Tuberculosis (TB) remains a major public health problem in Indonesia. One important strategy in TB control is household contact examination; however, refusal from family members is still frequently reported. This study aims to analyze the determinants of refusal of household contact examination among family members of TB patients in the working area of Batu 10 Public Health Center, Tanjungpinang City.This study used a quantitative method with a cross-sectional design. A total of 60 respondents, who were family members of TB patients, were selected using total sampling technique. Data were collected using questionnaires and analyzed using the chi-square test with a significance level of 0.05.The results showed that knowledge (p=0.003), attitude (p=0.001), stigma (p=0.002), and health worker support (p=0.004) were significantly associated with refusal of household contact examination. The most dominant factor was respondents’ attitudes toward contact examination.In conclusion, refusal of household contact examination is influenced by knowledge, attitudes, stigma, and health worker support. Health workers are recommended to improve education and interpersonal approaches to TB patients' families.
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