Tuberculosis-related stigma leading to an incomplete contact investigation in a low-incidence country

Faccini, Marino; Cantoni, S; Ciconali, Giorgio; Filipponi, M. T.; Mainardi, G.; Marino, Andrea; Senatore, Sabrina; Codecasa, Luigi; Ferrarese, Maurizio; Gesu, Giovanni; Mazzola, Ester; Filia, Antonietta

doi:10.1017/s095026881400394x

Cited by 34 publications

(37 citation statements)

References 21 publications

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“…Our study revealed 47.7% of respondents with perceived stigmatization of COVID-19 survivors and this may lead to di culties in disease control. Many studies on similar infectious diseases such as Severe Acute Respiratory Syndrome (SARS), tuberculosis and Ebola corroborated our result by demonstrating the negative effects of stigmatization on the preventive and control efforts [22,27,28]. Stigma against the survivors poses signi cant barriers and makes access to treatment a herculean task.…”

Section: Discussionsupporting

confidence: 76%

Scaling-up Community Self-reporting Rate for COVID-19: Implication for Assessing the Perceived Stigmatization of COVID-19 Survivors Among Residents of Agege Local Government, Lagos, Nigeria

Babatunde

Amifofun

Sola

et al. 2020

Preprint

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Objective: Coronavirus disease 2019 (COVID-19) is an emerging public health problem with over two million confirmed infections globally. Previous studies show that stigma impede the response activities. Therefore, this study was conducted to assess the perceived stigmatization of COVID-19 survivors among residents of Agege local government, Lagos State, Nigeria. We conducted a cross-sectional survey among 333 consenting residents recruited from Agege local government using multi-stage sampling technique. An interviewer-administered questionnaire was used to collect data on perceived stigmatization. Bivariate and multivariate analyses were done using Chi-square and logistic regression respectively.Results: The mean age of the respondents was 35.7 ± 13.6 years. The proportion of respondents with poor knowledge was 50.5% and awareness for COVID-19 was 95.2%. Television and radio were the two major sources of awareness for COVID-19. Higher likelihood of perceived stigmatization was found among those aged 25 – 49 years (aOR= 3.1, 95% CI = 1.4 – 6.7), ≥ 50 years (aOR= 2.1, 95% CI = 1.1 – 3.9) and married respondents (aOR= 1.8, 95% CI = 1.1 – 2.9). To reduce the effect of stigmatization, we recommend a holistic response plan designed with basic facts about COVID-19 using programmes targeting married respondents as well as the adults.

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Section: Discussionsupporting

confidence: 76%

Scaling-up Community Self-reporting Rate for COVID-19: Implication for Assessing the Perceived Stigmatization of COVID-19 Survivors Among Residents of Agege Local Government, Lagos, Nigeria

Babatunde

Amifofun

Sola

et al. 2020

Preprint

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“…We conducted a cross-sectional study at Villa Marelli-Niguarda Hospital (Milan, Italy). TB incidence in Milan is 16.6 new cases per 100 000 person-years (in 2011) [26], three times higher than the Italian national average. From November 2014 to June 2015 we prospectively recruited TST-positive (TST ⩾5 mm) contacts of notified active TB cases sent by the local public health services to be screened for LTBI.…”

Section: Study Setting and Participantsmentioning

confidence: 79%

First evaluation of QuantiFERON-TB Gold Plus performance in contact screening

et al. 2016

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Identifying latently infected individuals is crucial for the elimination of tuberculosis (TB). We evaluated for the first time the performance of a new type of interferon-γ release assay, QuantiFERON-TB Plus (QFT-Plus), which includes an additional antigen tube (TB2), stimulating both CD4 and CD8 T-cells in contacts of TB patients.Contacts were screened for latent TB infection by tuberculin skin test, QFT-Plus and QuantiFERON-TB Gold in Tube (QFT-GIT).In 119 TB contacts, the overall agreement between QFT-Plus and QFT-GIT was high, with a Cohen's κ of 0.8. Discordant results were found in 12 subjects with negative QFT-GIT and positive QFT-Plus results. In analyses of markers of TB exposure and test results, the average time spent with the index case was the strongest risk factor for positivity in each of these tests. The difference in interferon-γ production between the two antigen tubes (TB2-TB1) was used as an estimate of CD8 stimulation provided by the TB2. TB2-TB1 values >0.6 IU·mL were significantly associated with proximity to the index case and European origin.QFT-Plus has a stronger association with surrogate measures of TB exposure than QFT-GIT in adults screened for latent TB infection. Interferon-γ response in the new antigen tube used an indirect estimate of specific CD8 response correlates with increased Mycobacterium tuberculosis exposure, suggesting a possible role in identifying individuals with recent infection.

