Background: TB-related stigma is a recognized barrier to efforts to End TB. It affects early diagnosis and timely initiation of treatment and can potentially interrupt treatment. Understanding the dimension of TB-related stigma and its manifestations is critical to planning appropriate TB stigma reduction responses. However, this information is largely unknown in Tanzania. This study assessed the level and manifestations of self-TB-related stigma among people with TB. Methods: A cross-sectional survey was deployed to collect quantitative and qualitative data among people with TB in five regions of Tanzania between September 2021 and February 2022. Face-to-face interviews were used to obtain data from the participants using a modified questionnaire developed by the Stop TB Partnership to assess TB-related stigma among TB patients. Descriptive and thematic analysis were used to summarize and present findings. Results: Four hundred eighteen (418) participants were recruited, of whom 276 (66%) were males. The overall level of self-TB-related stigma was 40%, predominated by agreement of behaviours and attitudes limiting disclosure of TB status. TB-related stigma commonly manifested as social isolation, fear of contracting TB, verbal abuse, gossip, and an unwillingness to share eating utensils. Conclusion: This study showed a relatively moderate level of self-TB-related stigma among TB patients, characterized by fear of disclosure of TB status. Moreover, TB patients are inclined to be socially isolated, gossiped, and maltreated. These findings suggest the need to include TB stigma reduction responses in national TB prevention and control efforts.
| Published in | European Journal of Preventive Medicine (Volume 11, Issue 5) |
| DOI | 10.11648/j.ejpm.20231105.11 |
| Page(s) | 63-71 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Tuberculosis, Stigma, Level, Manifestations, Tanzania
| [1] | Word Health Organization. Tuberculosis (Internet). 21 April 2023. (cited 2023 Jun 13). p. 1. Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis |
| [2] | Abioye IA, Omotayo MO, Alakija W. Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria. Afr Health Sci. 2011; 11 (SPEC. ISSUE). https://doi.org/10.4314/ahs.v11i3.70078 |
| [3] | Ia A, Mo O, Alakija W. Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria. African Heal Sci. 2011; 11 (1). https://doi.org/10.4314/ahs.v11i3.70078 |
| [4] | Craig GM, Daftary A, Engel N, Driscoll SO, Ioannaki A. International Journal of Infectious Diseases Tuberculosis stigma as a social determinant of health : a systematic mapping review of research in low incidence countries. Int J Infect Dis (Internet). 2017; 56: 90-100. Available from: https://doi.org/10.1016/j.ijid.2016.10.011 |
| [5] | Cremers AL, Laat MM De, Kapata N, Gerrets R, Klipstein-grobusch K, Grobusch MP. Assessing the Consequences of Stigma for Tuberculosis Patients in Urban Zambia. Res Artic. 2015; 113: 1-16. https://doi.org/10.1371/journal.pone.0119861 |
| [6] | Kurspahić-mujčić A, Hasanović A, Sivić S. Tuberculosis related stigma and delay in seeking care after the onset of symptoms associated with tuberculosis. 2013; 10 (April): 272-7. |
| [7] | Daftary A, Mitchell EMH, Reid MJA, Fekadu E, Goosby E. To end TB, first-ever high-level meeting on tuberculosis must address stigma. Am J Trop Med Hyg. 2018; 99 (5): 1114-6. https://doi.org/10.4269/ajtmh.18-0591 |
| [8] | Link BG, Phelan JC. Onceptualizing tigma. 2001; 27 (Lewis 1998): 363-85. https://doi.org/10.1146/annurev.soc.27.1.363 |
| [9] | Courtwright A, Turner AN. Tuberculosis and stigmatization: Pathways and interventions. Public Health Rep. 2010; 125 (SUPPL. 4): 34-42. https://doi.org/10.1177/00333549101250S407 |
| [10] | Williams. Goffman's theory of Consequences for health and stigmatisation and labelling: illness (Internet). Goffman's theory of Consequences for health and stigmatisation and labelling: illness. 1987. p. 134-64. Availablefrom: https://www.academia.edu/30491334/Goffmans_theory_of_stigmatisation_and_labelling_Consequences_for_health_and_illness_12_Module_4_The_social_meanings_of_the_body_health_and_illness |
