The predictors of voluntary participation in pulmonary tuberculosis screening program: a study in a suburban community of southern Thailand

被引:0
作者
Kongkamol, Chanon [1 ,2 ]
Chintrakul, Apinya [3 ]
Horsiritham, Kanakorn [4 ]
Kiranantawat, Nantaka [5 ]
Nirattisaikul, Sitang [5 ]
Sungsiri, Jitpreedee [5 ]
Sathirapanya, Pornchai [6 ]
Sathirapanya, Chutarat [1 ]
Boonma, Koontidar [1 ]
Chowwanapoonpohn, Tuck [1 ]
Nuiman, Paradon [1 ]
Supunthuchaikul, Jekita [1 ]
Chokthamangoon, Nuttartham [1 ]
Chintana, Chalanthon [1 ]
Suktaneekul, Trithep [1 ]
Watcharanimit, Chananyu [1 ]
机构
[1] Prince Songkla Univ, Fac Med, Dept Family & Prevent Med, Hat Yai, Thailand
[2] Prince Songkla Univ, Air Pollut & Hlth Effect Res Ctr, Hat Yai, Thailand
[3] Prince Songkla Univ, Fac Med, Hlth Sci & Clin Res, Hat Yai, Thailand
[4] Prince Songkla Univ, Fac Med, Div Digital Innovat & Data Analyt DIDA, Hat Yai, Thailand
[5] Prince Songkla Univ, Fac Med, Dept Radiol, Hat Yai, Thailand
[6] Prince Songkla Univ, Fac Med, Dept Med, Hat Yai, Thailand
关键词
tuberculosis; health; community; screening; prevention; HEALTH BELIEF MODEL; BEHAVIORS;
D O I
10.3389/fpubh.2024.1360986
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background The health belief model (HBM), baseline health condition, and sociocultural factors impact the decision to participate in a tuberculosis screening program. Methods This cross-sectional and descriptive study was carried out among the "Kao Taew" community dwellers aged 18 years and above, who voluntarily underwent the provided pulmonary tuberculosis (PTB) screening by chest radiographs (CXRs). The level of individual HBM domain perception, attitudes toward PTB prevention, and regularity of PTB prevention practices by the participants were evaluated. The significantly associated or correlated factors such as demographic characteristics, individual HBM domain perception, and attitudes toward PTB prevention with the regularity of PTB prevention practices from the univariate analysis were further analyzed by multiple linear regression (p < 0.05) to determine the independent significant predictors of PTB prevention practices. Results Among 311 participants comprising 65% women, 57.9% aged >= 65 years and 67.2% had an underlying disease. The study participants had a high level of perception of HBM domains but a low level of perception of the barrier. In addition, a high level of attitudes toward PTB prevention and a high regularity of PTB prevention practices were found. A multiple linear regression analysis revealed that the perceived benefits of PTB screening [Beta = 0.20 (0.04, 0.36) p = 0.016] and acquiring underlying diseases [Beta = 1.06 (0.38, 1.73), p = 0.002] were significant predictors for PTB prevention practices, while belief in Islam was a reverse predictor [Beta = -0.84 (-1.47, -0.21), p = 0.010]. Conclusions The level of perception of the individual domain of HBM, health status, and religious belief significantly predicted voluntary participation in PTB screening programs. Careful consideration by integration of the relevant health psychology, physical, and sociocultural factors is crucial for planning a health screening program.
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页数:12
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