Duko Bereket, Bedaso Asres, Ayano Getinet, Yohannis Zegeye
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.
Tuberc Res Treat. 2019 May 2;2019:5917537. doi: 10.1155/2019/5917537. eCollection 2019.
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.
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.
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.
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.
Health education programs should be conducted to reduce TB stigma and improve patients' compliance.
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。
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。
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。
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。
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。