Xiaoxv Yin1, Shijiao Yan2, Yeqing Tong3, Xin Peng4, Tingting Yang1, Zuxun Lu1, Yanhong Gong1. 1. School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. 2. School of International Education, Hainan Medical University, Haikou, China. 3. Center for Disease Control and Prevention, Wuhan, China. 4. Cancer Center, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Abstract
OBJECTIVES: Tuberculosis (TB) poses a significant challenge to public health worldwide. Stigma is a major obstacle to TB control by leading to delay in diagnosis and treatment non-adherence. This study aimed to evaluate the status of TB-related stigma and its associated factors among TB patients in China. METHODS: Cross-sectional survey. Thus, 1342 TB patients were recruited from TB dispensaries in three counties in Hubei Province using a multistage sampling method and surveyed using a structured anonymous questionnaire including validated scales to measure TB-related stigma. A generalised linear regression model was used to identify the factors associated with TB-related stigma. RESULTS: The average score on the TB-related Stigma Scale was 9.33 (SD = 4.25). Generalised linear regression analysis revealed that knowledge about TB (ß = -0.18, P = 0.0025), family function (ß = -0.29, P < 0.0001) and doctor-patient communication (ß = -0.32, P = 0.0005) were negatively associated with TB-related stigma. CONCLUSIONS: TB-related stigma was high among TB patients in China. Interventions concentrating on reducing TB patients' stigma in China should focus on improving patients' family function and patients' knowledge about TB.
OBJECTIVES:Tuberculosis (TB) poses a significant challenge to public health worldwide. Stigma is a major obstacle to TB control by leading to delay in diagnosis and treatment non-adherence. This study aimed to evaluate the status of TB-related stigma and its associated factors among TB patients in China. METHODS: Cross-sectional survey. Thus, 1342 TB patients were recruited from TB dispensaries in three counties in Hubei Province using a multistage sampling method and surveyed using a structured anonymous questionnaire including validated scales to measure TB-related stigma. A generalised linear regression model was used to identify the factors associated with TB-related stigma. RESULTS: The average score on the TB-related Stigma Scale was 9.33 (SD = 4.25). Generalised linear regression analysis revealed that knowledge about TB (ß = -0.18, P = 0.0025), family function (ß = -0.29, P < 0.0001) and doctor-patient communication (ß = -0.32, P = 0.0005) were negatively associated with TB-related stigma. CONCLUSIONS: TB-related stigma was high among TB patients in China. Interventions concentrating on reducing TB patients' stigma in China should focus on improving patients' family function and patients' knowledge about TB.
Authors: Alvin Kuo Jing Teo; Rayner Kay Jin Tan; Caoimhe Smyth; Viorel Soltan; Sothearith Eng; Chetra Ork; Ngovlyly Sok; Sovannary Tuot; Li Yang Hsu; Siyan Yi Journal: Open Forum Infect Dis Date: 2020-09-16 Impact factor: 3.835