Living with Tuberculosis: The Myths and the Stigma from the Indian Perspective

Mathew, Anita; Takalkar, Amol

doi:10.1086/522312

Cited by 16 publications

(7 citation statements)

References 3 publications

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“…Participants said that once they are infected with TB, they will always be thought to be diseased thus there might be problems getting married. The study TB stigma in Indian perspective supports this [14][15][16][17].…”

Section: Yes (%) Possibly (%) Uncertain (%) No (%) Itemssupporting

confidence: 67%

Stigma Related to Tuberculosis in Patients Taking DOTS Treatment from DOTS Center of Palpa District Hospital, Tansen, Palpa, Nepal

Gc¹,

Dahal²

2016

Journal of Microbiology and Modern Techniques

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Section: Yes (%) Possibly (%) Uncertain (%) No (%) Itemssupporting

confidence: 67%

Stigma Related to Tuberculosis in Patients Taking DOTS Treatment from DOTS Center of Palpa District Hospital, Tansen, Palpa, Nepal

Gc¹,

Dahal²

2016

Journal of Microbiology and Modern Techniques

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“…This was evident from our results as two out of five (39%) of TB patients did not want any other person to know their TB status. It's an indication that some patients still see themselves ashamed of getting TB [15]; such social pressures resulting in anxiety over community perceptions of one having TB [16] affect patients confidence in the community resulting in non-adherence to treatment [17]. This therefore calls for more counseling to patients diagnosed with TB.…”

Section: Discussionmentioning

confidence: 99%

Patient attitudes towards community-based tuberculosis DOT and adherence to treatment in an urban setting; Kampala, Uganda

2017

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IntroductionHigh Tuberculosis treatment default rate (17%) and sub-optimal treatment completion rates (45%) has burdened Kampala. Nevertheless, there are observable increase in the number of patients on TB DOT; from 6% to 29% in two consecutive annual reports. The main objective was to determine the association of TB patient attitudes towards community-based observers on the TB drug adherence on directly observed treatment for TB in Kampala.MethodsA cross-sectional study was carried out in Lubaga division, Kampala. A total of 201 patients in continuation phase of treatment for Pulmonary TB (i.e. 8 to 20 weeks of TB treatment) were included in the study. Patient attitudes were measured using a 4-point Likert scale aggregated into a binary outcome with ''agree'' and ''disagree'' responses. Poisson regression model using a forward fitting approach in STATA v12 was used to determine the association between patient attitude towards CB-DOTs observers and adherence to TB treatment.ResultsAmong the 201 patients, 66% reported their treatment was being observed by someone. Relatives were the commonest (82%) treatment observers, 26% were non adherent to their TB treatment. Perceiving ''no need for a treatment observer'' and ''people rejecting TB patients'' were predictors of non-adherence to TB treatment (IRR=1.6,95%CI 1.00-2.57;p=0.048) and (IRR=0.6, 95%CI 0.35-0.95; p=0.019) respectively.ConclusionPatient's perceived attitude and stigma towards treatment observers contribute to non-adherence on TB treatment. For improved local TB control, more emphasis is needed to build a friendly environment between treatment supporters and patients during the course of TB treatment.

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“…The persistence of misconceptions in the community could be responsible for the stigma, which has been highlighted in another developing country. 30 There is also the possibility that the CVs who gave unsupervised health talks passed on partial information to community members. This coupled with the brevity of messages on educational pamphlets and posters used for health education may not satisfactorily influence the alleviation of stigma.…”

Section: Discussionmentioning

confidence: 99%

Trained Community Volunteers Improve Tuberculosis Knowledge and Attitudes Among Adults in a Periurban Community in Southwest Nigeria

Balogun¹,

Sekoni²,

Meloni³

et al. 2015

The American Society of Tropical Medicine and Hygiene

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Abstract. Nigeria has the world's 10th largest tuberculosis (TB) burden. Targeted community-based interventions can potentially help reduce TB incidence. We designed an intervention in a periurban community where 10 community volunteers were trained to provide community TB education and also detect and refer TB suspects to a nearby clinic. To determine the effect of the intervention on knowledge, attitude, and preventive practices of TB, we compared results from a pre-intervention survey with those of a post-intervention survey. Pre-intervention, respondents had a mean knowledge score of 10.6 ± 7.0 of a possible 34, a mean attitude score of 5.8 ± 3.3 of a possible 10, and a mean practice score of 5.3 ± 1.4 of a possible 7. The intervention significantly increased the mean knowledge score to 16 ± 5.4 (P 0.001) and mean attitude score to 7.0 ± 1.8 (P 0.001); however, there was no statistically significant difference in the mean practice score. Eight TB suspects were referred to the clinic, and one suspect was subsequently diagnosed with TB. The use of trained community volunteers to share information on TB improved the overall knowledge and attitudes of respondents. Continued empowerment of the community should be encouraged to promote TB prevention and care.

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Living with Tuberculosis: The Myths and the Stigma from the Indian Perspective

Cited by 16 publications

References 3 publications

Stigma Related to Tuberculosis in Patients Taking DOTS Treatment from DOTS Center of Palpa District Hospital, Tansen, Palpa, Nepal

Stigma Related to Tuberculosis in Patients Taking DOTS Treatment from DOTS Center of Palpa District Hospital, Tansen, Palpa, Nepal

Patient attitudes towards community-based tuberculosis DOT and adherence to treatment in an urban setting; Kampala, Uganda

Trained Community Volunteers Improve Tuberculosis Knowledge and Attitudes Among Adults in a Periurban Community in Southwest Nigeria

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