Barriers to tuberculosis care for drug users in two provinces of China: a qualitative study

Li, SP; Zheng, Zhong; Qy, Meng; Yuan, Cheng

doi:10.5588/ijtld.12.0784

Cited by 5 publications

(3 citation statements)

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“…Third, an inductive coding approach combined with authors’ discussion of the themes developing in the analysis improved the accuracy of the data interpretation. Finally, the social issues raised in our study (e.g., stigma) were in general consistent with the literature relating to drug users [ 31 – 33 ]. Whereas for all of the limitations in the present study, our future study should attempt to involve more diverse participants, including drug users at other situations (community or voluntary settings), key informants or stakeholders to improve the validity of participants’ narratives and derive more convincing findings.…”

Section: Discussionsupporting

confidence: 89%

From Abstinence to Relapse: A Preliminary Qualitative Study of Drug Users in a Compulsory Drug Rehabilitation Center in Changsha, China

et al. 2015

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BackgroundRelapse among abstinent drug users is normal. Several factors are related to relapse, but it remains unclear what individuals’ actual life circumstances are during periods of abstinence, and how these circumstances facilitate or prevent relapse.ObjectiveTo illuminate drug users’ experiences during abstinence periods and explore the real-life catalysts and inhibitors contributing to drug use relapse.MethodQualitative in-depth interviews were conducted with 20 drug users recruited from a compulsory isolated drug rehabilitation center in Changsha. The interviews were guided by open-ended questions on individuals’ experiences in drug use initiation, getting addicted, treatment history, social environment, abstinence, and relapse. Participants were also encouraged to share their own stories. Interviews were digitally recorded and fully transcribed. The data of 18 participants who reported abstinence experiences before admission were included in the analyses. The data were analyzed using a thematic analysis with inductive hand coding to derive themes.ResultsMost drug users were able to successfully abstain from drugs. During abstinence, their lives were congested with challenges, such as adverse socioeconomic conditions, poor family/social support, interpersonal conflicts, and stigma and discrimination, all of which kept them excluded from mainstream society. Furthermore, the police’s system of ID card registration, which identifies individuals as drug users, worsened already grave situations. Relapse triggers reported by the participants focused mainly on negative feelings, interpersonal conflicts, and stressful events. Craving was experienced but not perceived as a relapse trigger by most participants.ConclusionsThis study of in-depth interview with drug users found evidence of situations and environments they live during abstinence appear rather disadvantaged, making it extremely difficult for them to remain abstinent. Comprehensive programs on relapse prevention that acknowledge these disadvantages are implicated.

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Section: Discussionsupporting

confidence: 89%

From Abstinence to Relapse: A Preliminary Qualitative Study of Drug Users in a Compulsory Drug Rehabilitation Center in Changsha, China

et al. 2015

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“…In China, a number of studies have been conducted into women’s knowledge and attitudes toward cervical cancer screening and related factors,11–14 however most data have been quantitative in nature 12–14. This leaves local gaps in understanding of underlying determinants of care-seeking, including the reasons why women do not take up free care, which require more qualitative research approaches 15 16. This research aimed to gain a deeper understanding of the barriers to uptake of free cervical cancer screening by rural women in Jining Prefecture, using a design that can suggest new policy and practice approaches that may be able to increase future uptake and reduce the burden of cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

Barriers to cervical cancer screening among rural women in eastern China: a qualitative study

Yang

Chen

et al. 2019

BMJ Open

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ObjectivesTo explore barriers to free cervical cancer screening among rural women in China from the perspective of women, healthcare providers and women’s husbands to inform intervention planning.DesignA qualitative study framed around potential policy and practice options, drawing on the concepts of descriptive phenomenology and implementation research.SettingThis study was carried out at township level within two counties in Jining Prefecture of eastern China.Participants and data collectionSemi-structured in-depth interviews with 21 women and five healthcare providers, focus group discussions with nine healthcare providers and key informant interviews with four husbands of women eligible for screening.ResultsThematic analysis generated five major themes: (1) gaps in knowledge of cervical cancer and health awareness, (2) fear of cancer and screening outcomes, (3) cultural barriers including reticence for intimate examinations, (4) influence of close contacts on screening decisions and (5) inconvenience. These demonstrate key knowledge gaps challenging current community health education. Important barriers, including fear of treatment cost and the time needed for screening, were also raised.ConclusionOur study details important barriers to cervical cancer screening relating to knowledge gaps, attitudes of fear or embarrassment and the role of contacts and service models. These provide data for policy and planning to improve the screening that will decrease the incidence and mortality rates of cervical cancer in China.

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“…Research, though in other settings, revealed TB related stigma as a key barrier to adequate TB screening rates [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Subjective experiences of stigma related to Tuberculosis: a qualitative exploration at peri-urban, Bangladesh

Paul¹,

Aftab²,

Rifat³

et al. 2019

Am J Prev Med Public Health

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Background: Stigma related to tuberculosis (TB) is still a global public health challenge. However, only a few attempts were found till date that explored the stigmatization experiences of pulmonary TB patients at the peri-urban context. This study provides a grounded description on the stigmatization experiences of TB from the perspective of TB patients and community people at resource-poor peri-urban settings in Bangladesh. Methods: The study was conducted in two districts of Bangladesh under Bangladesh Rural Advancement Committee, a non-governmental development organization (BRAC) TB Control Programme. Study participants were chosen conveniently. In total, 17 in-depth interviews with pulmonary TB patients (Nine female and eight male) and five focus group discussions with community people (three female and two male) were conducted. Data were audiotaped, transcribed into English, and coded accordingly. Finally, the thematic analysis was used to analyze the data. Results:The findings highlight that TB stigma is still prevailing in the community. Many of the TB patients and discussants revealed about the isolation of eating utensils, drinking glasses, and sometimes bed by family members due to fear of TB transmission, especially during the first 2 months of diagnosis. For men, concealment of disease was explained as fear of being shunned. For young women, TB preventing one's eligibility for marriage was the main reason for hiding their TB diagnosis. Anticipated avoidance from family members, especially children due to fear of transmitting TB was commonly found in both male and female TB patients. Change in behavioral and psychological aspects, the problem in the family and conjugal life, avoid sexual intercourse, inability to work, lower self-esteem, and discrimination in workplaces, as well as public Directly Observed Therapy, Short course facilities due to TB, were also documented in this study. Frontline health workers were found to be suggesting incorrectly about the route of TB transmission to some of the TB patients. Conclusion: Stigma exists in the personal life and social context of the TB patients which also adversely affects their psychosocial aspects of life. The information gleaned from this study will be useful for effective TB control strategies in Bangladesh.

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Barriers to tuberculosis care for drug users in two provinces of China: a qualitative study

Abstract: These findings suggest that barriers to TB care for drug users are associated not only with the drug users themselves, but also with the providers and societal factors. Health professionals and policy makers should be aware of these barriers in China.

Cited by 5 publications

References 0 publications

From Abstinence to Relapse: A Preliminary Qualitative Study of Drug Users in a Compulsory Drug Rehabilitation Center in Changsha, China

From Abstinence to Relapse: A Preliminary Qualitative Study of Drug Users in a Compulsory Drug Rehabilitation Center in Changsha, China

Barriers to cervical cancer screening among rural women in eastern China: a qualitative study

Subjective experiences of stigma related to Tuberculosis: a qualitative exploration at peri-urban, Bangladesh

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