Katamba A, Neuhauser D B, Smyth K A, Adatu F, Katabira E, Whalen C C
City Council of Kampala, P.O. Box 21696, Kampala, Uganda.
East Afr Med J. 2005 Jul;82(7):337-42.
To assess whether linkage of tuberculosis (TB) and HIV/AIDS increases the perception of stigma among TB patients on Community-Based Directly Observed Therapy (CB-DOT) compared to similar TB patients on self-administered therapy (SAT).
A Cross-sectional study.
Kiboga (CB-DOT) and Mubende (SAT) districts, Uganda in 2000.
One hundred and five tuberculosis patients on CB-DOT and 202 patients on SAT. One hundred and twenty one (39%) of these patients agreed to be tested for HIV.
Patients on CB-DOT and patients on SAT were similar on most of the domains used to assess stigma associated with a TB diagnosis, except for the domain of TB diagnosis and general belief that TB and HIV/AIDS are linked. Patients on CB-DOT were more likely to believe that neighbours knew they had TB compared to patients on SAT (91% vs. 62%, p < 0.001), but the groups did not differ in their perception that neighbours thought they have HIV because of TB (46% vs. 46%, p = 0.954). HIV prevalence was similar in both groups.
The study demonstrates that TB patients on CB-DOT did not differ from SAT patients in their perception of stigma as a result of TB. Therefore, HIV-related stigma may not limit wide implementation of CB-DOT in countries like Uganda.
评估与接受自我管理治疗（SAT）的类似结核病患者相比，结核病（TB）与艾滋病毒/艾滋病的关联是否会增加接受社区直接观察治疗（CB-DOT）的结核病患者的耻辱感。
横断面研究。
2000年乌干达的基博加（CB-DOT）和穆本德（SAT）地区。
105名接受CB-DOT的结核病患者和202名接受SAT的患者。其中121名（39%）患者同意接受艾滋病毒检测。
在用于评估与结核病诊断相关耻辱感的大多数领域，接受CB-DOT的患者和接受SAT的患者情况相似，但在结核病诊断以及结核病与艾滋病毒/艾滋病相关的总体认知领域存在差异。与接受SAT的患者相比，接受CB-DOT的患者更有可能认为邻居知道他们患有结核病（91%对62%，p<0.001），但两组患者对于邻居因结核病而认为他们感染艾滋病毒的认知并无差异（46%对46%，p = 0.954）。两组的艾滋病毒流行率相似。
该研究表明，接受CB-DOT的结核病患者在因结核病产生的耻辱感认知方面与接受SAT的患者没有差异。因此，与艾滋病毒相关的耻辱感可能不会限制CB-DOT在乌干达等国家的广泛实施。
