CASE-CONTROL STUDY: STIGMA’S OF TUBERCULOSIS PATIENT IN BENGKULU CITY, INDONESIA
Abstract
Background: Negative stigma has the possibility of provoking adverse behaviour. This indicates that people with pulmonary tuberculosis have a diminished likelihood of recovery. Objective: To assess the probability of stigmatisation associated with pulmonary tuberculosis in Bengkulu City. Methods: This research utilises a case-control study design, with simple random sampling as the sampling approach. The ratio of respondents to groups is 1:1. This research was conducted in Bengkulu City, employing a questionnaire as the research instrument. This study utilised two tests: a univariate test and a bivariate test, employing the Stata tool for data analysis. Results: The test outcomes indicated that the majority of respondents in the case group exhibited negative societal stigma towards tuberculosis, inadequate family support, deficient health literacy, low quality of life, and insufficient information. Conversely, most respondents in the control group demonstrated a favourable social stigma towards tuberculosis, possessed robust family support, exhibited great health literacy, maintained a superior quality of life, and displayed substantial knowledge. Conclusion: Mitigating stigma is essential for enhancing early detection and treatment of pulmonary tuberculosis, hence facilitating more successful disease management.
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References
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., Zhu, X., & Zhou, L. (2021). Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-020-10055-2
Chen, X., Xu, J., Chen, Y., Wu, R., Ji, H., Pan, Y., Duan, Y., Sun, M., Du, L., Gao, M., Wang, J., & Zhou, L. (2021). The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-03811-w
Chiang, S. S., Zeng, C., Roman-Sinche, B., Altamirano, E., Beckhorn, C. B., Leon-Ostos, K., Espinoza-Meza, R., Lecca, L., Franke, M. F., & Chiang, S. S. (2023). Adaptation and validation of a TB stigma scale for adolescents in Lima, Peru. International Journal of Tuberculosis and Lung Disease, 27(10), 754–760. https://doi.org/10.5588/ijtld.23.0104
Datiko, D. G., Jerene, D., & Suarez, P. (2020). Stigma matters in ending tuberculosis: Nationwide survey of stigma in Ethiopia. In BMC Public Health (Vol. 20, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12889-019-7915-6
DeSanto, D., Velen, K., Lessells, R., Makgopa, S., Gumede, D., Fielding, K., Grant, A. D., Charalambous, S., & Chetty-Makkan, C. M. (2023). A qualitative exploration into the presence of TB stigmatization across three districts in South Africa. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-15407-2
Fekih-Romdhane, F., Obeid, S., Chidiac, G., Dabbous, M., Malaeb, D., Hallit, R., & Hallit, S. (2023). Measuring public attitudes towards people living with chronic diseases in Arabic-speaking populations: adaptation and development of the Social Stigma Scale of Chronic Diseases (SSS-CD). BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-16315-1
Foster, I., Biewer, A., Vanqa, N., Makanda, G., Tisile, P., Hayward, S. E., Wademan, D. T., Anthony, M. G., Mbuyamba, R., Galloway, M., Human, W., van der Westhuizen, H.-M., Friedland, J. S., Medina-Marino, A., Schoeman, I., Hoddinott, G., & Nathavitharana, R. R. (2024). “This is an illness. No one is supposed to be treated badly”: community-based stigma assessments in South Africa to inform tuberculosis stigma intervention design. BMC Global and Public Health, 2(1). https://doi.org/10.1186/s44263-024-00070-5
Foster, I., Galloway, M., Human, W., Anthony, M., Myburgh, H., Vanqa, N., Wademan, D. T., Makanda, G., Tisile, P., Schoeman, I., Hoddinott, G., & Nathavitharana, R. R. (2022). Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review. PLOS Global Public Health, 2(10 October). https://doi.org/10.1371/journal.pgph.0000989
