1 University of East London, London, United Kingdom.
2 University of Leeds, Leeds, United Kingdom.
Qual Health Res. 2019 Jul;29(8):1109-1119. doi: 10.1177/1049732318812427. Epub 2018 Nov 30.
In a qualitative study on the stigma associated with tuberculosis (TB), involving 73 interviews and eight focus groups conducted in five sites across three countries (Bangladesh, Nepal, and Pakistan), participants spoke of TB's negative impact on the marriage prospects of women in particular. Combining the approach to discovering grounded theory with a conceptualization of causality based on a realist ontology, we developed a theory to explain the relationships between TB, gender, and marriage. The mechanism at the heart of the theory is TB's disruptiveness to the gendered roles of wife (or daughter-in-law) and mother. It is this disruptiveness that gives legitimacy to the rejection of marriage to a woman with TB. Whether or not this mechanism results in a negative impact of TB on marriage prospects depends on a range of contextual factors, providing opportunities for interventions and policies.
在一项关于与结核病（TB）相关耻辱感的定性研究中，涉及在孟加拉国、尼泊尔和巴基斯坦的三个国家的五个地点进行的 73 次访谈和 8 个焦点小组，参与者特别谈到了结核病对妇女婚姻前景的负面影响。我们将发现扎根理论的方法与基于现实主义本体论的因果关系概念化相结合，制定了一个理论来解释结核病、性别和婚姻之间的关系。该理论的核心机制是结核病对妻子（或儿媳）和母亲的性别角色的破坏性。正是这种破坏性使拒绝与患有结核病的妇女结婚合法化。结核病是否对婚姻前景产生负面影响取决于一系列的背景因素，为干预和政策提供了机会。
