stigma is prevalent in both rural and urban areas in this study. There is therefore a need to disseminate health appropriate information through the involvement of the community. Also, innovative stigma reduction activities are urgently needed.en_US
dc.identifier.citationOladele DA, Balogun MR, Odeyemi K, Salako BL. A comparative study of knowledge, attitude and determinants of tuberculosis associated stigma in rural and urban communities of Lagos state, Nigeria. Tuberculosis Research and Treatment, 2020, Article ID 1964759, 14 pages. https://doi.org/10.1155/2020/1964759en_US
dc.identifier.otherhttps://doi.org/10.1155/2020/1964759
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/11251
dc.language.isoenen_US
dc.publisherTuberculosis Research and Treatmenten_US
dc.subjectTuberculosisen_US
dc.subjectstigmaen_US
dc.subjectDiagnosisen_US
dc.subjecturban and rural areas of Lagos Stateen_US
dc.subjectResearch Subject Categories::MEDICINE::Social medicineen_US
dc.titleA comparative study of knowledge, attitude and determinants of tuberculosis associated stigma in rural and urban communities of Lagos state, Nigeria.en_US
dc.typeArticleen_US
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