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Impact of the COVID-19 Pandemic on Tuberculosis Control: An Overview
Article

Factors Affecting Continued Participation in Tuberculosis Contact Investigation in a Low-Income, High-Burden Setting

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Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, University Malaysia Sabah, Kota Kinabalu, Sabah 88400, Malaysia
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Menzies School of Health Research, Charles Darwin University, Darwin 0815, Australia
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Borneo Medical and Health Research Centre, Faculty of Medicine and Health Sciences, University Malaysia Sabah, Kota Kinabalu, Sabah 88400, Malaysia
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Infectious Disease Society Kota Kinabalu, Sabah 88200, Malaysia
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Authors to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2020, 5(3), 124; https://doi.org/10.3390/tropicalmed5030124
Received: 6 May 2020 / Revised: 6 July 2020 / Accepted: 14 July 2020 / Published: 29 July 2020
Setting: Outpatient clinics, Kota Kinabalu, Malaysia; January–April 2018. Objectives: To identify barriers to full participation in tuberculosis (TB) contact investigation. Methods: Cross-sectional study of knowledge, perceptions, and behaviours among TB contacts. This study was conducted among contacts who attended an initial clinic visit to explore retention in care. During this first visit, contacts were approached for participation in a questionnaire at a follow-up visit. Contacts who consented but did not subsequently attend were interviewed at home. Associations between questionnaire findings and attendance were tested using logistic regression. Results: Of the total 1436 identified contacts, 800 (56%) attended an initial clinic visit. Of 237 consenting TB contacts, 207 (87%) attended their follow-up appointment. In univariable analyses, the odds of attendance were highest for people notified to attend the TB clinic directly by a health inspector; close relatives of TB patients; non-students; people with higher incomes and smaller households; older individuals; males; and people not perceiving TB as stigmatising. In multivariable analysis, mode of notification to attend and having a close relative with TB remained significant. Conclusions: Health inspectors provide an effective role in TB contact investigation through direct personal communication to encourage the completion of the TB screening process, but this requires further integration with clinical processes, and with workplace and school-based investigations. View Full-Text
Keywords: tuberculosis contact screening; barriers; knowledge; perception; behavior; stigma tuberculosis contact screening; barriers; knowledge; perception; behavior; stigma
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MDPI and ACS Style

Goroh, M.M.D.; van den Boogaard, C.H.A.; Ibrahim, M.Y.; Tha, N.O.; Swe; Robinson, F.; Lukman, K.A.; Jeffree, M.S.; William, T.; Ralph, A.P. Factors Affecting Continued Participation in Tuberculosis Contact Investigation in a Low-Income, High-Burden Setting. Trop. Med. Infect. Dis. 2020, 5, 124. https://doi.org/10.3390/tropicalmed5030124

AMA Style

Goroh MMD, van den Boogaard CHA, Ibrahim MY, Tha NO, Swe, Robinson F, Lukman KA, Jeffree MS, William T, Ralph AP. Factors Affecting Continued Participation in Tuberculosis Contact Investigation in a Low-Income, High-Burden Setting. Tropical Medicine and Infectious Disease. 2020; 5(3):124. https://doi.org/10.3390/tropicalmed5030124

Chicago/Turabian Style

Goroh, Michelle M.D.; van den Boogaard, Christel H.A.; Ibrahim, Mohd Y.; Tha, Naing O.; Swe; Robinson, Fredie; Lukman, Khamisah A.; Jeffree, Mohammad S.; William, Timothy; Ralph, Anna P. 2020. "Factors Affecting Continued Participation in Tuberculosis Contact Investigation in a Low-Income, High-Burden Setting" Trop. Med. Infect. Dis. 5, no. 3: 124. https://doi.org/10.3390/tropicalmed5030124

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