Fuady, A., Arifin, B., Yunita, F., Rauf, S., Fitriangga, A., Sugiharto, A., Yani, F. F., Nasution, H. S., Putra, I. W. G. A. E., Mansyur, M., & Wingfield, T. (2024). Stigma, depression, quality of life, and the need for psychosocial support among people with tuberculosis in Indonesia: A multi-site cross-sectional study. PLOS Global Public Health, 4(1). https://doi.org/10.1371/journal.pgph.0002489
Hayward, S. E., Vanqa, N., Makanda, G., Tisile, P., Ngwatyu, L., Foster, I., Mcinziba, A. A., Biewer, A., Mbuyamba, R., Galloway, M., Bunyula, S., van der Westhuizen, H.-M., Friedland, J. S., Medina-Marino, A., Viljoen, L., Schoeman, I., Hoddinott, G., & Nathavitharana, R. R. (2024). “As a patient I do not belong to the clinic, I belong to the community”: co-developing multi-level, person-centred tuberculosis stigma interventions in Cape Town, South Africa. BMC Global and Public Health, 2(1), 55. https://doi.org/10.1186/s44263-024-00084-z
Hayward, S. E., Vanqa, N., Makanda, G., Tisile, P., Ngwatyu, L., Foster, I., Mcinziba, A., Biewer, A., Mbuyamba, R., Galloway, M., Bunyula, S., Westhuizen, H.-M., Friedland, J. S., Marino-Medina, A., Viljoen, L., Schoeman, I., Hoddinott, G., & Nathavitharana, R. R. (2024). “As a patient I do not belong to the clinic, I belong to the community.” Co-developing a multi-level, person-centred tuberculosis stigma intervention in Cape Town, South Africa. Research Square. https://doi.org/10.21203/rs.3.rs-3921970/v1
Kane, J. C., Elafros, M. A., Murray, S. M., Mitchell, E. M. H., Augustinavicius, J. L., Causevic, S., & Baral, S. D. (2019). A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries. In BMC Medicine (Vol. 17, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12916-019-1250-8
Kemenkes RI. (2023). Profil Kesahatan Indonesia 2022. Kementerian Kesehatan Republik Indonesia. Jakarta
Liboon Aranas, L., Alam, K., Gyawali, P., & Alam, R. M. (2023). Drug-Resistant Tuberculosis Stigma Among HealthCare Workers Toward the Development of a Stigma-Reduction Strategy: A Scoping Review. In Inquiry (United States) (Vol. 60). SAGE Publications Inc. https://doi.org/10.1177/00469580231180754
Mbuthia, G. W., Nyamogoba, H. D. N., Chiang, S. S., & McGarvey, S. T. (2020). Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study. PLoS ONE, 15(10 October). https://doi.org/10.1371/journal.pone.0240457
Moonsarn, S., Kasetjaroen, Y., Bettex-Baars, A. M., & Phanumartwiwath, A. (2023). A Communication-Based Intervention Study for Reducing Stigma and Discrimination against Tuberculosis among Thai High-School Students. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20054136
Nuttall, C., Fuady, A., Nuttall, H., Dixit, K., Mansyur, M., & Wingfield, T. (2022). Interventions pathways to reduce tuberculosis-related stigma: a literature review and conceptual framework. In Infectious Diseases of Poverty (Vol. 11, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s40249-022-01021-8
Sekandi, J. N., Quach, T., Olum, R., Nakkonde, D., Farist, L., Obiekwe, R., Zalwango, S., & Buregyeya, E. (2024). Stigma and Associated Sex Disparities Among Patients with Tuberculosis in Uganda: A Cross-Sectional Study. https://doi.org/10.21203/rs.3.rs-3794900/v1
Van Brakel, W. H., Cataldo, J., Grover, S., Kohrt, B. A., Nyblade, L., Stockton, M., Wouters, E., & Yang, L. H. (2019). Out of the silos: Identifying cross-cutting features of health-related stigma to advance measurement and intervention. BMC Medicine, 17(1). https://doi.org/10.1186/s12916-018-1245-x
WHO. (2022). Global Tuberculosis Report 2022. World Health Organization 2022.
Wouters, E., Sommerland, N., Masquillier, C., Rau, A., Engelbrecht, M., Van Rensburg, A. J., Kigozi, G., Ponnet, K., & Van Damme, W. (2020). Unpacking the dynamics of double stigma: how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers. BMC Infectious Diseases, 20(1). https://doi.org/10.1186/s12879-020-4816-3
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