1921
Volume 99, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

World leaders gather to consolidate their commitment to ending tuberculosis (TB). Vital to the success of renewed efforts is an overdue recognition of the pervasive and pernicious influence of TB stigma. TB stigma is sustained in structures, policies, traditions, and norms. Innovative modifications to infection control, drug dispensing, and surveillance practices are required to increase demand for TB screening and effective therapeutic alliances among those diagnosed. The authors argue that reducing TB stigma requires a scientific and inclusive process, with prominent roles for TB survivors and a willingness to integrate and learn from other stigmatized conditions.

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References

  1. Zachariah R, 2012. Language in tuberculosis services: can we change to patient-centred terminology and stop the paradigm of blaming the patients? Int J Tuberc Lung Dis 16: 714717. [Google Scholar]
  2. Daftary A, Frick M, Venkatesan N, Pai M, , 2017. Fighting TB stigma: we need to apply lessons learnt from HIV activism. BMJ Glob Health 2: e000515. [Google Scholar]
  3. Craig GM, , 2007. “Nation,” “migration” and “tuberculosis”. Social Theor Health 5: 267284. [Google Scholar]
  4. Reitmanova S, Gustafson DL, , 2012. Exploring the mutual constitution of racializing and medicalizing discourses of immigrant tuberculosis in the Canadian press. Qual Health Res 22: 911920. [Google Scholar]
  5. Dodor EA, Kelly S, Neal K, , 2009. Health professionals as stigmatisers of tuberculosis: insights from community members and patients with TB in an urban district in Ghana. Psychol Health Med 14: 301310. [Google Scholar]
  6. Murray EJ, Bond VA, Marais BJ, Godfrey-Faussett P, Ayles HM, Beyers N, , 2013. High levels of vulnerability and anticipated stigma reduce the impetus for tuberculosis diagnosis in Cape Town, South Africa. Health Policy Plan 28: 410418. [Google Scholar]
  7. Chang SH, Cataldo JK, , 2014. A systematic review of global cultural variations in knowledge, attitudes and health responses to tuberculosis stigma. Int J Tuberc Lung Dis 18: 168173, i-iv. [Google Scholar]
  8. Courtwright A, Turner AN, , 2010. Tuberculosis and stigmatization: pathways and interventions. Public Health Rep 125 (Suppl 4): 3442. [Google Scholar]
  9. Munro SA, Lewin SA, Smith HJ, Engel ME, Fretheim A, Volmink J, , 2007. Patient adherence to tuberculosis treatment: a systematic review of qualitative research. PLoS Med 4: e238. [Google Scholar]
  10. Ayakaka I, 2017. Identifying barriers to and facilitators of tuberculosis contact investigation in Kampala, Uganda: a behavioral approach. Implement Sci 12: 33. [Google Scholar]
  11. Daftary A, , 2012. HIV and tuberculosis: the construction and management of double stigma. Soc Sci Med 74: 15121519. [Google Scholar]
  12. Daftary A, Padayatchi N, O’Donnell M, , 2014. Preferential adherence to antiretroviral therapy over tuberculosis treatment: a qualitative study of drug-resistant TB/HIV co-infected patients in South Africa. Glob Public Health 9: 11071116. [Google Scholar]
  13. Jittimanee SX, Nateniyom S, Kittikraisak W, Burapat C, Akksilp S, Chumpathat N, Sirinak C, Sattayawuthipong W, Varma JK, , 2009. Social stigma and knowledge of tuberculosis and HIV among patients with both diseases in Thailand. PLoS One 4: e6360. [Google Scholar]
  14. Macintyre K, 2017. Defining the research agenda to measure and reduce tuberculosis stigmas. Int J Tuberc Lung Dis 21: 8796. [Google Scholar]
  15. Macq J, Solis A, Martinez G, , 2006. Assessing the stigma of tuberculosis. Psychol Health Med 11: 346352. [Google Scholar]
  16. Thomas BE, Shanmugam P, Malaisamy M, Ovung S, Suresh C, Subbaraman R, Adinarayanan S, Nagarajan K, , 2016. Psycho-socio-economic issues challenging multidrug resistant tuberculosis patients: a systematic review. PLoS One 11: e0147397. [Google Scholar]
  17. Skinner D, Hesseling AC, Francis C, Mandalakas AM, , 2013. It’s hard work, but it’s worth it: the task of keeping children adherent to isoniazid preventive therapy. Public Health Action 3: 191198. [Google Scholar]
  18. Skinner D, Mandalakas AM, , 2013. Pasting together the preventive therapy puzzle. Int J Tuberc Lung Dis 17: 175177. [Google Scholar]
  19. Survivors Against TB, 2016. Nine Lives: Women and Tuberculosis in India. Mumbai: Pi Consulting. Available at: https://s3.ap-south-1.amazonaws.com/elasticbeanstalk-ap-south-1-817157309016/SATB/our_work/9lives/9lives.pdf. Accessed August 30, 2018.
