The behaviour of TB patients in East Lombok through a health belief model approach

Abstract Background Tuberculosis (TB) is a global health problem, including in Indonesia, with East Lombok as a high prevalence region. Although control programmes have been implemented, TB cases remain high. Patient behaviours that are less supportive of treatment, such as non-compliance and social...

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Main Authors: Suprijandani Suprijandani, Setiawan Setiawan, Pathurrahman Pathurrahman, Slamet Wardoyo, Annisa Maulidia Rahayyu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-025-00746-0
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author Suprijandani Suprijandani
Setiawan Setiawan
Pathurrahman Pathurrahman
Slamet Wardoyo
Annisa Maulidia Rahayyu
author_facet Suprijandani Suprijandani
Setiawan Setiawan
Pathurrahman Pathurrahman
Slamet Wardoyo
Annisa Maulidia Rahayyu
author_sort Suprijandani Suprijandani
collection DOAJ
description Abstract Background Tuberculosis (TB) is a global health problem, including in Indonesia, with East Lombok as a high prevalence region. Although control programmes have been implemented, TB cases remain high. Patient behaviours that are less supportive of treatment, such as non-compliance and social stigma, pose a challenge to TB control efforts in this area. This study aims to explore the behaviour of people with tuberculosis (TB) in East Lombok using the Health Belief Model (HBM) approach. Participants and procedure The method applied was a cross-sectional design, involving 112 respondents with TB who were registered at the Puskesmas. Data were collected through interviews using a questionnaire measuring components of HBM, including perceived vulnerability, severity, benefits, barriers, cues to action, and self-efficacy. Results The analysis showed that perceived vulnerability (p = 0.022), perceived benefits (p = 0.006), perceived barriers (p = 0.045), cues to action (p = 0.004), and self-efficacy (p = 0.009) had a significant influence on the health behaviour of TB patients. Patients with high perceived vulnerability were 1.617 times more likely to adhere to treatment, while those with high perceived barriers were 31.6% less likely to adhere. Social support from family and health professionals also played an important role in improving adherence. Conclusions From this study emphasise the need for interventions designed to increase positive perceptions and reduce perceived barriers, as well as consider the local social and cultural context to improve TB treatment adherence in East Lombok.
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spelling doaj-art-e9e86eb5c5654c779d765a1f07a8a7ff2025-02-02T12:30:01ZengBMCJournal of Health, Population and Nutrition2072-13152025-01-014411710.1186/s41043-025-00746-0The behaviour of TB patients in East Lombok through a health belief model approachSuprijandani Suprijandani0Setiawan Setiawan1Pathurrahman Pathurrahman2Slamet Wardoyo3Annisa Maulidia Rahayyu4Department of Environmental Health, Poltekkes Kemenkes SurabayaDepartment of Environmental Health, Poltekkes Kemenkes SurabayaHealth Office of East LombokDepartment of Environmental Health, Poltekkes Kemenkes SurabayaDepartment of Pharmacy, Institut Teknologi SumateraAbstract Background Tuberculosis (TB) is a global health problem, including in Indonesia, with East Lombok as a high prevalence region. Although control programmes have been implemented, TB cases remain high. Patient behaviours that are less supportive of treatment, such as non-compliance and social stigma, pose a challenge to TB control efforts in this area. This study aims to explore the behaviour of people with tuberculosis (TB) in East Lombok using the Health Belief Model (HBM) approach. Participants and procedure The method applied was a cross-sectional design, involving 112 respondents with TB who were registered at the Puskesmas. Data were collected through interviews using a questionnaire measuring components of HBM, including perceived vulnerability, severity, benefits, barriers, cues to action, and self-efficacy. Results The analysis showed that perceived vulnerability (p = 0.022), perceived benefits (p = 0.006), perceived barriers (p = 0.045), cues to action (p = 0.004), and self-efficacy (p = 0.009) had a significant influence on the health behaviour of TB patients. Patients with high perceived vulnerability were 1.617 times more likely to adhere to treatment, while those with high perceived barriers were 31.6% less likely to adhere. Social support from family and health professionals also played an important role in improving adherence. Conclusions From this study emphasise the need for interventions designed to increase positive perceptions and reduce perceived barriers, as well as consider the local social and cultural context to improve TB treatment adherence in East Lombok.https://doi.org/10.1186/s41043-025-00746-0TuberculosisHealth belief modelBehaviour
spellingShingle Suprijandani Suprijandani
Setiawan Setiawan
Pathurrahman Pathurrahman
Slamet Wardoyo
Annisa Maulidia Rahayyu
The behaviour of TB patients in East Lombok through a health belief model approach
Journal of Health, Population and Nutrition
Tuberculosis
Health belief model
Behaviour
title The behaviour of TB patients in East Lombok through a health belief model approach
title_full The behaviour of TB patients in East Lombok through a health belief model approach
title_fullStr The behaviour of TB patients in East Lombok through a health belief model approach
title_full_unstemmed The behaviour of TB patients in East Lombok through a health belief model approach
title_short The behaviour of TB patients in East Lombok through a health belief model approach
title_sort behaviour of tb patients in east lombok through a health belief model approach
topic Tuberculosis
Health belief model
Behaviour
url https://doi.org/10.1186/s41043-025-00746-0
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