Health-seeking behavior and social stigma for tuberculosis in tuberculosis patients at a tertiary-care center in North West India

Jangid, Vinod Kumar; Agrawal, Neeraj; Yadav, Gulab Singh; Pandey, Shubham; Mathur, B.B.

doi:10.5455/ijmsph.2016.23012016371

Cited by 19 publications

(38 citation statements)

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“…In a study done by Jhangid et al, only 19.6% of the participants were aware that TB was caused through respiratory spread of pathogens, similar to our study. 11 In another study done It is evident from this study that there is not only paucity of knowledge, but also incorrect information about the cause and spread of TB. Moreover, the fact that education qualification and employment status did not translate into health awareness is to be taken as a serious issue for urgency in creating awareness through campaigns.…”

Section: Discussionmentioning

confidence: 85%

Awareness of tuberculosis in the community: time to rethink strategies

Shankar¹,

Ramasubramanian

Balasubramaniam

2019

Int J Community Med Public Health

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Background: Tuberculosis is highly prevalent in developing countries like India and several strategies have been implemented by the World Health Organization and Government of India in order to minimize its burden. However, effectiveness of these strategies is best achieved when there is adequate awareness among the general population regarding the cause and spread of the disease. This study was carried out to evaluate the knowledge, attitude and practices regarding tuberculosis among general population. Methods: This cross sectional study was carried out among 500 adults visiting our tertiary care center as patients or attenders for a period of one year between April 2018 and March 2019. A structured interview schedule was used to collect information regarding the knowledge, attitude and practices regarding the cause, spread and management of tuberculosis infection. Results: About 73.6% of the study participants felt that tuberculosis was a genetic disorder, while only 12.4% of them were aware that the infection was transmitted through coughing, etc. Moreover, 18% of the participants believed that the medications for treating tuberculosis could be stopped without the supervision of the health care provider. Conclusions: This study has elicited the prevailing misconception regarding the cause, transmission, treatment and prevention of tuberculosis. It is important for policy makers and public health program implementation experts to develop health literacy campaigns to specifically create awareness among the population, so as to facilitate successful mitigation of the disease.

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Section: Discussionmentioning

confidence: 85%

Awareness of tuberculosis in the community: time to rethink strategies

Shankar¹,

Ramasubramanian

Balasubramaniam

2019

Int J Community Med Public Health

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“…9 About 84.3% of the subjects studied by Jangid VK et al reported that TB is curable. 13 Aseeri AA and workers inferred that 52% of their subjects stated TB can be prevented and 44.6% stated that it can treated. 14 Hussein I et al, reported that about 63% had poor attitude based on the survey they did on their study subjects regarding TB.…”

Section: Resultsmentioning

confidence: 99%

“…19 About 60.67% of the study subjects in our study felt that TB was a very serious disease. 7,8,[13][14][15][16][17][18] In our study, about 54% said the community will treat the patient with rejection, 22.67% will react with compassion and 13.33% said they shall support them throughout the course to make him feel better. Kigozi et al, inferred that about 49.3% strongly disagreed that they will be embarrassed if their TB status is revealed in the clinic to others.…”

Section: Resultsmentioning

confidence: 99%

Knowledge, attitude and practice regarding tuberculosis among the patients attending a tertiary care hospital in Maharashtra, India: a cross sectional study

Sonawane

Patil

2019

Int J Adv Med

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Background: Tuberculosis is major public health problem especially in the low and middle income countries like India. We conducted a study to assess the knowledge, attitude and practice related to tuberculosis among the patients attending our tertiary care institute.Methods: A cross sectional study was conducted in a tertiary care hospital on the patients attending OPD of tertiary care hospital in Maharashtra. The patients with debilitating illness or bed bound patients and those diagnosed and cured of tuberculosis or were on treatment of tuberculosis were excluded from the study. A pretested and designed questionnaire was used to assess the knowledge, attitude and practice about the cause, clinical features and treatment of tuberculosis.Results: The mean age of the study subjects was 43.34±11.23 years with male: female ratio of 1.45. About 16.67% of the subjects stated that cause of TB is bacteria, 51.33% reported that cough was the most common symptom, 58.67% believed that it spreads from person to person and among the people who said it spreads 58.67% said that it can be preventable.Conclusions: About 1/5th of the study subjects expressed the cause of TB is bacteria or germs, and more than ½ believed that TB spreads from person to person. About 2/3rd of the patients felt that TB was a very serious disease; more than ½ of them expressed fear if they were diagnosed with TB but more than ½ of them also expressed rejection if they have a TB patient as a closed one.

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“…High rate of illiteracy and poverty are common findings amongst tuberculosis patients. 8 The social conditions which arise from poverty have been known to provide a favorable environment for TB disease.…”

Section: Resultsmentioning

confidence: 99%

“…Similar findings were observed in a study by Jangid et al where 47% patients kept themselves isolated (52.2% males vs 37.1% females). 16 A study by Ritu et al, showed that spouses were found to sleep separately and avoided sexual contact. 17 Our study showed that 79 (34.6%) patients had discontinued their work/studies so that others may not get the disease and that society may stigmatize them.…”

Section: Resultsmentioning

confidence: 99%

A comparative study to assess the knowledge, attitude and practice regarding tuberculosis among the male and female TB patients in district Amritsar

Sadana

Verma²,

Singh

et al. 2019

Int J Community Med Public Health

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Background: Lack of knowledge about tuberculosis could have an effect on the patients who seek health care services and continue the disease transmission within the public. Hence, the study was conducted in Amritsar district to assess knowledge, attitude and practice towards transmission and prevention of Tuberculosis.Methods: The study was conducted on 326 patients registered with district tuberculosis centre, Amritsar. Information was collected with reference to knowledge, attitude, and practice regarding TB.Results: A total of 228 patients participated in the study. 72.4% had heard of tuberculosis before being diagnosed, with significant gender difference (p=0.016). 19.3% were afraid to disclose the disease to others. The relation between fear of disclosing the disease and gender was found to be statistically significant (p=0.011). 23.5% male vs 8.3% females were worried about finances, which was found to be statistically significant (p=0.002). Regarding the practices, 72.4% of the patients used separate utensils. In response to stigma 9.2% patients had isolated themselves from other members and 34.6% had discontinued their work and there was significant gender difference seen with both these practices (p=0.0001).Conclusions: There were lot of unfavourable attitude and practices regarding TB. More male patients had heard of tuberculosis. Due to social stigma more males had isolated themselves and discontinued their work as compared to females. Females were worried that other family members may not get the disease.

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Health-seeking behavior and social stigma for tuberculosis in tuberculosis patients at a tertiary-care center in North West India

Cited by 19 publications

References 0 publications

Awareness of tuberculosis in the community: time to rethink strategies

Awareness of tuberculosis in the community: time to rethink strategies

Knowledge, attitude and practice regarding tuberculosis among the patients attending a tertiary care hospital in Maharashtra, India: a cross sectional study

A comparative study to assess the knowledge, attitude and practice regarding tuberculosis among the male and female TB patients in district Amritsar

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