Published: 2021-08-27

Association of socio-demographic characteristics with knowledge and perception about disease among newly diagnosed pulmonary tuberculosis patients in western Utter Pradesh: a cross-sectional study

Suneel Kumar Kaushal, Sonal Dhaked


Background: TB is one of the top 10 causes of death worldwide. The risk of TB is high among populations living in poverty, low socioeconomic groups, low income, immune-suppressed (including AIDS), and extreme age (old age and children) groups, etc. 

Methods: The study was conducted in TB and chest department of Sarojini Naidu medical college Agra city. The total number of patients registered during the period of July to September 2017 was 518; out of these 288 were new pulmonary and extrapulmonary patients. Out of 288 subjects, 123 were pulmonary patients. All the 123 new pulmonary tuberculosis patients (both smear +ve and smear -ve) were included in the study. 18 patients were loss to follow up after registration thus final effective sample size was 105 for further follow-up study. 

Results: Overwhelming (84.76%) patients belonged to a lower socioeconomic class. The maximum number (85.33%) of the study subjects among upper lower socioeconomic status had no knowledge regarding causative microbes of the disease (p=0.001). 

Conclusions: The majority of patients belong to illiterate, lower socioeconomic group, married and other than general cast, living in a joint, overcrowded family with more than four family members. About half of the subjects not knowing the method of prevention & consequence of treatment interruption. Most of them felt that quality of life affected after disease and about 1/4th of them felt hurtful behaviour of family members.


Tuberculosis, Sociodemographic factors, Knowledge, Perception

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Noah N. ‘Tuberculosis’ controlling communicable disease. In: Understanding public health. London: Open University Press; 2006:157-70.

Jebamalar J, Senthilkumar P, Ramola M. Health seeking behaviour in pulmonary tuberculosis: a cross sectional study. Int J Community Med Public Health. 2018;5:1346-53.

Alotaibi SM, Almoshadq AF, Alghanmi HA. Poor Knowledge of tuberculosis among the population of Jeddah and Makkah Saudi Arabia, a High-Risk Area. J Tuberc Res. 2016;4:81-91.

Sharma N. Awareness and perception about tuberculosis in the general population of Delhi. Asia Pac J Public Health. 2007;19(2):10-5.

Hargreaves JR, Boccia D, Evans CA, Adato M, Petticrew M, Porter JDH. The social determinants of tuberculosis: from evidence to action. Am J Public Health. 2011;101:654-62.

Abebe R, Demissie M. Assessment of knowledge and practices related to tuberculosis and associated factors among HIV positive people in Addis Ababa, Ethiopia. Global J Med Public Health. 2012;1:2.

Shargie EB, Lindtjørn B. Determinants of treatment adherence among smear-positive pulmonary tuberculosis patients in Southern Ethiopia. PLoS Med. 2007;4(2):e37.

Technical and operational guidelines for tuberculosis control in India report, 2016. Available at: https// Accessed on 20 October 2019.

Mundra A, Pradeep R. Deshmukh AD. Magnitude and determinants of adverse treatment outcomes among tuberculosis patients registered under Revised National Tuberculosis Control Program in a Tuberculosis Unit, Wardha, Central India: A record-based cohort study. JEGH. 2017;2:2-9.

Kanungo S, Khan Z, Ansari MA, Abedi AJ. Role of sociodemographic factors in tuberculosis treatment outcome: A prospective study in Aligarh, Uttar Pradesh. Ann Trop Med Public Health. 2015;8:55-9.

Mushtaq MU. Knowledge attitudes and prectices regarding tuberculosis in two districts of Panjab, Pakistan. Int J Tuberc Lung Dis. 2007;14(3):303-10.

Ahmed E, Ibrahim A, Mulualem A, Adinew D. Assessment of patients’ knowledge, attitude, and practice regarding pulmonary tuberculosis in eastern Amhara Regional State, Ethiopia: cross-sectional study: Am J Trop Med Hyg. 88(4);2013:785-8.

Das S, Basu M, Mandal A, Roy N, Chatterjee S, Dasgupta A. Prevalence and determinants of delay in diagnosis of pulmonary tuberculosis in Darjeeling district of West Bengal. J Family Med Prim Care. 2017;6:627-35.

Aurora H, Kapoor S. Determinants of lost to follow up during treatment among tuberculosis patients in Delhi. Int J Med Res Health Sci. 2016;5:145152.

Putera. Knowledge and perception of tuberculosis and the risk to become treatment default among newly diagnosed pulmonary tuberculosis patients treated in primary health care, East Nusa Tenggara: a retrospective study. BMC. 2015;8:238.

Sreeramareddy. Prevalence of self-reported tuberculosis, knowledge about tuberculosis transmission and its determinants among adults in India: results from a nation-wide cross-sectional household survey. BMC Infect Dis. 2013;13:16.

Rao VG, Yadav R, Bhat J, Tiwari BK, Bhondeley MK. Knowledge and attitude towards tuberculosis amongst the tribal population of Jhabua, Madhya Pradesh. Indian J Tuberc. 2012;59(4):243-8.

Palash Das. Perception of tuberculosis among general patients of tertiary care hospitals of Bengal Lung India. Int J Med Res Health Sci. 2012;29(4):319-24.

Saria T, Aminur R. Patient’s knowledge and attitude towards tuberculosis in an urban setting. Pulmonary Med. 2012;2012:850-5

Kolappan C, Gopi PG, Subramani R, Narayanan PR. Selected biological and behavioural risk factors associated with pulmonary tuberculosis. Int J Tuberc Lung Dis. 2009;11(9):999-1003.

Sifrash MG. Socioeconomic factors associated with knowledge on tuberculosis among adults. In: Tuberculosis research and treatment. Ethiopia: Hindawi Publishing Corporation. 2016.