en توصیفی و پیمایشی Descriptive & Survey <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#4f81bd">Aims:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif">Despite the availability of free tuberculosis services in Indonesia, suboptimal utilization remains a major challenge to achieving the End TB Strategy. This study aimed to identify factors associated with tuberculosis health service utilization in Takalar Regency, Indonesia. </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#4f81bd">Instrument & Methods:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"> This cross-sectional study was conducted among 201 registered tuberculosis patients selected through purposive sampling in Pattallassang District, Takalar Regency, in February 2026. Data were collected using a structured questionnaire and analyzed using the chi-square test and binary logistic regression. </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#4f81bd">Findings:</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"> Knowledge (p=0.001), attitude (p=0.025), family support (p=0.049), and accessibility to health care facilities (p=0.001) were significantly associated with tuberculosis health care service utilization, whereas trust was not (p=0.123). In the multivariable analysis of 201 respondents, those with adequate knowledge were 8.38 times more likely to utilize TB health care services than those with inadequate knowledge (adjusted odds ratio=8.38; 95% confidence interval: 2.97-23.62; p<0.001). Respondents reporting poor accessibility to healthcare facilities had lower odds of utilization (adjusted odds ratio=0.19; 95% CI: 0.09&ndash;0.40; p<0.001), while attitude (adjusted odds ratio=1.96; 95% CI: 0.46&ndash;8.46; p=0.368) and family support (adjusted odds ratio=1.34; 95% CI: 0.38-4.77; p=0.651) were not independently associated with utilization after adjustment. </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:#4f81bd">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif"><span style="color:black">Knowledge and accessibility to healthcare facilities are the two key determinants of tuberculosis healthcare service utilization in Takalar Regency</span></span></span><span style="font-size:10.0pt"><span style="font-family:&quot;Cambria&quot;,serif">.</span></span></span></span></span></span><br> &nbsp; Tuberculosis , Health Services Accessibility , Health Service , Health Knowledge, Attitudes, Practice 351 355 http://hehp.daneshafarand.org/browse.php?a_code=A-10-1-132&slc_lang=en&sid=4 N. Nurlena 1003194753284600388067 1003194753284600388067 Yes Department of Health Policy Administration, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia B. Balqis 1003194753284600388068 1003194753284600388068 No Department of Health Policy Administration, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia D. Darmawansyah 1003194753284600388069 1003194753284600388069 No Department of Health Policy Administration, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia S. Palutturi 1003194753284600388070 1003194753284600388070 No Department of Health Policy Administration, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia M.A. Rahman 1003194753284600388071 1003194753284600388071 No Department of Health Promotion, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia