ABSTRACT

Pulmonary tuberculosis is a disease known since ancient times and has not yet been completely eradicated. It still poses a threat to human health. Tuberculosis infection is a bacterial condition that involves an interaction between tuberculosis bacteria and the body’s physical and psychological defenses. 
This study aims to shed light on the level of knowledge and awareness among university youth specifically students of the Medical Laboratory Techniques Department at Al-Samawah Technical Institute about pulmonary tuberculosis.
The fieldwork began on March 13, 2025, at the institute with the participation of 95 students. The study employed a descriptive cross-sectional design. Data were collected using a specially designed questionnaire, which was distributed both electronically and in print.
The questionnaire included four main sections: general demographic information, general knowledge about pulmonary tuberculosis, attitudes and perceptions, and awareness sources.
The results showed a good basic knowledge of pulmonary tuberculosis among the students. Schools and universities ranked highest as a source of information (33.7%), highlighting the pivotal role of academic institutions in shaping students’ health knowledge. Social media and the internet followed closely (32.6%), indicating their strong influence on health awareness—either positively or negatively, depending on the content.
The findings also revealed mixed social attitudes toward tuberculosis patients. While many participants believed that these patients suffer from stigma, over half (60%) said they would avoid contact with them.
The results also showed a strong willingness among students to receive further education and awareness. This represents a valuable opportunity to implement effective educational strategies.
The study recommends integrating public health and infectious disease concepts into academic curricula across all fields—not just health sciences—and launching awareness campaigns in cooperation with local health departments. It also suggests involving health students in community outreach programs.

KEYWORDS

tuberculosis, academic stage, awareness information, demographic information Introduction

REFERENCES

1) Daniel, T. M. The history of tuberculosis. Respiratory Medicine. 2006; 100(11): 1862–1870.
2) World Health Organization. Global tuberculosis report 2023. Geneva: WHO. 
3) Lönnroth, K., Migliori, G. B., Abubakar, I., D’Ambrosio, L., de Vries, G., Diel, R., … & Sotgiu, G. Towards tuberculosis elimination: an action framework for low-incidence countries. The European Respiratory Journal 2020; 45(4): 928-952.
4) MacPherson, P., Houben, R. M., Glynn, J. R., Corbett, E. L., & Kranzer, K. Pre-treatment loss to follow-up in tuberculosis patients in low- and lower-middle-income countries and high-burden countries: a systematic review and meta-analysis. Bulletin of the World Health Organization 2014; 92: 126-138.
5) Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink, J. (). Patient adherence to tuberculosis treatment: a systematic review of qualitative research. PLOS Medicine 2007; 4(7): e238.
6) Courtwright A, & Turner, A. N. Tuberculosis and stigmatization: pathways and interventions. Public Health Reports 2010; 125(Suppl 4): 34–42.
7) Storla DG., Yimer, S., & Bjune, G. A. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 2008; 8(1): 15. 
8) Dai X, Li S, Song S, Chen M, Xu H, Li X, Zhang M, Zhang H, Sun H, Wang.
Knowledge, attitudes, and practice toward tuberculosis in high school students in Qingdao, China . J Infect Dev Ctries 2024; 18(3):427-434. doi:10.3855/jidc.18312
9) Angelo AT , Geltore TE , Asega T. Knowledge, Attitude, and Practices Towards Tuberculosis Among Clients Visiting Tepi General Hospital Outpatient Departments.2020;13 :4559-4568.
10) Ayele S, Alebachew M, Getasew M. Knowledge, attitude and preventive practice towards tuberculosis among clients visiting public health facilities. BMC Res Notes. 2019;12:276. doi: 10.1186/s13104-019-4292-2 [DOI] [PMC free article] [PubMed] [Google Scholar]
11) Legesse M, Ameni G, Mamo G, et al. Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and lower Awash valley of Afar region, Ethiopia. BMC Public Health. 2010;10:187. doi: 10.1186/1471-2458-10-187 [DOI] [PMC free article] [PubMed] [Google Scholar]
12) Tolossa D, Medhin G, Legesse M. Community knowledge, attitude, and practices towards tuberculosis in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional study. BMC Public Health. 2014;14(804):1–13. doi: 10.1186/1471-2458-14-804 [DOI] [PMC free article] [PubMed] [Google Scholar]
13) Christina M, Domingo B, Lisa A. A descriptive study of the knowledge, attitude and practices on tuberculosis among treatment partners of pediatric patients in Tarlac city. PIDSP J. 2009;10:1. [Google Scholar]
14) Mohammed EA, Alotaibi HA, Alnemari JF, Althobiti MS, Alotaibi SS, Ewis AA, El-Sheikh AAK, Abdelwahab SF. Assessment of Knowledge, Attitude, and Practice towards Tuberculosis among Taif University Students. Healthcare. 2023; 11(20):2807. https://doi.org/10.3390/healthcare11202807
15) Dorji T, Tshering T, Wangdi K Assessment of knowledge, attitude and practice on tuberculosis among teacher trainees of Samtse College of Education, Bhutan. PLoS One. 2020;15: 0241923. doi: 10.1371/journal.pone.0241923.
16) Rajeswari R, Balasubramanian R, Muniyandi M, Geetharamani S, Thresa X, Venkatesan P. Perceptions of tuberculosis patients about their physical, mental and social well-being: a field report from south India. Soc Sci Med. 2005;60:1845–1853.
17) Isaakidis P, Rangan S, Pradhan A, Ladomirska J, Reid T, Manglani M. ‘I cry every day’: experiences of patients coinfected with HIV and multidrug-resistant tuberculosis. Trop Med Int Health. 2013; 18:1128–1133.
18) Murdoch J, et al. Identifying contextual determinants of problems in tuberculosis provision in South Africa: a theory-generating case study. Infect Dis Poverty. 2021;10:67.