High AIDS awareness may cause tuberculosis patient delay: results from an HIV epidemic area, Thailand
High AIDS awareness may cause tuberculosis patient delay: results from an HIV epidemic area, Thailand
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DOI：
10.1097/00002030-200007070-00015
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发表时间：
2000-07-07
期刊：
影响因子：
3.8
通讯作者：
Diwan, V
中科院分区：
文献类型：
--
作者：
Ngamvithayapong, J;Winkvist, A;Diwan, V
目的：在一个公共卫生重点关注艾滋病的地区，了解社区对结核病（TB）和结核病患者行为的看法。设置：泰国的清莱，该国艾滋病的中心。设计：11个焦点小组会议，有一个人口的横截面。参与者：保健中心工作人员、社区成员、艾滋病毒感染者、结核病患者结果：人们对艾滋病有很好的了解，但对结核病知之甚少。只有少数丈夫死于结核病和艾滋病的女性患者认识到自己的症状是结核病，并立即寻求治疗。人们把体重减轻、发烧和咳嗽的人定义为艾滋病而不是结核病。这导致一些怀疑自己患有艾滋病并害怕被发现的病人延误寻求治疗和不坚持结核病治疗。大多数艾滋病毒阴性结核病患者的亲属和邻居也怀疑他们患有艾滋病。除艾滋病毒阳性女性外，大多数参与者认为结核病是可以治愈的。虽然低于艾滋病，社区污名化结核病患者，因为它是传染性的，很容易通过呼气，食物和饮料和接近TB patient.Conclusion：在艾滋病毒/艾滋病高流行的情况下，提高认识和艾滋病的污名化和结核病知识不足，可能会导致延迟寻求结核病护理和治疗不依从性。(C)2000年利平科特威廉姆斯&威尔金斯。
Objective: To elicit community perceptions about tuberculosis (TB) and the behaviour of TB patients in an area where significant public health attention has been focused on AIDS.Setting: Chiang Rai, Thailand, the epicentre of HIV/AIDS in this country.Design: Eleven focus group sessions with a cross-section of the population.Participants: Health centre staff, community members, persons having HIV, TB patients (with and without HIV infection), and male injecting drug users; five female groups and six male groups.Result: People had good knowledge of AIDS but they knew little about TB. Only a few female patients, whose husbands had died of TB and AIDS, recognized their symptoms as TB and immediately sought care. People defined persons losing weight, having fever and cough as AIDS rather than TB. This resulted in delay in seeking care and non-adherence to TB treatment in some patients who suspected they had AIDS, and feared AIDS detection. Most HIV-negative TB patients were also suspected by their relatives and neighbours of having AIDS. Most participants, except HIV-positive females, believed TB to be curable. Although less than AIDS, the community stigmatized TB patients because of it being contagious and easily transmitted through exhalations, foods and drinks and closeness to TB patients.Conclusion: In HIV/AIDS high endemic situation, increased awareness and stigmatization of AIDS and inadequate knowledge of TB can result in delay in seeking TB care and in treatment non-adherence. (C) 2000 Lippincott Williams & Wilkins.