Journal of Immigrant and Minority Health

, Volume 17, Issue 5, pp 1487–1495 | Cite as

Knowledge and Attitudes About Tuberculosis Among U.S.-Born Blacks and Whites with Tuberculosis

  • Meredith M. Howley
  • Chaturia D. Rouse
  • Dolores J. Katz
  • Paul W. Colson
  • Yael Hirsch-Moverman
  • Rachel A. Royce
  • the Tuberculosis Epidemiologic Studies Consortium
Original paper


Non-Hispanic blacks represent 13 % of the U.S.-born population but account for 37 % of tuberculosis (TB) cases reported in U.S.-born persons. Few studies have explored whether this disparity is associated with differences in TB-related knowledge and attitudes. Interviews were conducted with U.S.-born, non-Hispanic blacks and whites diagnosed with TB from August 2009 to December 2010 in cities and states that accounted for 27 % of all TB cases diagnosed in these racial groups in the U.S. during that time period. Of 477 participants, 368 (77 %) were non-Hispanic black and 109 (23 %) were non-Hispanic white. Blacks had significantly less knowledge and more misconceptions about TB transmission and latent TB infection than whites. Most TB patients in both groups recalled being given TB information; having received such information was strongly correlated with TB knowledge. Providing information to U.S.-born TB patients significantly increased their knowledge and understanding of TB. More focused efforts are needed to provide TB information to U.S.-born black TB patients.


Health knowledge Attitudes Practice Tuberculosis U.S.-born Race 



We thank the investigators and staff at all the participating locations: Georgia: Gemina Albritton, Henry M. Blumberg, Michael Leonard, Jerome Mack, Jane Tapia; New York, NY: Holly Anger, Hugo Ortega; North Carolina: Shelly Harris, Monique Clayton, Burton Levine, Qiang Xia; Houston, TX: Edward A. Graviss, Larry Teeter, Pandora Williams;Virginia: Suzanne Keller, Brenda Mayes; Dallas, TX: Kenya Kemp, Chasity Lovely, Charles Wallace; Maryland and Washington, D.C.: Wendy Cronin, Fran Maurer, Bee Munk, Heather Rutz; Tennessee: Tamara Chavez-Lindell, Joe Pinilla, Trudy Stein-Hart, Jon Warkentin; New Jersey and Philadelphia, PA: Amy Davidow, Anna Sevilla, Jennifer Vergeon; We also thank the CDC DTBE project coordinator Melissa Pagaoa.

Conflict of interest

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Meredith M. Howley
    • 5
  • Chaturia D. Rouse
    • 2
  • Dolores J. Katz
    • 1
  • Paul W. Colson
    • 3
  • Yael Hirsch-Moverman
    • 3
  • Rachel A. Royce
    • 4
  • the Tuberculosis Epidemiologic Studies Consortium
  1. 1.Centers for Disease Control and PreventionAtlantaUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Charles P. Felton National Tuberculosis Center, Mailman School of Public HealthColumbia UniversityNew YorkUSA
  4. 4.RTI InternationalResearch Triangle ParkUSA
  5. 5.New York State Department of HealthAlbanyUSA

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