摘要：Background: South Africa has one of the highest prevalence of tuberculosis (TB). Addressing awareness among school learners on TB transmission and prevention may assist in reducing the disease burden.Objective: We report on factors associated with high-school learners’ intentions to seek healthcare for TB.Design: A survey testing TB symptoms, transmission, prevention knowledge, and intention to seek and adhere to treatment was conducted among 1,114 high-school learners in KwaZulu-Natal (KZN), South Africa. Multivariate models correcting for nesting of students within schools tested associations between demographics, TB symptoms, transmission, prevention knowledge, and intention to seek and adhere to treatment.Results: Learners knowing that coughing for more than 3 weeks (OR: 2.33; 95% CI: 1.35-4.00) and night sweats (OR: 3.12; 95% CI: 1.80-5.41) were TB symptoms, TB is transmitted when a person with TB coughs(OR: 1.56; 95% CI: 1.23-1.98), and coughing in a closed room was an incorrect practice for someone with TB (OR: 1.71; 95% CI: 1.05-2.78) were significantly more likely to intend taking family members for treatment.Learners knowing that coughing for more than 3 weeks (OR: 2.69; 95% CI: 1.19-6.09), coughing blood (OR: 2.24; 95% CI: 1.33-3.76), and night sweats (OR: 2.25; 95% CI: 1.09-4.64) were TB symptoms, were significantly more likely to intend encouraging family members to adhere to TB treatment. Learners knowing that coughing for more than 3 weeks (OR: 1.47; 95% CI: 1.05-2.07), coughing blood (OR: 2.08; 95% CI: 1.44-3.01), and weight loss (OR: 1.85; 95% CI: 1.38-2.49) were TB symptoms, were significantly more likely to intend taking TB treatment if symptomatic. Learners knowing that coughing for more than 3 weeks(OR: 2.04; 95% CI: 1.45-2.87), and coughing blood (OR: 1.81; 95% CI: 1.24-2.62), were TB symptoms were significantly more likely to intend adhering to TB treatment.Conclusions: High-school learners with knowledge about TB symptoms, transmission, and prevention have positive intentions to seek treatment for themselves and family members and adhere to treatment.Keywords: high-school learners; tuberculosis; intention to seek treatment(Published: 3 October 2013)Citation: Glob Health Action 2013, 6: 21699 - http://dx.doi.org/10.3402/gha.v6i0.21699
关键词：Public Health;high-school learners; tuberculosis; intention to seek treatment;Health Literacy
