School of Public Health, JSS Academy of Higher Education and Research, Mysuru, 570015, India.
Department of Community Medicine, JSS Academy of Higher Education and Research, Mysuru, 570015, India.
Indian J Tuberc. 2024;71 Suppl 2:S171-S177. doi: 10.1016/j.ijtb.2023.03.008. Epub 2023 Mar 29.
Tuberculosis is one of the leading causes of morbidity and mortality in the globe. The most common infectious disease-related death in the world is tuberculosis. In 2020, an estimated 9.9 million people became ill with tuberculosis (TB), translating to 127 cases per 100,000 people. The stigma associated with tuberculosis (TB) causes people to put off seeking treatment and adhering to their treatment regimen. India has the highest prevalence of tuberculosis in the world. Depression and stigma oftem co-exist in people with tuberculosis.
To estimate the prevalence of depression and stigma experience among patients with tuberculosis, and to determine the association of socio-demographic variables and stigma experience with depression in urban and rural field practice areas.
This is a cross-sectional study where purposive sampling method was adopted. A house-to-house and phone interview was conducted using a pre-designed, pre-tested questionnaire. Depression was assessed using the PHQ-9 and stigma experience was assessed using the Stigma Scale for Chronic Illness - 8 items (SSCI -8 Items). SPSS version 25 was used (licensed to the institution)for analysis. Descriptive statistics was used to calculate proportions, mean, standard deviation. Inferential statistics like Chi-square analysis/Fisher's exact analysis were used to find the association between various socio-demographic variables with the depression among patients with tuberculosis and association between stigma experience and depression. (Yates continuity Highlights correction applied wherever required) p < 0.5 was considered to be statistically significant.
The overall prevalence of depression was 57.8%. The association between number of family members and type of tuberculosis with depression was statistically significant. 28.6% did not experience stigma, while 71.6% did. The association between depression score and stigma experience was not statistically significant.
More than half of the study's participants had depression and had encountered stigma. There was significant association between depression scores with family size and type of tuberculosis.
结核病是全球发病率和死亡率的主要原因之一。世界上最常见的传染病相关死亡原因是结核病。2020 年，估计有 990 万人患上结核病（TB），发病率为每 10 万人中有 127 例。与结核病相关的耻辱感导致人们推迟寻求治疗并坚持治疗方案。印度是世界上结核病患病率最高的国家。抑郁症和耻辱感经常同时存在于结核病患者中。
评估结核病患者中抑郁和耻辱感的发生率，并确定社会人口统计学变量与城乡实地工作地区耻辱感与抑郁之间的关联。
这是一项横断面研究，采用了目的抽样法。使用预先设计和预测试的问卷进行了逐户和电话访谈。使用 PHQ-9 评估抑郁，使用慢性病耻辱感量表-8 项（SSCI-8 项）评估耻辱感。使用 SPSS 版本 25 进行分析（许可给机构）。使用描述性统计计算比例、平均值、标准差。使用卡方分析/费舍尔精确分析等推断统计来发现各种社会人口统计学变量与结核病患者抑郁之间的关联，以及耻辱感与抑郁之间的关联。（适用时应用 Yates 连续性校正）p<0.5 被认为具有统计学意义。
总体抑郁发生率为 57.8%。家庭成员数量和结核病类型与抑郁之间的关联具有统计学意义。28.6%的人没有经历耻辱感，而 71.6%的人有经历。抑郁评分与耻辱感之间的关联没有统计学意义。
超过一半的研究参与者患有抑郁症并经历了耻辱感。抑郁评分与家庭规模和结核病类型之间存在显著关联。
