Published: 2019-11-27

Perception of tuberculosis among diabetics attending health training centres of a medical college hospital, Kancheepuram district, Tamil Nadu

Princy Felicia J., Thirunaaukarasu D., Roseline F. William, Gladius Jennifer H.


Background: Diabetes mellitus, chronic non communicable disease triples the risk of developing tuberculosis by decreasing the immunity status. The prevalence of tuberculosis is higher in people with diabetes than in the general population, and diabetes is common co morbidity among people with tuberculosis. Health seeking behaviour of a patient depends up on their awareness of disease. The objective of this study was to determine the perception of tuberculosis among people with type 2 diabetes mellitus attending urban and rural health training centers.

Methods: A facility based, comparative cross-sectional study was conducted among diabetics attending urban and rural training centres of a medical college hospital, Kancheepuram district. Sample size was estimated as 140. A semi structured questionnaire was used to interview the participants. Data was analysed using SPSS software 16v.

Results: Among 140 participants, 70 were from rural setting and remaining of them from urban setting. The perception score was good among 31.4% of diabetics in urban and 8.6% among rural setting. The educational status, socio economic status and family history of tuberculosis were significantly associated with good perception score.

Conclusions: The perception score was better in urban diabetes compared with rural diabetes patients. Health education measures will improve the health seeking behaviour.


Diabetes, Perception, Rural, Tuberculosis, Urban

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World Health Organization. Geneva. Tuberculosis. Tb publications. Global Tuberculosis report. Tb disease burden, 2018. Available at: Accessed on 13th March 2019.

Ministry of Health and family welfare. Central Tb Division, India. INDIA TB REPORT 2018. RNTCP. National annual report.pdf. Available at: Accessed on 13th March 2019.

World Health Organization. Geneva. Tuberculosis. Tb publications. Collaborative framework for care and control of tuberculosis and diabetes. Available at: Accessed on 13th March 2019.

Jeon CY, Megan B. Murray. Diabetes mellitus increases the risk of active tuberculosis: a systematic review of 13 observational studies. PLoS Med. 2008;5(7):e152.

Lee MR, Huang YP, Kuo YT, Luo CH, Shih YJ, Shu CC, et al. Diabetes mellitus and latent tuberculosis infection: a systemic review and metaanalysis. Clin Infect Dis. 2016;64(6):719-27.

Government of India. Ministry of Health and Family Welfare. National framework for joint TB-Diabetes collaborative activities. RNTCP. NPCDCS.pdf Available at: National%20framework%20for%20joint%20TB%20diabetes%2023%20Aug%202017.pdf. Accessed on 24th March 2019.

Hossain MD, Afroz F, Ahmed JU, Amin MK, Quddus SM, Islam S. Knowledge, attitude and practice regarding tuberculosis among diabetic patients. BIRDEM Med J. 2017;7(2):127-31.

Mahakalkar SMR. Awareness and knowledge of tuberculosis amongst rural and urban population: a cross sectional study. Int J Med Res Prof. 2017;3(3):396-9.

Shedole DT, Devalgi SB, Vidya GS, Mendagudli RR, Kumar VB. A comparative study on awareness about tuberculosis among urban and rural P.U college students of Davangere taluk, Karnataka, India. Int J Community Med Public Health. 2015;2:552-7.

Archana B, Vijayashree Y. A unique survey on tuberculosis in urban slums of Mysore City, Karnataka, India. Int J Med Sci Clin Invent. 2017;4(4):2875-83.

Pramanik D, Ghosh JR. Knowledge and awareness of tuberculosis among pulmonary tuberculosis patients in a rural area of West Bengal. SAARC J Tuber Lung Dis HIV/AIDS. 2015;XII(2):13-9.

Eram U, Nawab T, Khalique N. Perception of tuberculosis among patients in a rural setting in Aligarh. Int J Cont Med Res. 2016;3(11):3325-6.

Vijayakrishnan G, Bobba S, Venugopal V. A study on awareness of Tuberculosis amongst patients attending a rural health center in Tamilnadu, India. Int J Community Med Public Health. 2017;4(4):1195-8.

Angeline GG, Gopalakrishnan S, Umadevi R. Knowledge, attitude and practices regarding pulmonary tuberculosis in a rural area of Tamil Nadu, India: a cross sectional study. Int J Community Med Public Health. 2018;5(9):4055-64.

Bindu T, Sowmiya KR, Nageswari AD, Naveena M. Knowledge and awareness of tuberculosis among patients attending out-patient department in a tertiary care hospital. Ann Int Med Dent Res. 2017;3(2):22-5.

Kala M, John KR, Logaraja M. A study on awareness on pulmonary tuberculosis among population covered under rural health training centre at Mamandur in Tamil Nadu. Biomed Pharmacol J. 2016;9(2):651-7.

Mahida HD, Shroff KN, Kesur KD, Patel NB. Are urban slum dwellers aware about tuberculosis? - a cross sectional study in Surat City. Natl J Community Med. 2014;5(3):346-8.