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. 2021 Dec;21(4):1640-1650.
doi: 10.4314/ahs.v21i4.18.

Stigma among tuberculosis patients and associated factors in urban slum populations in Uganda

Clare Ashaba  1 , David Musoke  2 , Solomon Tsebeni Wafula  2 , Joseph Konde-Lule  3
Affiliations

Stigma among tuberculosis patients and associated factors in urban slum populations in Uganda

Clare Ashaba et al. Afr Health Sci. 2021 Dec.

Abstract

Background: Stigma continues to be a major barrier to tuberculosis (TB) control particularly in urban populations. Stigma can influence health seeking behaviour and affect adherence to TB treatment, yet few studies have examined TB related stigma and associated factors in Uganda. This study was therefore conducted to determine the level of stigma and associated factors among TB patients in an urban setting in Kampala, Uganda.

Methods: A cross-sectional study was conducted in Makindye division, Kampala among 204 patients with TB aged 18 years and above. Data were collected on socio-demographic, individual patient and HIV/AIDS related factors using an interviewer administered questionnaire. The outcome variable (stigma) was assessed on a four-point Likert scale from the participants' perspective. Stigma scores ranged from 0 to 36 which were summed up and a median stigma score calculated. Individuals with a stigma score equal or greater than the median were categorized as having high stigma. A multivariable logistic regression analysis was performed to determine factors associated with TB stigma.

Results: Over half (52%) of the participants were found to have high TB stigma. Knowing someone who had died of TBAOR = 4.42, 95% CI (1.69 - 11.50) and believing that TB and HIV symptoms were similarAOR = 3.05, 95% CI (1.29 - 7.22) were positively associated with high TB stigma. The odds of having high stigma were 79% lower among individuals who had been previously treated for TBAOR = 0.21, 95% CI (0.09 - 0.52).

Conclusions: Stigma towards TB was high in this urban population and mainly associated with knowing a person who had died of TB, perception that symptoms of TB are similar to those of HIV/AIDS, and previous TB treatment. Interventions to mitigate TB stigma are needed in urban populations and should also address HIV/AIDS related stigma.

Keywords: Stigma; Uganda; health facility; tuberculosis; urban population.

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References

    1. Zenner D, Southern J, van Hest R, deVries G, Stagg HR, Antoine D, et al. Active case finding for tuberculosis among high-risk groups in low-incidence countriesState of the art series. Case finding/screening. Number 3 in the series. The International Journal of Tuberculosis and lung disease: The Official Journal of the International Union against Tuberculosis and Lung Disease. 2013;17:573–582. doi: 10.5588/ijtld.12.0920. doi: - DOI - PubMed
    1. WHO, author. Global tuberculosis report 2018. Geneva: World Health Organization; 2018.
    1. Zumla A, Malon P, Henderson J, Grange J. Impact of HIV infection on tuberculosis. Postgraduate Medical Journal. 2000;76(895):259–268. doi: 10.1136/pmj.76.895.259. PubMed. - DOI - PMC - PubMed
    1. Macq J, Solis A, Martinez G. Assessing the stigma of tuberculosis. Psychology, Health & Medicine. 2006;11(3):346–352. doi: 10.1080/13548500600595277. Epub 2006/11/30. PubMed. - DOI - PubMed
    1. Long NH, Johansson E, Diwan VK, Winkvist A. Fear and social isolation as consequences of tuberculosis in VietNam: a gender analysis. Health policy (Amsterdam, Netherlands) 2001;58(1):69–81. Epub 2001/08/24. PubMed. - PubMed

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