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“…24 In Claudia's experience, the presence of the disease meant selfisolation, mainly due to the concern of transmitting the disease to other people. In this way, it is identified that the common reality associated with the disease is fear, shame, and the constant concern and care not to transmit the disease.…”

Section: Discussionmentioning

confidence: 99%

Significados Das Experiências Corporais De Pessoas Com Tuberculose Pulmonar: A Construção De Uma Nova Identidade

Jung

Zillmer

Cunha

et al. 2018

Texto contexto - enferm.

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Objective: to understand the meanings of the corporeal experiences of people being treated for pulmonary tuberculosis.Method: qualitative research, carried out in the municipality of Pelotas, Rio Grande do Sul, Brazil. The theoretical reference of Anthropology in Health by Byron Good was used. Semi-structured interviews were conducted with ten people in the second phase of the treatment for tuberculosis, in their residences, between April and May 2015. For the analysis of the data, the Thematic Content Analysis technique was used.Results: two categories have emerged: The body signaling the disease that reveals itself in the presence of symptoms (fever, weight loss, weakness) and The sick body that manifests suffering, fear, stigma and distancing.Conclusion: the presence of tuberculosis in the body is capable of generating apprehension, disruption of leisure and work activities, and distancing from family and social life. It is essential to develop a look at care, to understand the unique needs of those who experience the illness, to value their life history and their subjectivity. DESCRITPTORS: Pulmonary Tuberculosis. Life-changing events. Body. Stigma. Patients. SIGNIFICADOS DAS EXPERIÊNCIAS CORPORAIS DE PESSOAS COM TUBERCULOSE PULMONAR: A CONSTRUÇÃO DE UMA NOVA IDENTIDADE RESUMOObjetivo: compreender os significados das experiências corporais de pessoas em tratamento para tuberculose pulmonar.Método: pesquisa qualitativa, realizada no município de Pelotas, Estado do Rio Grande do Sul, Brasil. Utilizou-se o referencial teórico da Antropologia em Saúde de Byron Good. Foram realizadas entrevistas semiestruturadas com dez pessoas na segunda fase de tratamento para a tuberculose, em seus domicílios, entre abril e maio de 2015. Para a análise dos dados empregou-se a técnica de Análise de Conteúdo Temática.Resultados: apreenderam-se duas categorias: O corpo sinalizador da doença que se revela na presença de sintomas (febre, emagrecimento, fraqueza) e O corpo doente que manifesta sofrimento, temor, estigma e afastamento.Conclusão: a presença da tuberculose no corpo é capaz de gerar apreensão, rompimento das atividades de lazer e trabalho, afastamento do convívio familiar e social. É essencial desenvolver um olhar para o cuidado, compreender as necessidades singulares de quem vive o adoecimento, valorizar a sua história de vida e a sua subjetividade.DESCRITORES: Tuberculose pulmonar. Acontecimentos que mudam a vida. Corpo. Estigma. Pacientes.Texto Contexto Enferm, 2018; 27(2):e2030016Jung BC, Zilmer JGV, Cunha FTS, Gonzales RIC 2/9 SIGNIFICADOS DE LAS EXPERIENCIAS CORPORALES DE PERSONAS CON TUBERCULOSIS PULMONAR: LA CONSTRUCCIÓN DE UNA NUEVA IDENTIDAD RESUMENObjetivo: comprender los significados de las experiencias corporales de personas en tratamiento por tuberculosis pulmonar.Método: investigación cualitativa realizada en el municipio de Pelotas, Estado do Rio Grande do Sul, en Brasil. Se utilizó el referente teórico de la Antropología en Salud de Byron Good. Se llevaron a cabo entrevistas semiestructuradas co...

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Tuberculosis-related stigma leading to an incomplete contact investigation in a low-incidence country

Cited by 34 publications

References 21 publications

Scaling-up Community Self-reporting Rate for COVID-19: Implication for Assessing the Perceived Stigmatization of COVID-19 Survivors Among Residents of Agege Local Government, Lagos, Nigeria

Scaling-up Community Self-reporting Rate for COVID-19: Implication for Assessing the Perceived Stigmatization of COVID-19 Survivors Among Residents of Agege Local Government, Lagos, Nigeria

First evaluation of QuantiFERON-TB Gold Plus performance in contact screening

Significados Das Experiências Corporais De Pessoas Com Tuberculose Pulmonar: A Construção De Uma Nova Identidade

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