| [11] | Challenge TB. TB Stigma Measurement Guidance. 2018. |
| [12] | NTLP. The National Tuberculosis and leprosy Programme Annual report for 2018. Vol. 2. DODOMA; 2018. |
| [13] | Ndakidemi E, Emerson C, Medley A, Ngowi B, Ng'eno B, Munuo G, et al. Health care worker perspectives on TB case finding and HIV services among pediatric TB patients in Tanzania. Int J Tuberc Lung Dis. 2019; 23 (7): 811-6. https://doi.org/10.5588/ijtld.18.0445 |
| [14] | Van Den Boogaard J, Msoka E, Homfray M, Kibiki GS, Heldens JJHM, Felling AJA, et al. An exploration of patient perceptions of adherence to tuberculosis treatment in Tanzania. Qual Health Res. 2012; 22 (6): 835-45. https://doi.org/10.1177/1049732312438968 |
| [15] | Miller C, Huston J, Samu L, Mfinanga S, Hopewell P, Fair E. "It makes the patient's spirit weaker": Tuberculosis stigma and gender interaction in Dar es Salaam, Tanzania. Int J Tuberc Lung Dis. 2017; 21 (December 2016): S42-8. https://doi.org/10.5588/ijtld.16.0914 |
| [16] | Deogratias Muhandiki W, Eliaimringi Matemba L, Gabriel Mabega N, Michael Kisonga R, Heriel Matechi E, Omary Kigumi H, et al. Tuberculosis-Related Stigma Among Healthcare Workers in Tanzania: Level, Experience and Manifestations. Am J Heal Res. 2023; 11 (1): 23–30. |
| [17] | Muhandiki WD, Mabega NG, Matemba LE, Phares G, Kaswaga OL, Kigumi HO, et al. Level, Experiences and Manifestations of Community TB-Related Stigma in Tanzania. 2023; 11 (4): 53–9. |
| [18] | STOP TB Partnership. TB STIGMA ASSESSMENT GUIDANCE. The Hague; 2018. 1-54 p. |
| [19] | Duko B, Bedaso A, Ayano G, Yohannis Z. Perceived Stigma and Associated Factors among Patient with Tuberculosis, Wolaita Sodo, Ethiopia: Cross-Sectional Study. Tuberc Res Treat. 2019; 2019: 1-5. https://doi.org/10.1155/2019/5917537 |
| [20] | Xu M, Markström U, Lyu J, Xu L. Survey on tuberculosis patients in rural areas in China: Tracing the role of stigma in psychological distress. Int J Environ Res Public Health. 2017; 14 (10): 2-9. https://doi.org/10.3390/ijerph14101171 |
| [21] | CO 100% LIFE. TB STIGMA ASSESSMENT IN UKRAINE (Internet). 2021. Available from: https://www.uiphp.org.ua/media/k2/attachments/Zvit_100Life_Stigma_TB_ENG.pdf |
| [22] | Chen X, Du L, Wu R, Xu J, Ji H, Zhang Y, et al. Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC Public Health. 2021; 21 (1): 1-10. https://doi.org/10.1186/s12889-020-10055-2 |
| [23] | Shivapujimath R, Rao AP, Nilima AR, Shilpa DM. A cross-sectional study to assess the stigma associated with tuberculosis among tuberculosis patients in Udupi district, Karnataka. Indian J Tuberc. 2017; 64 (4): 323-6. https://doi.org/10.1016/j.ijtb.2016.10.002 |
| [24] | Mbuthia GW, Nyamogoba HDN, Chiang SS, McGarvey ST. Burden of stigma among tuberculosis patients in a pastoralist community in Kenya: A mixed methods study. PLoS One (Internet). 2020; 15 (10October): 1-14. Availablefrom: https://doi.org/10.1371/journal.pone.0240457 |
| [25] | Cremers AL, De Laat MM, Kapata N, Gerrets R, Klipstein-Grobusch K, Grobusch MP. Assessing the consequences of stigma for tuberculosis patients in urban Zambia. PLoS One. 2015; 10 (3): 2-17. https://doi.org/10.1371/journal.pone.0119861 |
| [26] | Griffin JM, Martin SW, Thorburn MA, Eves JA, Hammond RF. A case-control study on the association of selected risk factors with the occurrence of bovine tuberculosis in the Republic of Ireland. Prev Vet Med. 1996; 27 (3-4): 217-29. https://doi.org/10.1016/0167-5877(95)00571-4 |
| [27] | von Delft A, Dramowski A, Khosa C, Kotze K, Lederer P, Mosidi T, et al. Why healthcare workers are sick of TB. Int J Infect Dis (Internet). 2015; 32: 147-51. Available from: http://dx.doi.org/10.1016/j.ijid.2014.12.003 https://doi.org/10.1016/j.ijid.2014.12.003 |
