Tuberculosis related stigma attached to the adherence of Directly Observed Treatment Short Course (DOTS) in West Bengal, India

Chakrabartty, Arupkumar; Basu, Pampa; Ali, Kazi Monjur; Ghosh, Debidas

doi:10.1016/j.ijtb.2019.03.005

Cited by 18 publications

(19 citation statements)

References 3 publications

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“…Due to the fear of being identified as TB patients, individuals may not seek health care services for TB [13], leading to delays in diagnosis, treatment, and increased community transmission [14,15]. Similarly, TB stigma is a barrier to adherence, as patients may not go to the health centre to receive treatment for fear that their neighbours or friends will see them [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study.

Mbuthia

Nyamogoba

Chiang

et al. 2020

Preprint

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Background Tuberculosis (TB) stigma remains a barrier to early diagnosis and treatment completion. Increased understanding of stigma is necessary for improved interventions to minimise TB stigma and its effects. The purpose of this study is to quantitatively measure TB stigma and to explore its manifestation among TB patients in a rural Kenyan community. Methods This was a hospital based study using explanatory sequential mixed methods approach. In the quantitative study, a questionnaire containing socio-demographic characteristics and scales measuring perceived TB stigma and experienced TB stigma, was administered to 208 adult pulmonary TB patients receiving treatment in West Pokot County. The qualitative data were collected through 15 in-depth interviews and 6 focus group discussions with TB patients. Descriptive and bivariate analysis was done for the quantitative data while the thematic analysis was done for qualitative data. Results The internal consistency reliability coefficients were satisfactory with Cronbach alphas of 0.87 and 0.86 for the 11-item and 12-item stigma measurement scale. The investigation revealed that TB stigma was high. TB stigma was exemplified through patients being isolated by others, self-isolation, fear to disclose TB diagnosis, association of TB with HIV and lack of social support. Being a woman was significantly associated with high levels of both experienced stigma (p = 0.007) and perceived stigma (p = 0.005) while age, marital status, occupation and the patient’s religion were not. Conclusion There is a need to implement stigma reduction interventions in order to improve TB program outcomes.

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Section: Introductionmentioning

confidence: 99%

Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study.

Mbuthia

Nyamogoba

Chiang

et al. 2020

Preprint

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“…These factors may have a negative impact on their compliance with long-term tuberculosis treatment. Approxiametely half of patients with tuberculosis have been reported to experience perceived stigma [1,2]. Perceived stigma may negatively affect adherence to treatment and quality of life [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Approxiametely half of patients with tuberculosis have been reported to experience perceived stigma [1,2]. Perceived stigma may negatively affect adherence to treatment and quality of life [2,3]. Poor social support and depression seem to increase the negative effects of perceived stigma [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…These may also have a negative impact on compliance with long-term tuberculosis treatment and thus the success of treatment. Recent studies reported that approximately half of patients with tuberculosis have perceived stigma [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies suggest that perceived stigma negatively affect adherence to treatment and quality of life [2,3]. Patients with poor social support and those with depression seem to be more vulnerable to the negative effects of perceived stigma [1,4].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With Depressive Symptoms and Perceived Stigma in Patients With Tuberculosis

Kelesoglu¹,

Güveli²

2020

Preprint

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Objective: The aim of this study is to determine the levels of perceived stigma and social support and presence of depressive and anxiety symptoms in patients with tuberculosis and to investigate the association of perceived stigma and depression with demographic and disease related factors.Methods: This study included patients older than 18 years of age with tuberculosis. The hospital anxiety depression scale (HADS), stigma of tuberculosis scale (STS), and multidimensional scale of perceived social support (MSPSS) were applied to the participants. Univariate and multivariate analyses were performed to define correlates of depression and perceived stigma.Results: A total of 204 patients were included. The risk of anxiety and depression were 25% and 36.8%, respectively. Multivariate binary logistic regression analyses suggested that higher HADS-anxiety scores and lower MSPSS scores were associated with a depressive HADS score and that a lower BMI, higher HADS-anxiety score, and higher HADS-depression score were associated with high levels of perceived stigma.Conclusions: The rates of depression, stigmatization, and anxiety were high in these patients. Anxiety symptoms were positively and social support was inversely associated with depressive symptoms. A lower BMI and higher depression and anxiety scores were independently associated with high levels of perceived stigma.

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“A cross-sectional study to assess stigma associated with tuberculosis in patients, family members, and health care staff in central India.”

Abbas Ali,

Gupta,

Divakar Addanki

et al. 2024

Indian Journal of Tuberculosis

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Tuberculosis related stigma attached to the adherence of Directly Observed Treatment Short Course (DOTS) in West Bengal, India

Cited by 18 publications

References 3 publications

Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study.

Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study.

Factors Associated With Depressive Symptoms and Perceived Stigma in Patients With Tuberculosis

“A cross-sectional study to assess stigma associated with tuberculosis in patients, family members, and health care staff in central India.”

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