Kurspahić-Mujčić Amira, Hasanović Aida, Sivić Suad
1Department of Social Medicine, 2Department of Anatomy; School of Medicine, University of Sarajevo, Sarajevo; 3Public Health Institute of Zenica-Doboj Canton, Zenica, Bosnia and Herzegovina.
Med Glas (Zenica). 2013 Aug;10(2):272-7.
To determine association between tuberculosis (TB) related stigma and delay in seeking a treatment after the onset of symptoms associated with tuberculosis.
This prospective study was carried out in the "Podhrastovi" University Clinic of Lung Diseases and Tuberculosis and Health facilities for lung diseases and tuberculosis in the Sarajevo area. The sample consisted of 300 tuberculosis patients. Between patients who consider TB a stigmatizing disease and patients who did not consider TB a stigmatizing disease distribution of patient delay was compared.
Of the total of 300 patients 79 (26.3%) considered TB a socially stigmatizing disease. Among them 43 (54.4%) were females and 36 (45.6%) males. Among patients in the age group 18-24 years, nine (50%) considered TB a socially stigmatizing disease compared to seven (12.3%) among patients in the age group 65-75 years. Among patients with university degree, nine (64.3%) and among patients that had no education, one (9.1%) declared TB as a socially stigmatizing disease. The average time interval from the appearance of first symptoms of tuberculosis until the first visit to a health care facility for those who consider TB a stigmatizing disease was 6.41 weeks and for those who did not consider it a stigmatizing disease the average time interval was 4.99 weeks.
Study results revealed high stigma-generating attitudes towards tuberculosis. Perceived TB related stigma had no strong impact on patient delay in seeking care for TB symptoms.
确定结核病相关耻辱感与出现结核病相关症状后寻求治疗延迟之间的关联。
这项前瞻性研究在萨拉热窝地区的“波德赫拉斯托维”大学肺病与结核病诊所及肺病与结核病卫生设施中进行。样本包括300名结核病患者。比较了认为结核病是一种耻辱性疾病的患者和不认为结核病是一种耻辱性疾病的患者之间的患者延迟分布情况。
在总共300名患者中，79名（26.3%）认为结核病是一种社会耻辱性疾病。其中43名（54.4%）为女性，36名（45.6%）为男性。在18 - 24岁年龄组的患者中，9名（50%）认为结核病是一种社会耻辱性疾病，而在65 - 75岁年龄组的患者中这一比例为7名（12.3%）。在拥有大学学位的患者中，9名（64.3%），在未受过教育的患者中，1名（9.1%）宣称结核病是一种社会耻辱性疾病。对于那些认为结核病是一种耻辱性疾病的患者，从出现结核病首发症状到首次前往医疗机构就诊的平均时间间隔为6.41周，而对于那些不认为结核病是一种耻辱性疾病的患者，平均时间间隔为4.99周。
研究结果显示对结核病存在高度的耻辱感态度。结核病相关耻辱感对患者因结核病症状寻求治疗的延迟没有强烈影响。