| [28] | V. A. P-S, R. E. A, C. D. J, R. A. O. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru: a qualitative study. BMC Health Serv Res (Internet). 2013; 13: 290. Availablefrom: https://doi.org/10.1186/1472-6963-13-290 |
| [29] | Zolowere D, Manda K, Panulo B, Muula AS. Experiences of self-disclosure among tuberculosis patients in rural Southern Malawi. Rural Remote Health. 2008; 8 (4): 1037. https://doi.org/10.22605/RRH1037 |
| [30] | Campbell C. Book review: Foucault, psychology and the analytics of power by Hook, Derek. Basingstoke: Palgrave MacMillan, 2007. 2008; 16 (December 2008): 1-16. Available from: http://www3.interscience.wiley.com/journal/5625/home |
| [31] | Union I, Tuberculosis A, Disease L. Public health action. World Heal Organ Reg Publ - Eur Ser. 1995; I (56): 31-49. |
| [32] | Daftary A. HIV and tuberculosis: The construction and management of double stigma. Soc SciMed (Internet). 2012; 74 (10): 1512-9. Availablefrom: https://doi.org/10.1016/j.socscimed.2012.01.027 |
| [33] | Mukerji R, Turan JM. Exploring manifestations of tb-related stigma experienced by women in Kolkata, India. Ann Glob Heal. 2018; 84 (4): 727-35. https://doi.org/10.29024/aogh.2383 |
| [34] | Atsu E, Kelly SJ. Manifestations of tuberculosis stigma within the healthcare system : The case of Sekondi-Takoradi Metropolitan district in Ghana. Health Policy (New York) (Internet). 2010; 98 (2-3): 195-202. Availablefrom: https://doi.org/10.1016/j.healthpol.2010.06.017 |
| [35] | Hatherall B, Newell JN, Emmel N, Baral SC, Khan MA. "Who Will Marry a Diseased Girl?" Marriage, Gender, and Tuberculosis Stigma in Asia. Qual Health Res. 2019; 29 (8): 1109-19. https://doi.org/10.1177/1049732318812427 |
| [36] | Soomro MH, Qadeer E, Khan MA, Morkve O. Treatment supporters and their impact on treatment outcomes in routine tuberculosis program conditions in district Rawalpindi, Pakistan. J Med. 2013; 14 (1): 40-6. https://doi.org/10.3329/jom.v14i1.14535 |
| [37] | Olukolade R, Health F, Ogbuji QC, Health F, Kusimo O, Osho J, et al. Role of treatment supporters beyond monitoring daily drug intake for TB-patients : Findings from a qualitative study in Nigeria. 2017; (April). |
APA Style
Wilbard Deogratius Muhandiki, Ndakibae Gabriel Mabega, Lucas Eliaimringi Matemba, Gerald Phares Mwing’a, Oscar Leonard Kaswaga, et al. (2023). Level and Manifestations of TB-Related Stigma Among People with Tuberculosis in Tanzania. European Journal of Preventive Medicine, 11(5), 63-71. https://doi.org/10.11648/j.ejpm.20231105.11
ACS Style
Wilbard Deogratius Muhandiki; Ndakibae Gabriel Mabega; Lucas Eliaimringi Matemba; Gerald Phares Mwing’a; Oscar Leonard Kaswaga, et al. Level and Manifestations of TB-Related Stigma Among People with Tuberculosis in Tanzania. Eur. J. Prev. Med. 2023, 11(5), 63-71. doi: 10.11648/j.ejpm.20231105.11
AMA Style
Wilbard Deogratius Muhandiki, Ndakibae Gabriel Mabega, Lucas Eliaimringi Matemba, Gerald Phares Mwing’a, Oscar Leonard Kaswaga, et al. Level and Manifestations of TB-Related Stigma Among People with Tuberculosis in Tanzania. Eur J Prev Med. 2023;11(5):63-71. doi: 10.11648/j.ejpm.20231105.11
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Download@article{10.11648/j.ejpm.20231105.11,
author = {Wilbard Deogratius Muhandiki and Ndakibae Gabriel Mabega and Lucas Eliaimringi Matemba and Gerald Phares Mwing’a and Oscar Leonard Kaswaga and Hamimu Omary Kigumi and Emmanuel Heriel Matechi and Onay Godson Lwanzali and Riziki Michael Kisonga and Mangi Job Ezekiel and Eliakimu Paul Kapyolo},
title = {Level and Manifestations of TB-Related Stigma Among People with Tuberculosis in Tanzania},
journal = {European Journal of Preventive Medicine},
volume = {11},
number = {5},
pages = {63-71},
doi = {10.11648/j.ejpm.20231105.11},
url = {https://doi.org/10.11648/j.ejpm.20231105.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20231105.11},