  20. Mitchell EMH, Daftary A, , 2017. TB stigma: clearing the fog. Int J Tuberc Lung Dis 21: 1. [Google Scholar]
  21. Sommerland N, Wouters E, Mitchell EMH, Ngicho M, Redwood L, Masquillier C, van Hoorn R, van den Hoof S, Van Rie A, , 2017. Evidence-based interventions to reduce tuberculosis stigma—a systematic review. Int J Tuberc Lung Dis 21: 8186. [Google Scholar]
  22. Khachadourian V, Truzyan N, Harutyunyan A, Thompson ME, Harutyunyan T, Petrosyan V, , 2015. People-centered tuberculosis care versus standard directly observed therapy: study protocol for a cluster randomized controlled trial. Trials 16: 281. [Google Scholar]
  23. Macq J, Torfoss T, Getahun H, , 2007. Patient empowerment in tuberculosis control: reflecting on past documented experiences. Trop Med Int Health 12: 873885. [Google Scholar]
  24. Náfrádi L, Nakamoto K, Schulz PJ, , 2017. Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLoS One 12: e0186458. [Google Scholar]
  25. Kennedy S, Goggin K, Nollen N, , 2004. Adherence to HIV medications: utility of the theory of self-determination. Cogn Ther Res 28: 61128. [Google Scholar]
  26. Thiam S, LeFevre AM, Hane F, Ndiaye A, Ba F, Fielding KL, Ndir M, Lienhardt C, , 2007. Effectiveness of a strategy to improve adherence to tuberculosis treatment in a resource-poor setting: a cluster randomized controlled trial. JAMA 297: 380386. [Google Scholar]
  27. Alipanah N, Jarlsberg L, Miller C, Linh NN, Falzon D, Jaramillo E, Nahid P, , 2018. Adherence interventions and outcomes of tuberculosis treatment: a systematic review and meta-analysis of trials and observational studies. PLoS Med 15: e1002595. [Google Scholar]
  28. Grimsrud A, 2016. Reimagining HIV service delivery: the role of differentiated care from prevention to suppression. J Int AIDS Soc 19: 21484. [Google Scholar]
  29. Masini E, Hanson C, Ogoro J, Brown J, Ngari F, Mingkwan P, Makayova J, Osberg M, , 2017. Using patient-pathway analysis to inform a differentiated program response to tuberculosis: the case of Kenya. J Infect Dis 216 (Suppl 7): S714S723. [Google Scholar]
  30. Acha J, Sweetland A, Guerra D, Chalco K, Castillo H, Palacios E, , 2007. Psychosocial support groups for patients with multidrug-resistant tuberculosis: five years of experience. Glob Public Health 2: 404417. [Google Scholar]
  31. Demissie M, Getahun H, Lindtjørn B, , 2003. Community tuberculosis care through “TB clubs” in rural north Ethiopia. Soc Sci Med 56: 20092018. [Google Scholar]
  32. Straetemans M, Bakker MI, Mitchell EMH, , 2017. Correlates of observing and willingness to report stigma towards HIV clients by (TB) health workers in Africa. Int J Tuberc Lung Dis 21: 618. [Google Scholar]
  33. Li L, Liang LJ, Lin C, Wu Z, , 2015. Addressing HIV stigma in protected medical settings. AIDS Care 27: 14391442. [Google Scholar]
  34. Masquillier C, Wouters E, Sommerland N, Rau A, Engelbrecht M, Kigozi G, van Rensburg AJ, , 2018. Fighting stigma, promoting care: a study on the use of occupationally-based HIV services in the Free State province of South Africa. AIDS Care: 30 (Suppl 2): 18. [Google Scholar]
  35. Buregyeya E, Mitchell EMH, Rutebemberwa E, Colebunders R, Criel B, Kiguli J, Nuwaha F, , 2012. Acceptability of masking and patient separation to control nosocomial Tuberculosis in Uganda: a qualitative study. J Public Health 20: 599606. [Google Scholar]
  36. Balogun M, Sekoni A, Meloni ST, Odukoya O, Onajole A, Longe-Peters O, Ogunsola F, Kanki PJ, , 2015. Trained community volunteers improve tuberculosis knowledge and attitudes among adults in a periurban community in southwest Nigeria. Am J Trop Med Hyg 92: 625632. [Google Scholar]
  37. Tadesse S, , 2016. Stigma against tuberculosis patients in Addis Ababa, Ethiopia. PLoS One 11: e0152900. [Google Scholar]
