Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study
Abstract Background The stigma of tuberculosis (TB) poses a significant challenge to TB control because it leads to delayed diagnosis and non-adherence. However, few studies on TB-related stigma have been completed in China. The aim of the current study was to explore the status of TB-related stigma...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-020-10055-2 |
| _version_ | 1818331496772009984 |
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| author | Xu Chen Liang Du Ruiheng Wu Jia Xu Haoqiang Ji Yu Zhang Xuexue Zhu Ling Zhou |
| author_facet | Xu Chen Liang Du Ruiheng Wu Jia Xu Haoqiang Ji Yu Zhang Xuexue Zhu Ling Zhou |
| author_sort | Xu Chen |
| collection | DOAJ |
| description | Abstract Background The stigma of tuberculosis (TB) poses a significant challenge to TB control because it leads to delayed diagnosis and non-adherence. However, few studies on TB-related stigma have been completed in China. The aim of the current study was to explore the status of TB-related stigma and its associated predictive factors among TB patients in Dalian, Northeast China. Methods An institution-based, cross-sectional survey was conducted among outpatients at Dalian Tuberculosis Hospital in Liaoning Province, Northeast China. Data were collected by using a questionnaire that measured TB-related stigma, treatment status, anxiety, social support, doctor-patient communication and so on. A multiple linear regression model was used to determine the predictors of TB-related stigma. Results A total of 601 eligible participants were recruited. The mean score for TB-related stigma was 9.07, and the median score was 10. The average scores for anxiety, social support and doctor-patient communication were 4.03, 25.41 and 17.17, respectively. Multiple linear regression analysis revealed that patients who were female (β = 1.19, 95% CI: 0.38–2.01, P < 0.05), had self-assessed moderate or severe disease (β = 1.08, 95% CI: 0.12–2.03 and β = 1.36, 95% CI: 0.03–2.70, respectively, P < 0.05), and had anxiety (β = 0.38, 95% CI: 0.30–0.46, P < 0.001) were more likely to have a greater level of TB-related stigma than their counterparts. However, a significantly lower level of TB-related stigma was observed in patients with good social support (β = − 0.25, 95% CI: − 0.33--0.17, P < 0.001) and doctor-patient communication (β = − 0.14, 95% CI: − 0.29--0.00, P < 0.05). Conclusions This study showed that stigma among TB patients was high. Targeted attention should be paid to female patients and patients with moderate or severe disease in TB stigma-related interventions. Moreover, the important role of social support and doctor-patient communication in reducing TB-related stigma should also be emphasized. |
| first_indexed | 2024-12-13T13:20:47Z |
| format | Article |
| id | doaj.art-a8af1a04d11d4f20a98977b9467b02a3 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T13:20:47Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a8af1a04d11d4f20a98977b9467b02a32022-12-21T23:44:25ZengBMCBMC Public Health1471-24582021-01-0121111010.1186/s12889-020-10055-2Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional studyXu Chen0Liang Du1Ruiheng Wu2Jia Xu3Haoqiang Ji4Yu Zhang5Xuexue Zhu6Ling Zhou7School of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversityAbstract Background The stigma of tuberculosis (TB) poses a significant challenge to TB control because it leads to delayed diagnosis and non-adherence. However, few studies on TB-related stigma have been completed in China. The aim of the current study was to explore the status of TB-related stigma and its associated predictive factors among TB patients in Dalian, Northeast China. Methods An institution-based, cross-sectional survey was conducted among outpatients at Dalian Tuberculosis Hospital in Liaoning Province, Northeast China. Data were collected by using a questionnaire that measured TB-related stigma, treatment status, anxiety, social support, doctor-patient communication and so on. A multiple linear regression model was used to determine the predictors of TB-related stigma. Results A total of 601 eligible participants were recruited. The mean score for TB-related stigma was 9.07, and the median score was 10. The average scores for anxiety, social support and doctor-patient communication were 4.03, 25.41 and 17.17, respectively. Multiple linear regression analysis revealed that patients who were female (β = 1.19, 95% CI: 0.38–2.01, P < 0.05), had self-assessed moderate or severe disease (β = 1.08, 95% CI: 0.12–2.03 and β = 1.36, 95% CI: 0.03–2.70, respectively, P < 0.05), and had anxiety (β = 0.38, 95% CI: 0.30–0.46, P < 0.001) were more likely to have a greater level of TB-related stigma than their counterparts. However, a significantly lower level of TB-related stigma was observed in patients with good social support (β = − 0.25, 95% CI: − 0.33--0.17, P < 0.001) and doctor-patient communication (β = − 0.14, 95% CI: − 0.29--0.00, P < 0.05). Conclusions This study showed that stigma among TB patients was high. Targeted attention should be paid to female patients and patients with moderate or severe disease in TB stigma-related interventions. Moreover, the important role of social support and doctor-patient communication in reducing TB-related stigma should also be emphasized.https://doi.org/10.1186/s12889-020-10055-2TuberculosisStigmaAssociated factorsChina |
| spellingShingle | Xu Chen Liang Du Ruiheng Wu Jia Xu Haoqiang Ji Yu Zhang Xuexue Zhu Ling Zhou Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study BMC Public Health Tuberculosis Stigma Associated factors China |
| title | Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study |
| title_full | Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study |
| title_fullStr | Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study |
| title_full_unstemmed | Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study |
| title_short | Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study |
| title_sort | tuberculosis related stigma and its determinants in dalian northeast china a cross sectional study |
| topic | Tuberculosis Stigma Associated factors China |
| url | https://doi.org/10.1186/s12889-020-10055-2 |
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