Suppr超能文献

埃塞俄比亚沃莱塔索多地区肺结核患者的感知耻辱感及相关因素:横断面研究

Perceived Stigma and Associated Factors among Patient with Tuberculosis, Wolaita Sodo, Ethiopia: Cross-Sectional Study.

作者信息

Duko Bereket, Bedaso Asres, Ayano Getinet, Yohannis Zegeye

机构信息

Faculty of Health Sciences, College of Medicine and Health Sciences, P.O. Box 1560, Hawassa University, Hawassa, Ethiopia.

Research and Training Directorate, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.

出版信息

Tuberc Res Treat. 2019 May 2;2019:5917537. doi: 10.1155/2019/5917537. eCollection 2019.

Abstract

BACKGROUND

Tuberculosis is a historically stigmatized disease and the stigma associated with it affects the institution, community, and interpersonal factors. Therefore, understanding tuberculosis-related perceived stigma has importance in improving quality of the patients.

OBJECTIVE

The aim of this study was to assess prevalence and factors associated with perceived stigma among patients with tuberculosis attending Wolaita Sodo University Referral Hospital, Ethiopia.

METHODS

Institution based cross-sectional study was conducted among a total of 417 tuberculosis patients who had treatment follow-up at TB clinics and were recruited for the study. Systematic random sampling technique was used to recruit study participants. A 12-item perceived TB stigma scale was used to assess tuberculosis-related perceived stigma. In addition, Oslo social support scale was used to assess social support related factors.

RESULTS

Prevalence of tuberculosis-related perceived stigma by using perceived tuberculosis stigma scale was 42.4%. Patients who had pulmonary TB [AOR=2.49, (95% CI: 1.24, 4.87)], being intensive phase category [AOR=1.42, (95% CI: 1.19, 2.58)], TB/HIV coinfection [AOR= 3.54, (95% CI: 1.37, 9.12)], poor social support [AOR=2.45, (95% CI: 1.18, 5.09)], and using substance (alcohol, khat and cigarette) [AOR=1.78, (95% CI: 1.28, 3.17)] were more likely to have perceived TB stigma when compared to their counter parts.

CONCLUSION

Health education programs should be conducted to reduce TB stigma and improve patients' compliance.

摘要

背景

结核病是一种历史上带有污名的疾病,与之相关的污名影响机构、社区和人际因素。因此,了解与结核病相关的感知污名对于提高患者的生活质量具有重要意义。

目的

本研究的目的是评估在埃塞俄比亚沃莱塔索多大学转诊医院就诊的结核病患者中感知污名的患病率及其相关因素。

方法

对在结核病诊所接受治疗随访并被招募参加本研究的417名结核病患者进行了基于机构的横断面研究。采用系统随机抽样技术招募研究参与者。使用一个包含12个条目的结核病感知污名量表来评估与结核病相关的感知污名。此外,使用奥斯陆社会支持量表来评估与社会支持相关的因素。

结果

使用结核病感知污名量表得出的与结核病相关的感知污名患病率为42.4%。与对照组相比,患有肺结核的患者[AOR = 2.49,(95% CI:1.24, 4.87)]、处于强化期的患者[AOR = 1.42,(95% CI:1.19, 2.58)]、结核病/艾滋病毒合并感染患者[AOR = 3.54,(95% CI:1.37, 9.12)]、社会支持差的患者[AOR = 2.45,(95% CI:1.18, 5.09)]以及使用毒品(酒精、巧茶和香烟)的患者[AOR = 1.78,(95% CI:1.28, 3.17)]更有可能存在结核病感知污名。

结论

应开展健康教育项目以减少结核病污名并提高患者的依从性。

相似文献

1
Perceived Stigma and Associated Factors among Patient with Tuberculosis, Wolaita Sodo, Ethiopia: Cross-Sectional Study.
Tuberc Res Treat. 2019 May 2;2019:5917537. doi: 10.1155/2019/5917537. eCollection 2019.
3
Perceived stigma among patient with pulmonary tuberculosis at public health facilities in southwest Ethiopia: A cross-sectional study.
PLoS One. 2020 Dec 8;15(12):e0243433. doi: 10.1371/journal.pone.0243433. eCollection 2020.
4
HIV-related perceived stigma and associated factors among patients with HIV, Dilla, Ethiopia: A cross-sectional study.
Ann Med Surg (Lond). 2021 Oct 8;71:102921. doi: 10.1016/j.amsu.2021.102921. eCollection 2021 Nov.
5
Prevalence and associated factors of depression among patients with HIV/AIDS in Hawassa, Ethiopia, cross-sectional study.
Ann Gen Psychiatry. 2018 Oct 30;17:45. doi: 10.1186/s12991-018-0215-1. eCollection 2018.
8
Perceived HIV Stigma and Associated Factors Among Adult ART Patients in Wolaita Zone, Southern Ethiopia.
HIV AIDS (Auckl). 2022 Nov 7;14:487-501. doi: 10.2147/HIV.S372738. eCollection 2022.

引用本文的文献

2
Undiagnosed Pulmonary Tuberculosis Among Incarcerated Individuals and Its Overlooked Transmission Risk for the Community in Central Ethiopia.
Can J Infect Dis Med Microbiol. 2025 Aug 11;2025:4170420. doi: 10.1155/cjid/4170420. eCollection 2025.
3
Approaches and results of intersectoral actions for tuberculosis control in the world: A scoping review.
PLoS One. 2025 Jun 26;20(6):e0326784. doi: 10.1371/journal.pone.0326784. eCollection 2025.
6
Stigma and associated sex disparities among patients with tuberculosis in Uganda: a cross-sectional study.
Ther Adv Infect Dis. 2024 Dec 14;11:20499361241305517. doi: 10.1177/20499361241305517. eCollection 2024 Jan-Dec.
7
10
A Systematic Review and Psychometric Appraisal of Instruments Measuring Tuberculosis Stigma in Sub-Saharan Africa.
Stigma Health. 2024 Feb;9(1):81-93. doi: 10.1037/sah0000328. Epub 2021 Jun 17.

本文引用的文献

1
Barriers to tuberculosis care delivery among miners and their families in South Africa: an ethnographic study.
Int J Tuberc Lung Dis. 2017 May 1;21(5):571-578. doi: 10.5588/ijtld.16.0669.
2
A systematic review of global cultural variations in knowledge, attitudes and health responses to tuberculosis stigma.
Int J Tuberc Lung Dis. 2014 Feb;18(2):168-73, i-iv. doi: 10.5588/ijtld.13.0181.
4
Stigma related to tuberculosis among patients attending DOTS clinics of Dharan municipality.
Kathmandu Univ Med J (KUMJ). 2012 Jan-Mar;10(37):48-52. doi: 10.3126/kumj.v10i1.6914.
6
Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria.
Afr Health Sci. 2011 Aug;11 Suppl 1(Suppl 1):S100-4. doi: 10.4314/ahs.v11i3.70078.
7
8
A qualitative review: the stigma of tuberculosis.
J Clin Nurs. 2011 Jul;20(13-14):1961-70. doi: 10.1111/j.1365-2702.2010.03516.x. Epub 2010 Oct 29.
9
Tuberculosis and stigmatization: pathways and interventions.
Public Health Rep. 2010 Jul-Aug;125 Suppl 4(Suppl 4):34-42. doi: 10.1177/00333549101250S407.
10
Socio-demographic, psychosocial and health characteristics of Norwegian senior centre users: a cross-sectional study.
Scand J Public Health. 2010 Jul;38(5):508-17. doi: 10.1177/1403494810370230. Epub 2010 May 19.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验