Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK.
Int Health. 2012 Jun;4(2):143-7. doi: 10.1016/j.inhe.2011.12.002.
A qualitative study was undertaken to attempt to understand reasons for the delayed diagnosis of tuberculosis (TB) amongst Ugandan women and to describe the nature of TB stigma and its effects in Uganda. Twelve women were interviewed. Participants were selected on the basis that they had smear-positive TB and had delayed consulting healthcare services for ≥30 days. Semi-structured interviews were conducted and analysed using thematic content analysis. The study showed that the main reason for delayed diagnosis amongst women interviewed was a lack of recognition of symptoms. This may be due to low levels of TB awareness in the community. The study also showed that TB is stigmatised in Uganda, mainly due to associations with HIV. Many participants believed that TB only exists with HIV and that TB causes HIV tests to appear negative even for HIV-infected people. Health education programmes would be helpful to improve the understanding of TB and to combat harmful beliefs about TB and HIV in the community.
开展了一项定性研究，试图了解乌干达妇女结核病（TB）延迟诊断的原因，并描述乌干达结核病污名及其影响的性质。对 12 名妇女进行了访谈。参与者是根据他们的痰涂片阳性和延迟就医服务≥30 天的情况选择的。采用半结构式访谈，并使用主题内容分析进行分析。研究表明，接受采访的女性延迟诊断的主要原因是缺乏对症状的认识。这可能是由于社区内结核病意识水平较低。研究还表明，结核病在乌干达受到污名化，主要是因为与艾滋病毒有关。许多参与者认为，结核病只存在于 HIV 中，而且结核病会导致 HIV 检测呈阴性，即使是 HIV 感染者。健康教育计划将有助于提高对结核病的认识，并在社区中消除对结核病和 HIV 的有害信念。
