Knowledge of tuberculosis among drug users: Relationship to return rates for tuberculosis screening at a syringe exchange

Nadim Salomon, David C. Perlman, Patricia Friedmann, Mary P. Perkins, Victoria Ziluck, Don Des Jarlais, Denise Paone

Research output: Contribution to journalArticle

Abstract

Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange program in New York City, were interviewed and offered TSTs, and received $15.00 upon returning for TST reading. The questionnaire evaluated knowledge of TB transmission, prevention, and treatment. From March 13, 1995 to January 31, 1996, 610 of 650 (94%) of DUs approached agreed to participate. Of these, 80% had previous TSTs within the past 2 years and 20% were known to be HIV infected. Almost all knew that TB is contagious and more than two thirds knew that TB is treatable and that TB preventive therapy existed. However, fewer than half knew that HIV-related TB could be treated, 30% thought TB could be treated without a medical doctor, and the majority (70%) thought a reactive TST implied infectivity. The rate of return for TST reading was 93%. In multivariate analysis, those who knew that HIV-related TB was curable were more likely to return for TST reading (odds ratio 2.0; 95% confidence interval 1.04 to 3.95; p = .03). The high acceptance and return rates suggest that TB services can be incorporated into syringe exchange programs. However, several important gaps in TB knowledge existed in this population at high risk of TB, which may impact on adherence and which support the need for TB education for drug users.

Original languageEnglish (US)
Pages (from-to)229-235
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume16
Issue number3
DOIs
StatePublished - Apr 1 1999

Fingerprint

Syringes
Drug Users
Tuberculosis
Tuberculin Test
Skin Tests
Needle-Exchange Programs
Reading
HIV
Multivariate Analysis

Keywords

  • Compliance
  • Knowledge
  • Syringe exchange
  • Tuberculosis

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Knowledge of tuberculosis among drug users : Relationship to return rates for tuberculosis screening at a syringe exchange. / Salomon, Nadim; Perlman, David C.; Friedmann, Patricia; Perkins, Mary P.; Ziluck, Victoria; Des Jarlais, Don; Paone, Denise.

In: Journal of Substance Abuse Treatment, Vol. 16, No. 3, 01.04.1999, p. 229-235.

Research output: Contribution to journalArticle

Salomon, Nadim ; Perlman, David C. ; Friedmann, Patricia ; Perkins, Mary P. ; Ziluck, Victoria ; Des Jarlais, Don ; Paone, Denise. / Knowledge of tuberculosis among drug users : Relationship to return rates for tuberculosis screening at a syringe exchange. In: Journal of Substance Abuse Treatment. 1999 ; Vol. 16, No. 3. pp. 229-235.
@article{67de1441154d4be48666f17eac2c62bf,
title = "Knowledge of tuberculosis among drug users: Relationship to return rates for tuberculosis screening at a syringe exchange",
abstract = "Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange program in New York City, were interviewed and offered TSTs, and received $15.00 upon returning for TST reading. The questionnaire evaluated knowledge of TB transmission, prevention, and treatment. From March 13, 1995 to January 31, 1996, 610 of 650 (94{\%}) of DUs approached agreed to participate. Of these, 80{\%} had previous TSTs within the past 2 years and 20{\%} were known to be HIV infected. Almost all knew that TB is contagious and more than two thirds knew that TB is treatable and that TB preventive therapy existed. However, fewer than half knew that HIV-related TB could be treated, 30{\%} thought TB could be treated without a medical doctor, and the majority (70{\%}) thought a reactive TST implied infectivity. The rate of return for TST reading was 93{\%}. In multivariate analysis, those who knew that HIV-related TB was curable were more likely to return for TST reading (odds ratio 2.0; 95{\%} confidence interval 1.04 to 3.95; p = .03). The high acceptance and return rates suggest that TB services can be incorporated into syringe exchange programs. However, several important gaps in TB knowledge existed in this population at high risk of TB, which may impact on adherence and which support the need for TB education for drug users.",
keywords = "Compliance, Knowledge, Syringe exchange, Tuberculosis",
author = "Nadim Salomon and Perlman, {David C.} and Patricia Friedmann and Perkins, {Mary P.} and Victoria Ziluck and {Des Jarlais}, Don and Denise Paone",
year = "1999",
month = "4",
day = "1",
doi = "10.1016/S0740-5472(98)00033-6",
language = "English (US)",
volume = "16",
pages = "229--235",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Knowledge of tuberculosis among drug users

T2 - Relationship to return rates for tuberculosis screening at a syringe exchange

AU - Salomon, Nadim

AU - Perlman, David C.

AU - Friedmann, Patricia

AU - Perkins, Mary P.

AU - Ziluck, Victoria

AU - Des Jarlais, Don

AU - Paone, Denise

PY - 1999/4/1

Y1 - 1999/4/1

N2 - Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange program in New York City, were interviewed and offered TSTs, and received $15.00 upon returning for TST reading. The questionnaire evaluated knowledge of TB transmission, prevention, and treatment. From March 13, 1995 to January 31, 1996, 610 of 650 (94%) of DUs approached agreed to participate. Of these, 80% had previous TSTs within the past 2 years and 20% were known to be HIV infected. Almost all knew that TB is contagious and more than two thirds knew that TB is treatable and that TB preventive therapy existed. However, fewer than half knew that HIV-related TB could be treated, 30% thought TB could be treated without a medical doctor, and the majority (70%) thought a reactive TST implied infectivity. The rate of return for TST reading was 93%. In multivariate analysis, those who knew that HIV-related TB was curable were more likely to return for TST reading (odds ratio 2.0; 95% confidence interval 1.04 to 3.95; p = .03). The high acceptance and return rates suggest that TB services can be incorporated into syringe exchange programs. However, several important gaps in TB knowledge existed in this population at high risk of TB, which may impact on adherence and which support the need for TB education for drug users.

AB - Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange program in New York City, were interviewed and offered TSTs, and received $15.00 upon returning for TST reading. The questionnaire evaluated knowledge of TB transmission, prevention, and treatment. From March 13, 1995 to January 31, 1996, 610 of 650 (94%) of DUs approached agreed to participate. Of these, 80% had previous TSTs within the past 2 years and 20% were known to be HIV infected. Almost all knew that TB is contagious and more than two thirds knew that TB is treatable and that TB preventive therapy existed. However, fewer than half knew that HIV-related TB could be treated, 30% thought TB could be treated without a medical doctor, and the majority (70%) thought a reactive TST implied infectivity. The rate of return for TST reading was 93%. In multivariate analysis, those who knew that HIV-related TB was curable were more likely to return for TST reading (odds ratio 2.0; 95% confidence interval 1.04 to 3.95; p = .03). The high acceptance and return rates suggest that TB services can be incorporated into syringe exchange programs. However, several important gaps in TB knowledge existed in this population at high risk of TB, which may impact on adherence and which support the need for TB education for drug users.

KW - Compliance

KW - Knowledge

KW - Syringe exchange

KW - Tuberculosis

UR - http://www.scopus.com/inward/record.url?scp=0033010676&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033010676&partnerID=8YFLogxK

U2 - 10.1016/S0740-5472(98)00033-6

DO - 10.1016/S0740-5472(98)00033-6

M3 - Article

C2 - 10194740

AN - SCOPUS:0033010676

VL - 16

SP - 229

EP - 235

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 3

ER -