Amira Kurspahić-Mujčić1, Aida Hasanović, Suad Sivić. 1. 1Department of Social Medicine, 2Department of Anatomy; School of Medicine, University of Sarajevo, Sarajevo; 3Public Health Institute of Zenica-Doboj Canton, Zenica, Bosnia and Herzegovina.
Abstract
AIM: To determine association between tuberculosis (TB) related stigma and delay in seeking a treatment after the onset of symptoms associated with tuberculosis. METHODS: This prospective study was carried out in the "Podhrastovi" University Clinic of Lung Diseases and Tuberculosis and Health facilities for lung diseases and tuberculosis in the Sarajevo area. The sample consisted of 300 tuberculosis patients. Between patients who consider TB a stigmatizing disease and patients who did not consider TB a stigmatizing disease distribution of patient delay was compared. RESULTS: Of the total of 300 patients 79 (26.3%) considered TB a socially stigmatizing disease. Among them 43 (54.4%) were females and 36 (45.6%) males. Among patients in the age group 18-24 years, nine (50%) considered TB a socially stigmatizing disease compared to seven (12.3%) among patients in the age group 65-75 years. Among patients with university degree, nine (64.3%) and among patients that had no education, one (9.1%) declared TB as a socially stigmatizing disease. The average time interval from the appearance of first symptoms of tuberculosis until the first visit to a health care facility for those who consider TB a stigmatizing disease was 6.41 weeks and for those who did not consider it a stigmatizing disease the average time interval was 4.99 weeks. CONCLUSION: Study results revealed high stigma-generating attitudes towards tuberculosis. Perceived TB related stigma had no strong impact on patient delay in seeking care for TB symptoms.
AIM: To determine association between tuberculosis (TB) related stigma and delay in seeking a treatment after the onset of symptoms associated with tuberculosis. METHODS: This prospective study was carried out in the "Podhrastovi" University Clinic of Lung Diseases and Tuberculosis and Health facilities for lung diseases and tuberculosis in the Sarajevo area. The sample consisted of 300 tuberculosispatients. Between patients who consider TB a stigmatizing disease and patients who did not consider TB a stigmatizing disease distribution of patient delay was compared. RESULTS: Of the total of 300 patients 79 (26.3%) considered TB a socially stigmatizing disease. Among them 43 (54.4%) were females and 36 (45.6%) males. Among patients in the age group 18-24 years, nine (50%) considered TB a socially stigmatizing disease compared to seven (12.3%) among patients in the age group 65-75 years. Among patients with university degree, nine (64.3%) and among patients that had no education, one (9.1%) declared TB as a socially stigmatizing disease. The average time interval from the appearance of first symptoms of tuberculosis until the first visit to a health care facility for those who consider TB a stigmatizing disease was 6.41 weeks and for those who did not consider it a stigmatizing disease the average time interval was 4.99 weeks. CONCLUSION: Study results revealed high stigma-generating attitudes towards tuberculosis. Perceived TB related stigma had no strong impact on patient delay in seeking care for TB symptoms.
Authors: Jeremy C Kane; Melissa A Elafros; Sarah M Murray; Ellen M H Mitchell; Jura L Augustinavicius; Sara Causevic; Stefan D Baral Journal: BMC Med Date: 2019-02-15 Impact factor: 8.775