{
  "abstract": "Introduction\n\nTuberculosis (TB) remains a major global public-health challenge, particularly among individuals at increased risk. This study aimed to identify the cognitive factors associated with TB preventive behaviors and assess their predictive power while controlling for sociodemographic characteristics.Methods\n\nThis cross-sectional study was conducted from April and August 2024 among 300 high-risk individuals recruited through multistage cluster sampling from four health centers in Sarab, Iran. Data were collected through researcher-developed questionnaires. Hierarchical linear regression and structural equation modeling were used to examine associations between cognitive factors and TB-preventive behaviors.Results\n\nCognitive factors were significantly associated with TB-preventive behaviors. Demographic characteristics explained 9.7% of the variance in preventive behaviors, and adding cognitive factors increased the explained variance to 32.4%. In the final regression model, health literacy (β=0.505, P=0.001) and attitude (β=0.103, P=0.046) emerged as the only significant cognitive predictors. SEM also showed a direct association between health literacy and preventive behaviors.Conclusion\n\nHealth literacy was the strongest determinant of TB-preventive behaviors among high-risk individuals. TB-control programs should prioritize health-literacy-based interventions and strategies that promote positive attitudes toward preventive practices in high-risk populations.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Public Health, Sarab Faculty of Medical Sciences, Sarab, Iran.",
    "Student Research Committee, Sarab Faculty of Medical Sciences, Sarab, Iran.",
    "Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.",
    "Marand Higher Education Complex of Health, Tabriz University of Medical Sciences, Tabriz, Iran.",
    "Department of Nursing, Sarab Faculty of Medical Sciences, Sarab, Iran."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Towhid Babazadeh",
      "orcid": "0000-0002-2172-6877"
    },
    {
      "affs": [
        1
      ],
      "name": "Erfan Saeedi Tazekand"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Sara Pourrazavi",
      "orcid": "0000-0002-4036-8569"
    },
    {
      "affs": [
        1
      ],
      "name": "MohammadAli Dini-Ghareoghlan"
    },
    {
      "affs": [
        1
      ],
      "name": "Masoomeh Gholizadeh"
    },
    {
      "affs": [
        1
      ],
      "name": "Sana Saedi"
    },
    {
      "affs": [
        4
      ],
      "name": "Khalil Maleki Chollou"
    },
    {
      "affs": [
        2
      ],
      "name": "Elham Davtalab Esmaeili"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7jh8q6w7wmfer.bib",
  "cited_by": 0,
  "doi": "10.34172/hpp.45929",
  "fulltext_url": "https://europepmc.org/articles/PMC13723384",
  "id": "7jh8q6w7wmfer",
  "issns": [
    "2228-6497"
  ],
  "landing_url": "https://europepmc.org/article/MED/42968738",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2725|Tuberculosis Research and Epidemiology"
    ]
  ],
  "openalex": "W7224084987",
  "pdf_url": "https://europepmc.org/articles/PMC13723384?pdf=render",
  "pmcid": "PMC13723384",
  "pmid": "42968738",
  "published": "2026-08-21",
  "publisher": "Tabriz University of Medical Sciences",
  "ris": "https://research.draconitic.com/paper/7jh8q6w7wmfer.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42968738",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42968738"
    },
    {
      "first_seen": "2026-11-04T12:22:01Z",
      "native_id": "PMC13723384",
      "source": "pmc",
      "url": "https://doi.org/10.34172/hpp.45929"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Tuberculosis Research and Epidemiology",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Cognitive Determinants of Tuberculosis Preventive Behaviors in High-Risk Individuals: A Cross- Sectional Study in Iran.",
  "title_text": "Cognitive Determinants of Tuberculosis Preventive Behaviors in High-Risk Individuals: A Cross- Sectional Study in Iran.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-05T12:20:13Z",
  "url": "https://research.draconitic.com/paper/7jh8q6w7wmfer",
  "venue": "Health promotion perspectives",
  "versions": []
}