{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T01:36:07Z","timestamp":1772156167133,"version":"3.50.1"},"reference-count":40,"publisher":"Microbiology Society","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>\n                    Tuberculosis (TB) remains a large global health threat, including increasing cases in generally low-incidence areas of the USA. However, the knowledge, attitudes and practices (KAP) regarding TB in these low-incidence areas are underexplored, precluding planning for effective health communication in these areas regarding travel to high-incidence areas or potential future outbreaks in currently low-incidence areas. Using the health belief model as a theoretical framework, we developed a KAP survey to assess public perceptions of TB in Colorado, a currently low-incidence area. We collected complete responses from\n                    <jats:italic>n<\/jats:italic>\n                    =225 adults. We found that participants had higher self-assessed knowledge than actual knowledge about TB. We also found that while participants recognized TB as a global health threat, they were not personally worried about contracting TB. However, a portion of participants indicated that they would feel shame if they contracted TB. Public knowledge and risk perception about TB could be improved by providing information in low-incidence areas on the public health burden of TB. Additionally, providing health communication to focus on emotion management and reducing stigma about the disease would be important to promote healthcare-seeking and treatment compliance in case of a future outbreak.\n                  <\/jats:p>","DOI":"10.1099\/acmi.0.001038.v3","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T16:16:02Z","timestamp":1765815362000},"source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes and practices regarding tuberculosis in a low-incidence area in the USA"],"prefix":"10.1099","volume":"7","author":[{"given":"Jenna","family":"Randall","sequence":"first","affiliation":[{"name":"Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8462-5689","authenticated-orcid":false,"given":"Nicole","family":"Kelp","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"345","reference":[{"key":"R1","article-title":"TB incidence"},{"key":"R2","article-title":"Tuberculosis (TB)\u2014Data and Statistics","year":"2024"},{"key":"R3","article-title":"Tuberculosis in Kansas: The Larger Picture","author":"Rosen","year":"2025"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2006.01720.x"},{"key":"R5","first-page":"45","volume-title":"Health Behavior and Health Education","author":"Champion","year":"2008"},{"key":"R6","article-title":"The Risks, Attitudes, Norms, Abilities, and Self\u2010regulation (RANAS) approach to systematic behavior change","author":"Contzen","year":"2015"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-014-0105-9"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1016\/0962-8479(95)90010-1"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.4103\/picr.PICR_122_19"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09685-3"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224196"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3688-x"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148227"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0011110"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1177\/10755470211063628"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2000.00615.x"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-515"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1080\/14034950310015121"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-467"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304263628"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10122022"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278-6133.3.5.431"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v4n4p15"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1177\/23821205241260596"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.04.016"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2018.157"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.16.0788"},{"key":"R28","article-title":"Public responses to infectious diseases outbreaks: the role of emotions","author":"Kousoulis","year":"2021"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1080\/03637751.2012.723811"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-015-0279-6"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.12.0368"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1093\/biosci\/biaf011"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1207\/S15327027HC1203_01"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.4102\/td.v17i1.1008"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.17576\/JKMJC-2024-4004-25"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102508"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2007.01858.x"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2958.1998.tb00421.x"},{"key":"R39","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037978"},{"key":"R40","article-title":"After 30 years of decline, tuberculosis is rising in the U.S. again. 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