gms | German Medical Science

MAINZ//2011: 56. GMDS-Jahrestagung und 6. DGEpi-Jahrestagung

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V.
Deutsche Gesellschaft für Epidemiologie e. V.

26. - 29.09.2011 in Mainz

Geographic and socio-economic differences in misconceptions about the transmission of tuberculosis among Ukrainian men

Meeting Abstract

  • Nadine Steckling - Universität Bielefeld, Bielefeld
  • Claudia Bürmann - Universität Bielefeld, Bielefeld
  • Cornelia Gradel - Universität Bielefeld, Bielefeld
  • Arina Zanuzdana - Universität Bielefeld, Bielefeld
  • Alexander Krämer - Universität Bielefeld, Bielefeld

Mainz//2011. 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi). Mainz, 26.-29.09.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11gmds353

doi: 10.3205/11gmds353, urn:nbn:de:0183-11gmds3531

Published: September 20, 2011

© 2011 Steckling et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Introduction/background: Tuberculosis (TB) is one of the major public health problems worldwide, with a high prevalence especially in low- and middle-income countries and with middle-aged men as major risk group [1]. From Ukraine the seventh highest TB rate in the region of Eastern Europe is reported [2]. Misconceptions about TB are one of the key public health issues because of their influence on health and social behaviour; misconceptions can lead to stigmatization, to delay of health services use, and to promotion of disease spread [3].

Material and methods: The data from Ukraine Demographic Health Survey (DHS) of 2007 was used. 3,098 Ukrainian men (aged 15-54 years) of the entire country were included into the analysis. The dependent variable „misconception“ consisted of five items of TB transmission; respondents knowing the correct route of transmission (through the air when coughing or sneezing) was classified as “No misconceptions”. Bivariable and multivariable logistic regression analyses were performed to identify geographic and socio-economic factors associated with misconceptions of TB transmission.

Results: Nearly half of the sample (46%) reported misconceptions about TB transmission. The chance of reporting misconceptions about TB transmission increased with age. Men aged over 45 had a 1.65 higher chance to report misconceptions than men aged 15-24 (95% CI 1.23-2.22). Respondents who reported reading newspaper/magazine less than once a week had a 0.74 lower chance (95%-CI 0.63-0.87) to have misconceptions than men reading a newspaper/magazine at least once a week. Never married men reported misconceptions 1.29 (95%-CI 1.03-1.63) times more often than married men or those in a partnership. Men living in small cities (OR: 0.65; 95%-CI 0.52-0.82) or towns (OR: 0.75; 95%-CI 0.60-0.93) had lower chance of having misconceptions about TB transmission as compared to them living in the countryside. Male respondents in the South Ukraine had a 1.41 (95%-CI 1.12-1.79) times higher chance to report misconceptions about TB transmission than male respondents of the Central Ukraine.

Conclusion: Misconceptions about transmission of TB are widespread among Ukrainian men with geographic and socio-economic differences. Middle-aged men living in the countryside in southern and northern regions of Ukraine tend to have more misconceptions about transmission of TB, which indicates a need for targeted health communication campaigns. A reduction of misconceptions is necessary to enable an appropriate handling of TB infections in the society. This is a prerequisite to reduce stigmatization and new TB infection.


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