Tuberculosis from the perspective of men and women

Silva, Talina Carla da; Pinto, Mayrla Lima; Orlandi, Giovanna Mariah; Figueiredo, Tânia Maria Ribeiro Monteiro de; França, Francisco Oscar de Siqueira; Bertolozzi, María Rita

doi:10.1590/1980-220x-reeusp-2022-0137en

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Dengan kedekatan personal yang terbentuk karena kesamaan gender tersebut, maka informasi mengenai TB lebih mudah diterima dan stigma juga bisa dapat dikendalikan seiring dengan peningkatan cakupan skrining dan pengobatan TB (Medina-Marino et al, 2022). Intervensi kesehatan oleh kader laki-laki ini dapat dijadikan sebagai bentuk intervensi terhadap kesenjangan pengetahuan dan perbedaan perspektif antara laki-laki dan perempuan terhadap konsep sehat sakit terutama pengendalian TB, dimana laki-laki secara sosial berperan sebagai penyedia keuangan dan perempuan sebagai perawat (Silva, Pinto, Orlandi, Figueiredo, França, & Bertolozzi, 2022).…”

Section: Pembahasanunclassified

Strategi pendidikan kesehatan dan penurunan stigma TB di masyarakat: A systematic review

Marissa,

Rekawati,

Nursasi

2024

J.HolHealth

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Background: Tuberculosis stigma is a challenge in TB management for health care in the community. According to previous research, health education can significantly improve knowledge about TB and reduce public stigma against it. Purpose: To identify how interventions can improve public knowledge about tuberculosis and decrease the stigma people have about TB. Method: Systematic review academic articles were searched through online databases from 2018 to 2022, and 6 articles were obtained for analysis. Results: Health education was provided to the community with a variety of approaches, including structured education, empowerment of the community, support and motivation from the community cadres, a gender approach, and workshop/compliance for service provider agency officials. Conclusion: The provision of structured health education and the approach characterized by local communities proved effective in increasing knowledge about TB and reducing the growing stigma in the community towards TB patients. Keywords: Health Education; Social Stigma; Tuberculosis (TB). Pendahuluan: Stigma terhadap TB adalah tantangan dalam pengelolaan TB bagi tenaga kesehatan di masyarakat. Dari penelitian terdahulu, secara signifikan pendidikan kesehatan dapat meningkatkan pengetahuan mengenai TB dan menurunkan stigma masyarakat terhadap TB. Tujuan: Untuk mengidentifikasi intervensi yang dapat meningkatkan pengetahuan masyarakat mengenai TB dan menurunkan stigma TB. Metode: Systematic review menggunakan penelusuran artikel akademik melalui online database dari tahun 2018-2022 dan didapatkan 6 artikel untuk dianalisis. Hasil: Pendidikan kesehatan yang diberikan kepada masyarakat dengan berbagai strategi pendekatan antara lain, edukasi terstruktur, pemberdayaan masyarakat, dukungan dan motivasi dari kader masyarakat, pendekatan gender, dan pelatihan bagi petugas instansi pemberi layanan. Simpulan: Pemberian pendidikan kesehatan terstruktur dan pendekatan sesuai dengan kondisi masyarakat setempat terbukti efektif dalam peningkatan pengetahuan mengenai TB dan menurunkan stigma yang berkembang di masyarakat terhadap penderita TB. Kata Kunci: Pendidikan Kesehatan; Stigma Masyarakat; Tuberkulosis (TB).

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Section: Pembahasanunclassified

Strategi pendidikan kesehatan dan penurunan stigma TB di masyarakat: A systematic review

Marissa,

Rekawati,

Nursasi

2024

J.HolHealth

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Social Isolation, Social Exclusion and Access to Resources: Mapping the Gendered Impact of TB-related Stigma Among TB Patients in Eastern Cape Province, South Africa

Medina-Marino,

de Vos,

Daniels

2024

Preprint

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Background Stigma and isolation among people living with tuberculosis (PLWTB) is well documented. Poorly understood are the gendered pathways by which TB-related stigma results in isolation or impacts access to resources during one’s illness-to-health journey. Methods We interviewed PLWTB receiving treatment at government clinics in Buffalo City Metro, South Africa. Semi-structured guides explored: TB symptom experiences; access-to-care; treatment motivation; key supporters; and access to mental and tangible resources (MTRs) during illness. Open coding was done inductively, with MTR domains informed by the Network-Individual-Resource Model. Findings were analyzed through a cyclic iterative and deductive process using social isolation and exclusion as interpretive lenses. Memos and pathway mapping examined gendered differences in stigma, isolation, and access to networked MTRs. Results One-hundred forty-two PLWTB (Men = 93; Women = 61) were interviewed. PLWTB described pervasive TB stigma and isolation. Women described self-isolating in response to enacted and anticipated stigma. Men described active exclusion by friends and family. Women’s maintenance of familial ties facilitated access to MTRs while ill. Men’s systematic exclusion reduced their agency to access resources. Men and women described regaining of physical strength and recovery of social networks, but also the sustained post-treatment stigma impact. Conclusions We identified gendered pathways through which TB stigma and isolation affect access to MTRs. For women, stigma led to social isolation, but familial networks maintained access to MTRs, fostering resilience. Men experienced social exclusion, reduced agency to access MTRs, and increased vulnerability during illness. Findings can guide gender-responsive interventions to reduce the impact of TB stigma on health outcomes.

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Tuberculosis from the perspective of men and women

Cited by 2 publications

References 16 publications

Strategi pendidikan kesehatan dan penurunan stigma TB di masyarakat: A systematic review

Strategi pendidikan kesehatan dan penurunan stigma TB di masyarakat: A systematic review

Social Isolation, Social Exclusion and Access to Resources: Mapping the Gendered Impact of TB-related Stigma Among TB Patients in Eastern Cape Province, South Africa

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