Assessment of community knowledge, attitude, and stigma of Buruli ulcer disease in Southern Nigeria.


Journal

African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451

Informations de publication

Date de publication:
Jun 2019
Historique:
entrez: 29 10 2019
pubmed: 28 10 2019
medline: 1 4 2020
Statut: ppublish

Résumé

Poor knowledge can influence timely care-seeking among persons with Buruli ulcer disease (BUD). To assess community knowledge, attitude and stigma towards persons with BUD in endemic settings of Southern Nigeria. This was a cross-sectional survey conducted among adult community members in four States of Southern Nigeria. A semi-structured interviewer-administered questionnaire was administered to all participants. Of 491 adults who completed the survey, 315 (64.2%) belonged to the ≤40 years age group, 257 (52.3%) were males and 415 (84.5%) had some formal education. The overall mean (SD) knowledge score was 5.5±2.3 (maximum 10). Only 172 (35.0%) of the participants had a good knowledge of BUD. A total of 327 (66.6%) considered BUD as a very serious illness. Also, there was a high-level of stigma against BUD patients; 372 (75.8%) of the participants felt compassion for and desire to help them, 77 (15.7%) felt compassion but tended to stay away from them, and 53 (10.8%) feared them because they may infect them with the disease. Having a formal education and ethnicity were independent predictors of good knowledge of BUD. There is poor community knowledge of BUD in endemic settings of Southern Nigeria which influenced the attitude and perceptions of community members towards persons with BUD.

Sections du résumé

BACKGROUND BACKGROUND
Poor knowledge can influence timely care-seeking among persons with Buruli ulcer disease (BUD).
OBJECTIVES OBJECTIVE
To assess community knowledge, attitude and stigma towards persons with BUD in endemic settings of Southern Nigeria.
METHODS METHODS
This was a cross-sectional survey conducted among adult community members in four States of Southern Nigeria. A semi-structured interviewer-administered questionnaire was administered to all participants.
RESULTS RESULTS
Of 491 adults who completed the survey, 315 (64.2%) belonged to the ≤40 years age group, 257 (52.3%) were males and 415 (84.5%) had some formal education. The overall mean (SD) knowledge score was 5.5±2.3 (maximum 10). Only 172 (35.0%) of the participants had a good knowledge of BUD. A total of 327 (66.6%) considered BUD as a very serious illness. Also, there was a high-level of stigma against BUD patients; 372 (75.8%) of the participants felt compassion for and desire to help them, 77 (15.7%) felt compassion but tended to stay away from them, and 53 (10.8%) feared them because they may infect them with the disease. Having a formal education and ethnicity were independent predictors of good knowledge of BUD.
CONCLUSION CONCLUSIONS
There is poor community knowledge of BUD in endemic settings of Southern Nigeria which influenced the attitude and perceptions of community members towards persons with BUD.

Identifiants

pubmed: 31656494
doi: 10.4314/ahs.v19i2.34
pii: jAFHS.v19.i2.pg2100
pmc: PMC6794545
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2100-2111

Informations de copyright

© 2019 Nwafor et al.

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Auteurs

Charles Chukwunalu Nwafor (CC)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Anthony Meka (A)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Joseph Ngozi Chukwu (JN)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Ngozi Ekeke (N)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Chukwuka Alphonsus (C)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Obinna Mbah (O)

Medical Department, German Leprosy and Tuberculosis Relief Association, Enugu State, Nigeria.

Nelson Okechukwu Madichie (NO)

St Leo Hospital Enugu, Enugu State, Nigeria.

Ufuoma Aduh (U)

Delta State Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Delta State, Nigeria.

Matthew Ogbeifo (M)

Delta State Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Delta State, Nigeria.

Bola Olubakin IseOluwa-Adelokiki (BO)

Ogun State Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Ogun State, Nigeria.

Joseph Ezebunafor Edochie (JE)

Anambra State Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Anambra State, Nigeria.

Joseph Ushaka (J)

Cross River State Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Cross River State, Nigeria.

Kingsley Nnanna Ukwaja (KN)

Department of Medicine, Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria.

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Classifications MeSH