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Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India

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  • Sophie Huddart
  • Thomas Bossuroy
  • Vincent Pons
  • Siddhartha Baral
  • Madhukar Pai
  • Clara Delavallade

Abstract

Background: Improving patients’ tuberculosis (TB) knowledge is a salient component of TB control strategies. Patient knowledge of TB may encourage infection prevention behaviors and improve treatment adherence. The purpose of this study is to examine how TB knowledge and infection prevention behaviors change over the course of treatment. Methods: A matched patient-health worker dataset (n = 6,031) of publicly treated TB patients with NGO-provided treatment support health workers was compiled in nine Indian cities from March 2013 to September 2014. At the beginning and end of TB treatment, patients were asked about their knowledge of TB symptoms, transmission, and treatment and infection prevention behaviors. Results: Patients beginning TB treatment (n = 3,424) demonstrated moderate knowledge of TB; 52.5% (50.8%, 54.2%) knew that cough was a symptom of TB and 67.2% (65.6%, 68.7%) knew that TB was communicable. Overall patient knowledge was significantly associated with literacy, education, and income, and was higher at the end of treatment than at the beginning (3.7%, CI: 3.02%, 4.47%). Infection prevention behaviors like covering a cough (63.4%, CI: 61.2%, 65.0%) and sleeping separately (19.3%, CI: 18.0%, 20.7%) were less prevalent. The age difference between patient and health worker as well as a shared language significantly predicted patient knowledge and adherence to infection prevention behaviors. Conclusions: Social proximity between health worker and patients predicted greater knowledge and adherence to infection prevention behaviors but the latter rate remains undesirably low.

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  • Sophie Huddart & Thomas Bossuroy & Vincent Pons & Siddhartha Baral & Madhukar Pai & Clara Delavallade, 2018. "Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-15, October.
  • Handle: RePEc:plo:pone00:0206245
    DOI: 10.1371/journal.pone.0206245
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    References listed on IDEAS

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    1. Agrawal, Ajay & Kapur, Devesh & McHale, John, 2008. "How do spatial and social proximity influence knowledge flows? Evidence from patent data," Journal of Urban Economics, Elsevier, vol. 64(2), pages 258-269, September.
    2. Olav Sorenson & Jan W. Rivkin & Lee Fleming, 2010. "Complexity, Networks and Knowledge Flows," Chapters, in: Ron Boschma & Ron Martin (ed.), The Handbook of Evolutionary Economic Geography, chapter 15, Edward Elgar Publishing.
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    Cited by:

    1. Thomas Bossuroy & Clara Delavallade & Vincent Pons, 2019. "Biometric Tracking, Healthcare Provision, and Data Quality: Experimental Evidence from Tuberculosis Control," NBER Working Papers 26388, National Bureau of Economic Research, Inc.

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