A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai
<h4>Background</h4> Disclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patie...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879515/?tool=EBI |
| _version_ | 1811176095599296512 |
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| author | Karikalan Nagarajan Malaisamy Muniyandi Senthil Sellappan Srimathi Karunanidhi Keerthana Senthilkumar Bharathidasan Palani Lavanya Jeyabal Rajendran Krishnan |
| author_facet | Karikalan Nagarajan Malaisamy Muniyandi Senthil Sellappan Srimathi Karunanidhi Keerthana Senthilkumar Bharathidasan Palani Lavanya Jeyabal Rajendran Krishnan |
| author_sort | Karikalan Nagarajan |
| collection | DOAJ |
| description | <h4>Background</h4> Disclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patients with their family and wider social network relations. <h4>Methods</h4> This prospective observational study was conducted in Chennai Corporation treatment units during 2019–2021. TB patients were recruited and followed-up from treatment initiation to completion. Information on disease disclosures made to different social members at different time points, and outcomes were collected and compared. Bivariate and multi variate analysis were used to identify the patients and contact characteristics predictive of TB disclosure status. <h4>Results</h4> A total of 466 TB patients were followed-up, who listed a total of 4039 family, extra familial and social network contacts of them. Maximum disclosures were made with family members (93%) and half of the relatives, occupational contacts and friendship contacts (44–58%) were disclosed within 15 days of treatment initiation. Incremental disclosures made during the 150–180 days of treatment were highest among neighbourhood contacts (12%), and was significantly different between treatment initiation and completion period. Middle aged TB patients (31 years and 46–55 years) were found less likely to disclose (AOR 0.56 and 0.46 respectively; p<0.05) and illiterates were found more likely to disclose their TB status (AOR 3.91; p<0.05). Post the disclosure, family contacts have mostly provided resource support (44.90%) and two third of all disclosed contacts have provided emotional support for TB patients (>71%). <h4>Conclusion</h4> Findings explain that family level disclosures were predominant and disclosures made to extra familial network contacts significantly increased during the latter part of treatment. Emotional support was predominantly received by TB patients from all their contacts post disclosure. Findings could inform in developing interventions to facilitate disclosure of disease status in a beneficial way for TB patients. |
| first_indexed | 2024-04-10T19:46:31Z |
| format | Article |
| id | doaj.art-9d6f234227b84a03bf158647da3768a6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-10T19:46:31Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-9d6f234227b84a03bf158647da3768a62023-01-29T05:30:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in ChennaiKarikalan NagarajanMalaisamy MuniyandiSenthil SellappanSrimathi KarunanidhiKeerthana SenthilkumarBharathidasan PalaniLavanya JeyabalRajendran Krishnan<h4>Background</h4> Disclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patients with their family and wider social network relations. <h4>Methods</h4> This prospective observational study was conducted in Chennai Corporation treatment units during 2019–2021. TB patients were recruited and followed-up from treatment initiation to completion. Information on disease disclosures made to different social members at different time points, and outcomes were collected and compared. Bivariate and multi variate analysis were used to identify the patients and contact characteristics predictive of TB disclosure status. <h4>Results</h4> A total of 466 TB patients were followed-up, who listed a total of 4039 family, extra familial and social network contacts of them. Maximum disclosures were made with family members (93%) and half of the relatives, occupational contacts and friendship contacts (44–58%) were disclosed within 15 days of treatment initiation. Incremental disclosures made during the 150–180 days of treatment were highest among neighbourhood contacts (12%), and was significantly different between treatment initiation and completion period. Middle aged TB patients (31 years and 46–55 years) were found less likely to disclose (AOR 0.56 and 0.46 respectively; p<0.05) and illiterates were found more likely to disclose their TB status (AOR 3.91; p<0.05). Post the disclosure, family contacts have mostly provided resource support (44.90%) and two third of all disclosed contacts have provided emotional support for TB patients (>71%). <h4>Conclusion</h4> Findings explain that family level disclosures were predominant and disclosures made to extra familial network contacts significantly increased during the latter part of treatment. Emotional support was predominantly received by TB patients from all their contacts post disclosure. Findings could inform in developing interventions to facilitate disclosure of disease status in a beneficial way for TB patients.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879515/?tool=EBI |
| spellingShingle | Karikalan Nagarajan Malaisamy Muniyandi Senthil Sellappan Srimathi Karunanidhi Keerthana Senthilkumar Bharathidasan Palani Lavanya Jeyabal Rajendran Krishnan A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai PLoS ONE |
| title | A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai |
| title_full | A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai |
| title_fullStr | A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai |
| title_full_unstemmed | A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai |
| title_short | A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai |
| title_sort | study on tuberculosis disease disclosure patterns and its associated factors findings from a prospective observational study in chennai |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879515/?tool=EBI |
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