دورية أكاديمية
أعرض في EDS

Caretakers' perspectives of paediatric TB and implications for care-seeking behaviours in Southern Mozambique.

التفاصيل البيبلوغرافية
العنوان: Caretakers' perspectives of paediatric TB and implications for care-seeking behaviours in Southern Mozambique.
المؤلفون: Mindu C; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique., López-Varela E; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; ISGlobal, Barcelona Global Health Institute, Hospital Clınic - Universitat de Barcelona, Barcelona, Spain., Alonso-Menendez Y; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique., Mausse Y; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique., Augusto OJ; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique., Gondo K; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique., Múñoz J; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; ISGlobal, Barcelona Global Health Institute, Hospital Clınic - Universitat de Barcelona, Barcelona, Spain., Sacarlal J; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; Faculdade de Medicina, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique., García-Basteiro AL; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; ISGlobal, Barcelona Global Health Institute, Hospital Clınic - Universitat de Barcelona, Barcelona, Spain.; Amsterdam Institute for Global Health and Development (AIGHD), Academic Medical Center, Amsterdam, The Netherlands., Alonso PL; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; ISGlobal, Barcelona Global Health Institute, Hospital Clınic - Universitat de Barcelona, Barcelona, Spain., Munguambe K; Centro de Investigação em Saúde de Manhiça (CISM), Cambeve, Maputo, Mozambique.; Faculdade de Medicina, Universidade Eduardo Mondlane (UEM), Maputo, Mozambique.
المصدر: PloS one [PLoS One] 2017 Sep 14; Vol. 12 (9), pp. e0182213. Date of Electronic Publication: 2017 Sep 14 (Print Publication: 2017).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Caregivers/*psychology , Patient Acceptance of Health Care/*statistics & numerical data , Tuberculosis/*etiology , Tuberculosis/*prevention & control, Adolescent ; Child ; Child, Preschool ; Female ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; Infant ; Male ; Mozambique ; Surveys and Questionnaires ; Tuberculosis/psychology
مستخلص: Background: Tuberculosis (TB) remains an important public health concern, especially in poorly resourced settings. TB diagnosis is challenging, particularly for children, who are the most vulnerable to its' impacts. Lack of knowledge and awareness of the disease compromises prompt diagnosis and treatment compliance.
Objective: To gain insights regarding caretakers' knowledge of the aetiology and prevention of paediatric TB in southern Mozambique, to describe their care-seeking behaviours and to assess the acceptability of diagnostic procedures.
Methods: A total of 35 caretakers were interviewed, all of which had children with TB compatible symptoms. Eleven were caretakers of children diagnosed with TB at the health facility, 11 of children for whom TB was excluded as a diagnosis at the health facility and 13 of children with TB compatible symptoms identified in the community. The first two groups took part in a TB incidence study, while the third group did not. All underwent the same semi-structured interviews, the results of which were analysed and compared using content analysis.
Results: Even when confronted with signs suggestive of TB, most caretakers never suspected it or misinterpreted the signs, even among caretakers with TB and TB contacts. There was limited knowledge of TB, except among those undergoing treatment. The transgression of social norms was often presented as an explanation for TB in parallel to medically sound causes. The use of traditional care for prevention is widespread, but it varied for treatment purposes. TB diagnostic procedures were considered painful but were unanimously tolerated.
Conclusions and Significance: Misconceptions of paediatric TB, associated complex care-seeking itineraries and negative feelings of the diagnostic procedures may result in delays, low adherence and lost to follow-up, which needs to be addressed by adequately framed health promotion approaches.
References: PLoS One. 2014 Feb 03;9(2):e87166. (PMID: 24498298)
Int J Tuberc Lung Dis. 1999 Sep;3(9):838-42. (PMID: 10488894)
PLoS Med. 2007 Jul 24;4(7):e238. (PMID: 17676945)
Rev Esc Enferm USP. 2014 Dec;48 Spec No. 2:39-45. (PMID: 25830734)
BMC Infect Dis. 2014 Aug 01;14:426. (PMID: 25084990)
Soc Sci Med. 2010 May;70(10):1648-55. (PMID: 20199837)
BMC Public Health. 2009 Dec 09;9:454. (PMID: 20003219)
Lancet. 2014 May 3;383(9928):1605-7. (PMID: 24671079)
Eur Respir J. 2016 Mar;47(3):1003-5. (PMID: 26699721)
Pediatr Infect Dis J. 2015 Jul;34(7):686-92. (PMID: 26069945)
Trop Med Int Health. 1997 Aug;2(8):809-21. (PMID: 9294551)
Front Public Health. 2014 Dec 22;2:281. (PMID: 25566523)
Malar J. 2011 Nov 23;10:344. (PMID: 22111698)
N Engl J Med. 2012 Jul 26;367(4):348-61. (PMID: 22830465)
BMC Infect Dis. 2006 Apr 04;6:67. (PMID: 16595008)
HIV Med. 2012 Nov;13(10):581-8. (PMID: 22500780)
Int J Tuberc Lung Dis. 2000 Apr;4(4):327-32. (PMID: 10777081)
PLoS One. 2015 Mar 25;10(3):e0119861. (PMID: 25806955)
Lancet Glob Health. 2014 Aug;2(8):e453-9. (PMID: 25103518)
BMC Public Health. 2013 Jun 07;13:559. (PMID: 24499197)
Trop Med Int Health. 2006 Nov;11(11):1670-8. (PMID: 17054746)
Int J Tuberc Lung Dis. 2004 Jan;8(1):70-5. (PMID: 14974748)
Int J Tuberc Lung Dis. 2006 Jun;10(6):670-5. (PMID: 16776455)
PLoS One. 2014 Feb 03;9(2):e86038. (PMID: 24498268)
Med Anthropol. 1996 May;17(1):83-100. (PMID: 8757714)
BMC Public Health. 2014 Feb 07;14:132. (PMID: 24507182)
Tuberc Res Treat. 2013;2013:475605. (PMID: 24381757)
BMC Health Serv Res. 2012 Jan 09;12:6. (PMID: 22229965)
Lancet Infect Dis. 2013 Apr;13(4):287-9. (PMID: 23531386)
PLoS One. 2010 Oct 11;5(10):e13339. (PMID: 20948963)
Am J Trop Med Hyg. 2005 Sep;73(3):571-5. (PMID: 16172483)
Int J Tuberc Lung Dis. 1998 Mar;2(3):231-4. (PMID: 9526196)
BMC Public Health. 2010 Jul 06;10:400. (PMID: 20604951)
BMC Public Health. 2004 Dec 29;4:68. (PMID: 15625004)
Int J Epidemiol. 2013 Oct;42(5):1309-18. (PMID: 24159076)
BMC Infect Dis. 2016 May 20;16:214. (PMID: 27198545)
تواريخ الأحداث: Date Created: 20170915 Date Completed: 20171012 Latest Revision: 20240327
رمز التحديث: 20240327
مُعرف محوري في PubMed: PMC5598920
DOI: 10.1371/journal.pone.0182213
PMID: 28910284
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0182213