Document Type : Original Article


1 Department of Health and Management, Tabriz University of Medical Sciences, Tabriz, Iran

2 Department of Epidemiology and Biostatistics, School of Health

3 Tuberculosis and Leprosy Unit, School of Medicine, Isfahan University of Medical Sciences, Isfahan,


Introduction: Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis
complex. It is one of the most common infectious diseases largely resulting from the patient’s lifestyle.
The purpose of the present study is to investigate factors related with adopting health behaviors by
patients with tuberculosis based on the health belief model. Materials and Methods: The present
cross‑sectional study was performed on 196 patients with tuberculosis. Data was collected using
a 47‑item, self‑designed, questionnaire. Cronbach’s alpha was calculated as 73.9. The Pearson
test was used to study the correlation between independent variables and adopting a healthy
behavior. Results: The mean score for adopting healthy behaviors by patients was 87.52 ± 13.8.
The Pearson correlation test indicated a statistically significant relation between adopting healthy
behaviors and scores of knowledge (P < 0.001, r = 0.536), perceived susceptibility (P < 0.001,
r = 0.36), perceived benefits (P < 0.001, r = 0.347), and perceived barriers (P = 0.046, r = 0.143).
Conclusion: Direct relationship was found between adoptinga healthy behavior and scores of
knowledge, perceived susceptibility, and perceived benefit. Although the results of this study can
be the basis of educational interventions, any generalizations should be performed cautiously.


1. Mirhaghani L, Nasehi M. The guideline of tuberculosis prevention.
Tehran: Seda; 2002
2. Sofian M, Zarinfar N, Mirzaee M, Moosavinejad A. Epidemiology
of tuberculosis in Arak, Iran. Koomesh. J Semnan Univ Med Sci
3. James ST. Expert guide to infectious disease. Philadelphia: Versa
Press; 2000.
4. Asgari M, Davoodian P, Dadvand H. Prisoners knowledge about
clinical signs and the way of pulmonary tuberculosis transferring in
the central jail of Hormozgan province. Presented at the 17th National
congress of Tuberculosis. Isfahan: 2003.
5. Seraj SR, Ghafarpassand F, Afshari A, Ekrahi M. Study of chest
radiogeraphy in active tuberculosis patients admitted in Shiraz
educational hospital. persented at the 16th Iranian Congress on
Infectious Disease and Tropical medicine. Tehran: 2007.
6. Salehi H. Frequency of mycobacterium tuberculosis infection in
weaving workers in Isfahan. J Isfahan Med Univ 2006;95:24‑6.
7. Tuberculosis. bulletin of the national TB day. Center for Diseases
Control (CDC), Iranian Ministry of Health and Medical Education; 2004.
8. Young DB, Perkins MD, Duncan K, Barry CE III. confornting the
Scientific obstacles to global control of tuberculosis. J Clin Invest
9. A report of status of tuberculos is in the world and Iran. 2010.
Available from: http\\
10. WHO report on TB epidemic. WHO. 2003.
11. Crofton J, Horne N, Miller F. Clinical tuberculosis. London:
Macmillan; 2001.
12. Azizi F, Janghorbani M, Hatami H. Epidemiology and control of
common disorders in Iran; 2009.
13. WHO. An expanded DOTS framework for effective tuberculosis
control. 2002. WHO/CDS/TB/2002.297. Available from: http://
14. WHO.TB/HIV: Aclinicalmanual. 2004.Available from: http://
15. Education needs of patients with pulmonary tuberculosis admitted
to Taleghani Hospital in Urmia to comply with treatment regimen.
19th National Congress of Tuberculosis: 2008.
16. Sterling TR, Lehmann HP, Frieden TR. Impact of DOTS compared
with DOTS‑plus on multidrug resistant tuberculosis deaths:
Decision analysis. BMJ 2003;326:574.
17. Niknami SH, Taheri Aziz M, Mohraz M. Effectiveness of designed
health education package on healthy behaviors of patients with
tuberculosis at Pasteur Institute of Iran. J Zanjan Univ Med Sci
Health Serv 2009;17:13‑20
18. Taghizadeh R, Eshrati B, Kamali M, Masjedi M. Comply status
of patients with pulmonary tuberculosis treated with directly
observed in the urban area of Tehran with the Health Belief Model.
19th National Congress of Tuberculosis: 2008.
19. Janakan N, Seneviratne R. Factors contributing to medication
noncompliance of newly diagnosed smear‑ positive pulmonary of
Colombo Sri Lanka. Asia Pac J Public Health 2008;20:214‑23.
20. Clark PM, Karagoz T, Apikoglu‑Rabus S, Izzettin FV. Effect of
pharmacist‑led patient education on adherence to tuberculosis
treatment. Am J Health Syst Pharm 2007;64:497‑505.
21. Jahani S, Elahi N, Shahinzade A, Hakim A, Latifi SM Relation of
knowledge and attitude with control ofmedication in tuberculosis
patients in Ahvaz, Iran. J Gorgan Univ Med Sci 2011;12:80‑4.
22. Pishkar Mofrad Z, Sabzavari S, Mohammad Alizadeh S. A survey
of knowledge and attitude in medication controls of Tuberculosis
patients referring to Zahedan anti TB centers in 1999. J Kerman
Univ Med Sci 2001;8:153‑60.
23. Dean W, Graham R. How effective are health programs resistance,
reactance, rationality and risk? recommendation for effective
practice. Int J of Nurs Studies 2004;41:163‑72.
24. Heydariniya A. In theprocessof health educationtopics. Tehran:
Zamani Nasser; 2003.
25. Tornee S, Kaewkungwal J, Fungladda W, Silachamroon U,
Akarasewi P, Sunakorn P. Factors associated with the household
contact screening adherence of tuberculosis of patients. Southeast
Asian J Trop Med Public Health 2005;36:331‑40.
26. Mweemba P, Haruzivishe C, Siziya S, Chipimo PJ, Cristenson K,
Johansson E. Knowledge, attitude and compliance with tuberculosis
treatment, Lusaka, Zambia. Med J Zambia 2008;35:121‑8.
27. McDonnell M, Turner J, Weaver MT. Antecedents of adherence
to anti tuberculosis therapy. Public Health Nurs 2001;18:392‑400.