abstract = {Background: TB-related stigma is a recognized barrier to efforts to End TB. It affects early diagnosis and timely initiation of treatment and can potentially interrupt treatment. Understanding the dimension of TB-related stigma and its manifestations is critical to planning appropriate TB stigma reduction responses. However, this information is largely unknown in Tanzania. This study assessed the level and manifestations of self-TB-related stigma among people with TB. Methods: A cross-sectional survey was deployed to collect quantitative and qualitative data among people with TB in five regions of Tanzania between September 2021 and February 2022. Face-to-face interviews were used to obtain data from the participants using a modified questionnaire developed by the Stop TB Partnership to assess TB-related stigma among TB patients. Descriptive and thematic analysis were used to summarize and present findings. Results: Four hundred eighteen (418) participants were recruited, of whom 276 (66%) were males. The overall level of self-TB-related stigma was 40%, predominated by agreement of behaviours and attitudes limiting disclosure of TB status. TB-related stigma commonly manifested as social isolation, fear of contracting TB, verbal abuse, gossip, and an unwillingness to share eating utensils. Conclusion: This study showed a relatively moderate level of self-TB-related stigma among TB patients, characterized by fear of disclosure of TB status. Moreover, TB patients are inclined to be socially isolated, gossiped, and maltreated. These findings suggest the need to include TB stigma reduction responses in national TB prevention and control efforts.},
year = {2023}
}
TY - JOUR T1 - Level and Manifestations of TB-Related Stigma Among People with Tuberculosis in Tanzania AU - Wilbard Deogratius Muhandiki AU - Ndakibae Gabriel Mabega AU - Lucas Eliaimringi Matemba AU - Gerald Phares Mwing’a AU - Oscar Leonard Kaswaga AU - Hamimu Omary Kigumi AU - Emmanuel Heriel Matechi AU - Onay Godson Lwanzali AU - Riziki Michael Kisonga AU - Mangi Job Ezekiel AU - Eliakimu Paul Kapyolo Y1 - 2023/09/06 PY - 2023 N1 - https://doi.org/10.11648/j.ejpm.20231105.11 DO - 10.11648/j.ejpm.20231105.11 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 63 EP - 71 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20231105.11 AB - Background: TB-related stigma is a recognized barrier to efforts to End TB. It affects early diagnosis and timely initiation of treatment and can potentially interrupt treatment. Understanding the dimension of TB-related stigma and its manifestations is critical to planning appropriate TB stigma reduction responses. However, this information is largely unknown in Tanzania. This study assessed the level and manifestations of self-TB-related stigma among people with TB. Methods: A cross-sectional survey was deployed to collect quantitative and qualitative data among people with TB in five regions of Tanzania between September 2021 and February 2022. Face-to-face interviews were used to obtain data from the participants using a modified questionnaire developed by the Stop TB Partnership to assess TB-related stigma among TB patients. Descriptive and thematic analysis were used to summarize and present findings. Results: Four hundred eighteen (418) participants were recruited, of whom 276 (66%) were males. The overall level of self-TB-related stigma was 40%, predominated by agreement of behaviours and attitudes limiting disclosure of TB status. TB-related stigma commonly manifested as social isolation, fear of contracting TB, verbal abuse, gossip, and an unwillingness to share eating utensils. Conclusion: This study showed a relatively moderate level of self-TB-related stigma among TB patients, characterized by fear of disclosure of TB status. Moreover, TB patients are inclined to be socially isolated, gossiped, and maltreated. These findings suggest the need to include TB stigma reduction responses in national TB prevention and control efforts. VL - 11 IS - 5 ER -
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