A qualitative exploration into the presence of TB stigmatization across three districts in South Africa.
A qualitative exploration into the presence of TB stigmatization across three districts in South Africa.
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DOI：
10.1186/s12889-023-15407-2
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发表时间：
2023-03-15
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
结核病污名是在防治结核病流行过程中积极发现病例和提供护理的障碍。作为探索结核病接触者追踪不同模式的项目的一部分，我们进行了定性分析，以探索南非各地社区中结核病耻辱的存在。我们对南非三个地区的31名结核病患者和12名家庭接触者进行了43次深度访谈，并与40名病房小组成员和11名社区利益攸关方进行了5次焦点小组讨论。结核病耻辱是由对疾病的恐惧以及对结核病/艾滋病毒二元性的理解所驱动和促进的，并表现为预期和内化的耻辱。个人被贴上结核病污名的标签，口头上是通过八卦，视觉上是通过症状识别，或者在卫生诊所的结核病特定领域获得护理时，或者通过病房外展小组。个人对病耻感的独特理解会影响他们寻求治疗的方式。结核病耻辱感导致南非社区一级的病例发现和护理不理想。消除耻辱感的干预措施，如关于结核病治疗和传播的社区和个人教育运动，以及对卫生保健工作者进行耻辱感和污名化方面的培训，是防止歧视和保护患者隐私所必需的。在线版本包含补充材料，下载地址：10.1186/s12889-023-15407-2。
Tuberculosis (TB) stigma is a barrier to active case finding and delivery of care in fighting the TB epidemic. As part of a project exploring different models for delivery of TB contact tracing, we conducted a qualitative analysis to explore the presence of TB stigma within communities across South Africa. We conducted 43 in-depth interviews with 31 people with TB and 12 household contacts as well as five focus group discussions with 40 ward-based team members and 11 community stakeholders across three South African districts. TB stigma is driven and facilitated by fear of disease coupled with an understanding of TB/HIV duality and manifests as anticipated and internalized stigma. Individuals are marked with TB stigma verbally through gossip and visually through symptomatic identification or when accessing care in either TB-specific areas in health clinics or though ward-based outreach teams. Individuals’ unique understanding of stigma influences how they seek care. TB stigma contributes to suboptimal case finding and care at the community level in South Africa. Interventions to combat stigma, such as community and individual education campaigns on TB treatment and transmission as well as the training of health care workers on stigma and stigmatization are needed to prevent discrimination and protect patient confidentiality. The online version contains supplementary material available at 10.1186/s12889-023-15407-2.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
5.4
作者：
Daftary, Amrita
通讯作者：
Daftary, Amrita
DOI：
10.1046/j.1365-3156.1997.d01-380.x
发表时间：
1997-08-01
影响因子：
3.3
作者：
Liefooghe, R;Baliddawa, JB;DeMunynck, AO
通讯作者：
DeMunynck, AO
影响因子：
4.5
作者：
Baral, Sushil C.;Karki, Deepak K.;Newell, James N.
通讯作者：
Newell, James N.
影响因子：
3.7
作者：
Chetty-Makkan CM;deSanto D;Lessells R;Charalambous S;Velen K;Makgopa S;Gumede D;Fielding K;Grant AD
通讯作者：
Grant AD