Cognitive Determinants of Tuberculosis Preventive Behaviors in High-Risk Individuals: A Cross- Sectional Study in Iran.
5 affiliations
- 1Department of Public Health, Sarab Faculty of Medical Sciences, Sarab, Iran.
- 2Student Research Committee, Sarab Faculty of Medical Sciences, Sarab, Iran.
- 3Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
- 4Marand Higher Education Complex of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
- 5Department of Nursing, Sarab Faculty of Medical Sciences, Sarab, Iran.
Abstract
Introduction
Tuberculosis (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
This 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
Cognitive 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
Health 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.
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BibTeX
@article{babazadeh2026cognitive,
title = {{Cognitive Determinants of Tuberculosis Preventive Behaviors in High-Risk Individuals: A Cross- Sectional Study in Iran.}},
author = {Towhid Babazadeh and Erfan Saeedi Tazekand and Sara Pourrazavi and MohammadAli Dini-Ghareoghlan and Masoomeh Gholizadeh and Sana Saedi and Khalil Maleki Chollou and Elham Davtalab Esmaeili},
journal = {Health promotion perspectives},
year = {2026},
month = aug,
doi = {10.34172/hpp.45929},
url = {https://europepmc.org/article/MED/42968738},
note = {CC BY},
}
RIS
TY - JOUR
TI - Cognitive Determinants of Tuberculosis Preventive Behaviors in High-Risk Individuals: A Cross- Sectional Study in Iran.
AU - Towhid Babazadeh
AU - Erfan Saeedi Tazekand
AU - Sara Pourrazavi
AU - MohammadAli Dini-Ghareoghlan
AU - Masoomeh Gholizadeh
AU - Sana Saedi
AU - Khalil Maleki Chollou
AU - Elham Davtalab Esmaeili
PY - 2026
DA - 2026/08/21
JO - Health promotion perspectives
DO - 10.34172/hpp.45929
UR - https://europepmc.org/article/MED/42968738
AB - Introduction Tuberculosis (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 This 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 Cognitive 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 Health 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.
SN - 2228-6497
ER -