177 |
AU |
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Banerji D & Andersen S |
TI |
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A sociological study of the awareness of symptoms among
persons with pulmonary tuberculosis |
SO |
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BULL WHO 1963, 29, 665-683. |
DT |
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Per |
AB |
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This study was undertaken in 34 villages and 4
town blocks where a few weeks earlier an epidemiological survey
was carried out. All persons above 20 years whose photofluorograms
were read as inactive, probably active, or active by at least one
reader, were age-sex matched with an equal number of X-ray normals,
to form the experimental and control groups respectively. Thus,
a total of 2,106 were eligible for social investigation. Interview
sheets, with particulars of the name and location of village, household
number and individual number and the identifiable data of the interviewees
were made available to the Social Investigators at random for contacting
and interviewing them at their homes. The interviews were non-suggestive
in nature and deep-probing on the details of symptoms experienced
by the respondent, which were fully recorded. About 79% of the experimental
group and 83% of the control group were satisfactorily interviewed,
which constituted the data further analysed. Of the numerous symptoms
recorded, only that were associated with pulmonary TB were considered,
of which cough occurring for one month or more, fever for a month
or more, pain in the chest, haemoptysis and all combination of these
four symptoms were analysed statistically.
Cough was found to be the most important single
symptom. It was not only the most frequent symptom alone or in combination
in the experimental group but was less frequent in the control group
that 69% of sputum positive and 46% of radiological positive had
cough while only 9% of the control group had it. Considerably fewer
people had fever and pain in the chest. Pain in the chest appears
to be non-specific, giving a ratio of only 2:1 among the experimental
and control groups, while fever was in the ratio of 6:1 and haemoptysis
was 11:1. It was seen that 69% of the sputum positive cases, 52%
of the X-ray active or probably active, 29% of the inactive and
15% of the normals (control group) had at least one of the above
mentioned symptoms. In all the groups, the proportion of symptoms
was higher among males than among females. In both males and females
the prevalence of symptoms was higher in the middle age groups than
among the younger or older groups. This age variation was more marked
in the females. The findings of the study were analysed further
along with the data obtained from a couple of minor investigations
conducted in the rest of the 28 villages which formed the total
of the villages surveyed epidemiologically. This brought out further
that 95% of bacteriologically positive cases are aware of symptoms,
72% experience 'worry awareness' and 52% form the action-taking
group. The above findings have been of considerable importance in
planning further studies and in formulating the NTP.
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KEYWORDS: SOCIAL AWARENESS; INDIA.
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