Evidence map›Paper›PMID 30881174›Full record

ArticleResearch and reports in tropical medicine2019

Health literacy and knowledge related to tuberculosis among outpatients at a referral hospital in Lima, Peru.

Rosalina Penaloza, Joanna Itzel Navarro, Pauline E Jolly, Anna Junkins, Carlos Seas, Larissa Otero

Open access · goldAbstract read
In one paragraph

Article in Research and reports in tropical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  13. Scoping health literacy in Latin America.Global health promotion · 2022
    Article
  14. Tuberculosis Scientific Conferences in Peru: Sharing local evidence for local decisions.Journal of clinical tuberculosis and other mycobacterial diseases · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Rosalina PenalozaUniversity of Alabama at Birmingham, School of Public Health, Department of Epidemiology, Birmingham, AL, USA.
Joanna Itzel NavarroUniversity of Alabama at Birmingham, School of Public Health, Department of Epidemiology, Birmingham, AL, USA.
Pauline E JollyUniversity of Alabama at Birmingham, School of Public Health, Department of Epidemiology, Birmingham, AL, USA.
Anna JunkinsUniversity of Alabama at Birmingham, School of Public Health, Department of Epidemiology, Birmingham, AL, USA.
Carlos SeasInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, larissaotero@gmail.com.
Larissa OteroInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru, larissaotero@gmail.com.
Universidad Peruana Cayetano Heredia · PEUniversity of Alabama at Birmingham · USUniversity of California, Los Angeles · US

Funding

UAB Public Health/Biomedical Research Training ProgramT37MD001448 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JOLLY, PAULINE EVADNE · 2005 to 2024
$4.8M
NIMHD NIH HHS T37 MD001448
6 · The paper itself

Abstract

backgroundTuberculosis (TB) case detection in Peru relies on passive case finding. This strategy relies on the assumption that the community is aware that a persistent cough or contact with a TB patient is an indication to seek formal health care. This study evaluated health literacy and TB knowledge among outpatients at Hospital Cayetano Heredia in Lima, Peru.

methodsA cross-sectional survey was performed between June and August 2017. Data on sociodemographic factors, TB knowledge, and health literacy were collected, and bivariate and multivariate logistic regressions were performed to study the associations between variables.

resultsThe analysis included 272 participants; 57.7% knew someone who had TB and 9% had TB in the past. A 2-week cough was reported as a TB symptom by 66 (24%) participants. High TB knowledge was found among 149 (54.8%) participants and high health literacy was found among 193 (71.0%) participants. Health literacy and TB knowledge were not significantly associated (OR=0.9; 95% CI 0.5-1.5). After controlling for sex, age, district, education, health insurance, frequency of hospital visits, and previous TB diagnosis, high TB knowledge was associated with knowing someone with TB (aOR=2.7; 95% CI 1.6-4.7) and inversely associated with being a public transport driver (aOR=0.2; 95% CI 0.05-0.9). Not living in poverty was the single factor associated with high health literacy (aOR=3.8; 95% CI 1.6-8.9).

conclusionAlthough TB knowledge was fair, 30% did not know that cough is a symptom of TB and >70% did not know being in contact with a TB patient is a risk factor for TB. Tailoring educational strategies to at-risk groups may enhance passive case detection especially among transport workers and TB contacts in Lima, Peru.

Indexed as

health literacyPerutuberculosistuberculosis knowledge

Identifiers

PMID30881174
PMCPMC6400123
OpenAlexW2917404902

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.