Department of Public Health, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
Para-Clinic Department, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
Indian J Tuberc. 2024;71 Suppl 2:S203-S207. doi: 10.1016/j.ijtb.2024.08.005. Epub 2024 Aug 13.
TB stigma represents a growing threat to TB care. Understanding TB stigma distribution and associating factors is crucial for effective TB control in Afghanistan.
To profile the prevalence of TB-related stigma and its associating factors among TB patients in Southern Afghanistan.
In this multi-center cross-sectional study, we randomly recruited 603 adult TB patients from 2 major TB treatment sites in Southern Afghanistan. A score of >8 on the Stigma Scale for Chronic Illness-8 items (SSCI-8 items) was considered as positive for TB-related stigma. We fitted a binary logistic regression model.
Out of the 603 TB patients included in this study, 88.3% (95%CI: 85.8-90.9%) had TB-related stigma using the SSCI-8 cutoff (>8). Being in the age group 18-40 years, rural residence, no formal education, severe perception of illness, lack of TB knowledge, and symptoms of depression had positive associations with TB stigma.
A considerable percentage (88.3%) of patients had TB stigma. We identified potential risk factors that could serve as a benchmark for guiding policy efforts and interventions that aim to reduce stigma among TB patients in Afghanistan.
结核病污名是对结核病护理的日益严重的威胁。了解结核病污名的分布及其相关因素对于在阿富汗有效控制结核病至关重要。
描述阿富汗南部结核病患者中与结核病相关的污名及其相关因素的分布情况。
在这项多中心横断面研究中，我们随机招募了来自阿富汗南部 2 个主要结核病治疗点的 603 名成年结核病患者。慢性病污名量表-8 项（SSCI-8 items）得分>8 分被认为与结核病相关的污名呈阳性。我们拟合了二元逻辑回归模型。
在这项研究中，纳入的 603 名结核病患者中，88.3%（95%CI：85.8-90.9%）使用 SSCI-8 截断值（>8）存在与结核病相关的污名。年龄在 18-40 岁之间、农村居住、没有正规教育、严重的疾病感知、缺乏结核病知识和抑郁症状与结核病污名呈正相关。
相当大比例（88.3%）的患者存在结核病污名。我们确定了一些潜在的风险因素，这些因素可以作为指导政策努力和干预措施的基准，旨在减少阿富汗结核病患者的污名。
