Knowledge, attitudes and risk perceptions about tuberculosis: US National Health Interview Survey

Int J Tuberc Lung Dis. 2008 Nov;12(11):1261-7.

Abstract

Background: Tuberculosis (TB) disproportionately affects the human immunodeficiency virus (HIV) infected, foreign-born, Black, Hispanic, American Indian/Alaska Native, Asian, homeless, incarcerated, alcoholic, diabetic or cancer patients, male, those aged >44 years, smokers and poor persons.

Methods: We present TB knowledge, attitudes and risk perceptions overall and for those experiencing TB disparities from the 2000-2005 US National Health Interview Survey (NHIS).

Results: A total of 32% of respondents said TB is curable; 44% correctly recognized that TB is transmitted by air. Persons with less knowledge about TB transmission were aged 18-24 years, alcohol abusers, educated <12 years, Hispanics or males. Persons less likely to say TB is curable were aged 18-44 years, smokers, HIV-tested, uninsured, alcohol abusers or homeless/incarcerated. Only 28% of foreign-born persons from Mexico/Central America/the Caribbean said TB was curable.

Conclusions: Knowledge about TB transmission and curability was low among a representative US population. Renewed TB educational efforts are needed for all populations, but should be targeted to populations disproportionately affected, especially those who are HIV-infected, homeless/incarcerated, Black, alcohol abusers, uninsured or born in Mexico/Central America/the Caribbean.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Educational Status
  • Emigrants and Immigrants
  • Ethnicity
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Status Disparities*
  • Humans
  • Ill-Housed Persons
  • Male
  • Middle Aged
  • Prisoners
  • Risk Factors
  • Tuberculosis / prevention & control*
  • United States