Review Article

Tuberculosis Knowledge, Attitudes, and Practice in Middle- and Low-Income Countries: A Systematic Review

Table 3

Summary of most common responses about TB knowledge and the studies that mention them.

ItemAdequaten (%)InadequateN (%)Studies that mention this item

Causes“Germs”7 (23%)“Drinking raw milk”4 (13%)[17, 19, 2125, 28, 31, 39, 40, 42, 45]
“Eating contaminated food”3 (9%)
“Witchcraft”3 (9%)
“Exposure to dust”2 (7%)
“Exposure to cold”3 (9%)
“Smoking”2 (7%)
“Hereditary illness”3 (9%)

Signs and symptoms“Cough for 2 weeks or more”11 (37%)“Nausea”3 (9%)[19, 22, 2528, 3133, 3537, 39, 40, 43, 45]
“Cough”10 (33%)
“Weight loss”10 (33%)“Headache”
“Hemoptysis”9 (30%)
“Chest pain”5 (17%)“Hair color changes”2 (7%)
“Fever”3 (9%)“Skin infections”
“Fatigue”3 (9%)“Joint pain”
“Shortness of breath”3 (9%)

Mode of transmission“Via respiratory routes”17 (57%)“Sharing meals or plates”10 (33%)[17, 1924, 26, 27, 3033, 3745]
“Needles”1 (3%)
“Having sex with a woman who miscarried”1 (3%)
“Food poisoning”1 (3%)
“Living with a TB patient”2 (7%)“Sleeping with a widow”1 (3%)
“Handshakes” or “skin contact”6 (20%)
“Touching public items”3 (9%)

Prevention“Covering the mouth and nose”8 (27%)“Separating dishes5(17%)[18, 19, 22, 23, 25, 26, 32, 36, 37, 39, 42, 45]
“Good hygiene” or “washing hands”4 (13%)
“BCG vaccine”4 (13%)
“Closing windows”4 (13%)
“Treatment”3 (9%)“No smoking”1 (3%)
“Avoid sex”1 (3%)
“No spitting”1 (3%)
“Avoid touching”1 (3%)

Knowledge about cure“TB can be cured”11 (37%)“TB is not a curable disease”4 (13%)[16, 18, 20, 2429, 32, 34, 35, 39]

TB treatment“Modern drugs”15 (50%)“Traditional medicine”6 (20%)[16, 17, 19, 21, 22, 25, 27, 28, 3234, 36, 37, 39, 40, 4245]
“Herbal remedies”5 (17%)
“Roots, blood, skin cuts”1 (3%)
“Treatment is free of any charges”12 (40%)“Resting”5 (17%)
“Religious treatment”4 (13%)
“Burning swelling sites with heated metals”1 (3%)
“Duration of treatment: 6 months”2 (7%)“Not knowing the cost of the treatment”2 (7%)
“Expensive treatment”5 (17%)
“Duration more/less than 6 months”3 (9%)

TB: tuberculosis. BCG: Bacille Calevette-Guerin.