JTR  Vol.3 No.4 , December 2015
Lay Perceptions about Tuberculosis among Non-UK-Born Black Africans in the United Kingdom
Abstract: Background: Tuberculosis among non-UK-born Black Africans has been gradually recognized as a public health problem in the UK despite the various interventions implemented. Objectives: To explore the perceptions of non-UK-born Black Africans about TB health risk; to explore the health seeking behavior of the non-UK-born Black Africans in relation to TB and to explore lay views on TB health education and screening as opportunities for health promotion. Methodology and Study Design: A qualitative methodology was used on a purposively selected sample of 12 non-UK-born Black Africans living in Leeds. Face-to-face interviews were conducted to explore the lay perceptions about TB. Thematic analysis was used to derive important themes in accordance to the study objectives. Ethical approval was provided by Leeds Metropolitan University. Setting: Community setting of non-UK-born Black Africans in Leeds, UK. Results: This population holds mixed views and perceptions about tuberculosis, few facilitators and many barriers existed to current TB prevention efforts. The barriers included: language barriers, barriers related to services and systems, immigration status and stigma despite the benefits involved. The potential for black African communities to readily increase the likelihood of behavior change was found as an important finding for this study. Conclusions: Tuberculosis is a preventable public health problem. Involvement of the non-UK-born black Africans communities in the TB prevention may be beneficial for reducing and tackling TB rates in this population. Such an approach is potentially inexpensive and more readily implementable than other suggested strategies such as changes to immigration policies.
Cite this paper: Asiimwe, C. , Cross, R. and Haberer, J. (2015) Lay Perceptions about Tuberculosis among Non-UK-Born Black Africans in the United Kingdom. Journal of Tuberculosis Research, 3, 161-170. doi: 10.4236/jtr.2015.34023.

[1]   WHO (2004) Tuberculosis and HIV: A Clinical Manual. 2nd Edition. World Health Organization, Geneva.

[2]   WHO (2011) Global Tuberculosis Control: Epidemiology, Strategy and Financing. World Health Organization, Geneva.

[3]   WHO Regional Office for Europe (2012) Tuberculosis Surveillance and Monitoring in Europe: Surveillance Report. World Health Organization, Copenhagen.

[4]   Health Protection Agency (2010) Tuberculosis in the UK: Annual Report on Tuberculosis Surveillance in the UK. Health Protection Agency Centre for Infections, London.

[5]   French, C.E., Antoine, D., Gelb, D., Jones, J.A., R.L. Gilbert, R. L. and Watson, J.M. (2007) Tuberculosis in Non- UK-Born Persons, England and Wales, 2001-2003. International Journal of Tuberculosis and Lung Disease, 11, 577- 584.

[6]   Rieder, H.L., Zellweger, J.-P., Raviglione, M.C., Keizer, S.T. and Migliori, G.B. (1994) Tuberculosis Control in Europe and International Migration. European Respiratory Journal, 7, 1545-1553.

[7]   Buregyeya, E., Kulane, A., Colebunders, R., Wajja, A., Kiguli, J., Mayanja, H., Musoke, P., Pariyo, G. and Mitchel, E.M.H. (2011) Tuberculosis Knowledge, Attitudes and Health-Seeking Behavior in Rural Uganda. International Journal of Tuberculosis and Lung Disease, 15, 938-942.

[8]   Liefooghe, R., Baliddawa, J.B., Kipruto E.M., Vermeire, C. and De Munynck, A.O. (1997) From Their Own Perspective. A Kenyan Community’s Perception of Tuberculosis. Tropical Medicine and International Health, 2, 809-821.

[9]   Glanz, K., Rimer, B.K. and Lewis, F.M. (2002) Health Behavior and Health Education. Theory, Research and Practice. Wiley & Sons, San Fransisco.

[10]   Greens, J. and Tones, K. (2010) Health Promotion: Planning and Strategies. 2nd Edition, Sage Publication, London.

[11]   Neuwirth, K., Dunwoody, S. and Griffin, J.R. (2000) Protection Motivation and Risk Communication. Risk Analysis, 20, 721-734.

