Factors Related to Perceived Stigma among Patients with Pulmonary Tuberculosis in the Community
Keywords:
perceived stigma, patients, pulmonary tuberculosis, communityAbstract
Stigma in pulmonary tuberculosis is an important factor affecting the diagnosis, compliance with treatment plans, and recovery from tuberculosis infection. This cross-sectional analytical study aimed to assess the prevalence of, and factors related to perceived stigma among patients with pulmonary tuberculosis living in the community. The participants were purposively selected from 26 pulmonary tuberculosis patients were no in the active phase of the disease and resided in the area of the Mueang district of Mah Sarakham province. Data was collected using a questionnaire about their general characteristics, clinical and psychosocial factors and the Internalized Stigma of Tuberculosis Scale, Thai Version [IS-T-Thai]. Data were analyzed using descriptive statistics, Chi-square tests, Odds ratios, and multiple logistic regressions. The results of the study revealed that the prevalence of perceived stigma was high at 53.8%. The factors related to perceived stigma among pulmonary tuberculosis patients were: constant lack of family caregivers (AOR = 2.41; 95% CI: 1.27, 3.06), low body mass index (AOR = 1.22; 95% CI: 1.01, 2.05), high levels of stress (AOR = 1.12; 95% CI: 1.04, 2.17), and alcohol and drug use (AOR = 1.45; 95% CI: 1.06, 3.18). Therefore, these factors should be used as information for the implementation of nursing care and interventions and measures to reduce the stigma of pulmonary tuberculosis patients in the community.
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