Gender and tuberculosis control

Johansson, Eva; Long, NH; Diwan, Vinod; Winkvist, Anna

doi:10.1016/s0168-8510(00)00062-2

Cited by 155 publications

(66 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among 10 (36%) studies [17–21, 23, 24, 30, 32, 36], only one [17] found that the direct costs for treatment incurred by women tended to be slightly higher than those incurred by men, suggesting a quantitative systems-based difference in treatment cost by gender. However, there was no gender difference in debt.…”

Section: Resultsmentioning

confidence: 99%

“…Of 28 studies, 20 (71%) investigated gender-related differences in TB-related stigma [17–20, 22–37]. Among these, 9 (45%) studies found that women experienced greater stigma than men [17, 18, 20, 22, 28, 31–33, 35], 8 (40%) studies found no gender-related difference [19, 24–26, 29, 30, 34, 36], two (10%) studies reported that men faced a greater stigma burden than women [23, 37], and one study reported that women in the community had higher prejudice toward TB patients [27]. …”

Section: Resultsmentioning

confidence: 99%

“…Men reported greater workplace, community, and marital prospect-related stigma, whereas women reported greater stigma with family members as well as psychosocial consequences, feelings of isolation, and lack of proper care from the family [28, 30, 31, 35]. Women were also described as more likely to be stigmatized in communities where the level of family stigma was reported as low, but the community perception of TB as associated with immoral behavior was high [26].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

Krishnan

Akande

Shankar

et al. 2014

Tuberculosis Research and Treatment

View full text Add to dashboard Cite

Background. Tuberculosis (TB) remains a significant global public health problem with known gender-related (male versus female) disparities. We reviewed the qualitative evidence (written/spoken narrative) for gender-related differences limiting TB service access from symptom onset to treatment initiation. Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences. Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39%) assessed provider/system-level barriers, 18 (64%) surveyed persons with suspected or diagnosed TB, and 7 (25%) exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma. Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

Krishnan

Akande

Shankar

et al. 2014

Tuberculosis Research and Treatment

View full text Add to dashboard Cite

show abstract

“…Without question, biological differences have critical impacts upon women's and men's specific susceptibilities to disease and ill health; however, the influence of behaviour, especially health-seeking behaviour, also has critical impacts on health outcomes. Household income, levels of education (Ahmed et al 2005), proximity to health facilities (Ahmed et al 2003), length of waiting times (Ali and DeMuynck 2005), perceptions of provider-patient interactions (Johansson et al 2000), as well as type, duration and perceived severity of illness (Giao et al 2005) all influence health-seeking behaviour. The extent and manifestations of these influences can vary and differ among men and women (Ahmed 2001).…”

Section: Introductionmentioning

confidence: 99%

Towards gender equality in health in Afghanistan

Samar¹,

Aqil

Vogel

et al. 2014

Global Public Health

View full text Add to dashboard Cite

The Afghanistan gender inequality index shows that 70% loss in development is due to the limited participation of women in the workforce, low education and poor women's health outcomes. However, since the fall of the Taliban regime in 2002, gender inequalities in health have improved. This paper will review factors that led to these improvements. The review draws upon information from various sources, including formative and applied research, surveys and existing information systems. The review showed gender differentials in morbidity, mortality and accessing and utilising health services. Health professionals have expressed inadequate medical knowledge and interpersonal skills to address sensitive issues, such as domestic, physical and sexual violence. Discussing sexuality and its impact on health remains taboo both within and outside of the medical profession. Strict cultural norms restrict a woman's autonomy to seek health care, choose a marriage partner and have control over her body, indicating a need to increase awareness about how harmful social practices adversely affect health. The policy review showed that the Ministry of Public Health has made a commitment to reducing gender inequity in health and developed a two-pronged action plan to improve health providers' skills in handling gender-sensitive issues and mass media campaigns to change social norms.

show abstract

“…The health behaviour of patients and healthcare workers (HCWs) directly affects the rapidity of case detection (Hooi, 1994;Johansson, Long, Diwan, & Winkvist, 2000). How the patients recognize the early symptoms, whether they seek professional help and are compliant to the medication schedule are crucial aspects in controlling the disease.…”

mentioning

confidence: 99%

The tale of seeking treatment: A qualitative study of pulmonary tuberculosis patients

Suhariadi¹,

Zein²,

Alfian³

et al. 2016

Psychol. Community Health

View full text Add to dashboard Cite

Aim: The aims of the study were unravelling patients' health-seeking behaviour pathways to seek medication in healthcare facilities and key factors that determined patients' immediacy in seeking medical treatment. Method: By involving 5 pulmonary TB patients who were undertaking treatment at Pegirian Primary Health Centre, Surabaya, Indonesia, the research was carried out using an explorative qualitative research design, and the chosen data collection technique was semi-structured interview. Results:The research findings demonstrated that all participants showed five rather similar health-seeking behaviour sequences, such as: (a) defining symptoms; (b) asking laypeople opinions on symptoms; (c) undertaking non-medical treatment to reduce the symptoms; (d) taking laypeople's suggestions to visit healthcare facilities into consideration; (e) deciding to undergo treatment process. Several barriers that caused treatment delay were inaccurate symptom definition and poor health-related risk perception. Meanwhile, reinforcing factors were relatives' appeal to seek treatment, the existence of comorbid/previous diseases, access to healthcare facilities, and increasing perceived severity of the symptoms. Conclusion: Research findings showed that participants performed similar health-seeking pathways. Hindering factors that caused treatment delay were mostly related to cultural-based illness definition and knowledge. Research findings would be potentially beneficial to local primary healthcare for designing interventions that encourage patients to seek professional help and reduce treatment delay.

show abstract

Gender and tuberculosis control

Cited by 155 publications

References 13 publications

Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

Towards gender equality in health in Afghanistan

The tale of seeking treatment: A qualitative study of pulmonary tuberculosis patients

Contact Info

Product

Resources

About