[12]   Braun, V. and Clarke, V. (2006) Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3, 77- 101.

[13]   Rogers, R.W. (1983) Cognitive and Physiological Processes in Fear Appeals and Attitude Change: A Revised Theory of Protection Motivation. In: Cacioppo, J. and Petty, R., Eds., Social Psychophysiology, Guilford Press, New York, 153-177.

[14]   Allmark, P. and Tod, A. (2006) How Should Public Health Professionals Engage with Lay Epidemiology? Journal of Medical Ethics, 32, 460-463.

[15]   Corcoran, N. (2007) Communicating Health: Strategies for Health Promotion. Sage, London.

[16]   Kirby, D. (2001) Emerging Answers. Research Findings on Programs to Reduce Teen Pregnancy. The National Campaign to Prevent Teen and Unplanned Pregnancy, Washington DC.

[17]   Janz, K.N. and Becker, H.M. (1984) The Health Belief Model: A Decade Later. Health Education Quarterly, 11, 1-47.

[18]   Waisbord, S. (2007) Beyond the Medical-Informational Model: Recasting the Role of Communication in Tuberculosis Control. Social Science & Medicine, 65, 2130-2134.

[19]   Hennink, M., Hutter, I. and Bailey, A. (2011) Qualitative Research Methods. Sage Publication, London.

[20]   Mushtaq, M.U., Shahid, U., Abdullah, M.H., Saeed, A., Omer, F., Shad, A.M., Siddiqui, A.M. and Akram, J. (2011) Urban-Rural Inequities in Knowledge, Attitudes and Practices Regarding Tuberculosis in Two Districts of Pakistan’s Punjab Province. International Journal for Equity in Health, 10, 8.

[21]   Bakhshi, S.S. and Shaukat Ali, S. (1995) Knowledge, Attitude and Behavior of TB Patients. Journal of Public Health Medicine, 17, 343-348.

[22]   Edginton, M.E., Sekatane, C.S. and Goldstein, S.J. (2002) Patients’ Beliefs: Do They Affect Tuberculosis Control? A Study in a Rural District of South Africa. International Journal Tuberculosis and Lung Disease, 6, 1075-1082.

[23]   Joffe, H. (2003) Risk: From Perception to Social Representation. British Journal of Social Psychology, 42, 55-73.

[24]   Greenaway, C., Sandoe, A., Vissandjee, B., Kitai, I., Gruner, D., Wobester, W., Pottie, K., Ueffing, E., Menzies, D. and Schwartzman, K. (2011) Tuberculosis: Evidence Review for Newly Arriving Immigrants and Refugees. Canadian Guidelines for Immigrant Health, 183, e939-e951.

[25]   Pareek, M., Watson, P.J., Ormerod, I.P., Kono, M., Woltmann, G., White, J.P., Abubakar, I. and Lalvani, A. (2011) Screening of Immigrants in the UK for Imported Latent Tuberculosis: A Multicentre Cohort Study and Cost-Effectiveness Analysis. The Lancet Infectious Diseases, 11, 435-444.

[26]   Lewis-Washington, C. and Holcomb, L. (2010) Empowering Community Health: An Educational Approach. Journal of Community Health Nursing, 27, 197-206.

[27]   Kennedy, L. (2010) Benefits Arising from Lay Involvement in Community-Based Public Health Initiatives: The Experience from Community Nutrition. Perspectives in Public Health, 130, 165-172.

[28]   Taylor, P. (2007) The Lay Contribution to Public Health In: Orme, J., Powell, J., Taylor, P. and Grey, M., Eds., Public Health for the 21st Century: New Perspectives on Policy, Participation and Practice, 2nd Edition, Open University Press, Maidenhead.

[29]   Dodor, A.E. and Kelly, S. (2009) “We Are Afraid of Them”: Attitudes and Behaviors of Community Members towards Tuberculosis in Ghana and Implications for TB Control Efforts. Psychology, Health & Medicine, 14, 170-179.

[30]   Juniarti, N. and Evans, D. (2011) A Qualitative Review: The Stigma of Tuberculosis. Journal of Clinical Nursing, 20, 1961-1970.