  38. McGinty E, Pescosolido B, Kennedy-Hendricks A, Barry CL, , 2017. Communication strategies to counter stigma and improve mental illness and substance use disorder policy. Psychiatr Serv 69: 136146. [Google Scholar]
  39. Rood EJJ, Mergenthaler C, Bakker MI, Redwood L, Mitchell EMH, , 2017. Using 15 DHS surveys to study epidemiological correlates of TB courtesy stigma and health-seeking behaviour. Int J Tuberc Lung Dis 21: 6068. [Google Scholar]
  40. Corrigan PW, , 2016. Beating stigma? Augment good intentions with the critical eye. Stigma Health 1: 12. [Google Scholar]
  41. Gronholm PC, Henderson C, Deb T, Thornicroft G, , 2017. Interventions to reduce discrimination and stigma: the state of the art. Social Psychiatry Psychiatr Epidemiol 52: 249258. [Google Scholar]
  42. Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D, Koschorke M, Shidhaye R, O’Reilly C, Henderson C, , 2016. Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387: 11231132. [Google Scholar]
  43. Clair M, Daniel C, Lamont M, , 2016. Destigmatization and health: cultural constructions and the long-term reduction of stigma. Soc Sci Med 165: 223232. [Google Scholar]
  44. Peters RM, Dadun Zweekhorst MB, Bunders JF, Irwanto van Brakel WH, , 2015. A cluster-randomized controlled intervention study to assess the effect of a contact intervention in reducing leprosy-related stigma in Indonesia. PLoS Negl Trop Dis 9: e0004003. [Google Scholar]
  45. Sunguya BF, Munisamy M, Pongpanich S, Yasuoka J, Jimba M, , 2016. Ability of HIV advocacy to modify behavioral norms and treatment impact: a systematic review. Am J Public Health 106: e1e8. [Google Scholar]
  46. Wingfield T, Boccia D, Tovar MA, Huff D, Montoya R, Lewis JJ, Gilman RH, Evans CA, , 2015. Designing and implementing a socioeconomic intervention to enhance TB control: operational evidence from the CRESIPT project in Peru. BMC Public Health 15: 810. [Google Scholar]
  47. Sripad A, Castedo J, Danford N, Zaha R, Freile C, , 2014. Effects of Ecuador’s national monetary incentive program on adherence to treatment for drug-resistant tuberculosis. Int J Tuberc Lung Dis 18: 4448. [Google Scholar]
  48. Torrens AW, Rasella D, Boccia D, Maciel EL, Nery JS, Olson ZD, Barreira DC, Sanchez MN, , 2016. Effectiveness of a conditional cash transfer programme on TB cure rate: a retrospective cohort study in Brazil. Trans R Soc Trop Med Hyg 110: 199206. [Google Scholar]
  49. Sermrittirong S, Van Brakel WH, Bunbers-Aelen JF, , 2014. How to reduce stigma in leprosy—a systematic literature review. Lepr Rev 85: 149157. [Google Scholar]
  50. Rau A, Wouters E, Engelbrecht M, Masquillier C, Uebel K, Kigozi G, Sommerland N, Janse van Rensburg A, , 2018. Towards a health-enabling working environment—developing and testing interventions to decrease HIV and TB stigma among healthcare workers in the Free State, South Africa: study protocol for a randomised controlled trial. Trials 19: 351. [Google Scholar]
  51. O’Donnell M, Amico KR, , 2018. Impact of a Multimodal Intervention to Reduce Dual Stigma and Improve Treatment Outcomes in HIV/Drug-Resistant TB Co-Infected Patients in KwaZulu-Natal, South Africa 2018–2022. Available at: https://www.fic.nih.gov/Grants/Search/Pages/stigma-hiv-aids-r21tw011077.aspx. Accessed August 31, 2018.
  52. Nyblade L, 2018. Stigma in health facilities: why it matters and how we can change it. BMC Med (Under review). [Google Scholar]
  53. Farmer P, , 1996. Social inequalities and emerging infectious diseases. Emerg Infect Dis 2: 259269. [Google Scholar]
  54. Gandy M, Zumla A, , 2002. The resurgence of disease: social and historical perspectives on the “new” tuberculosis. Soc Sci Med 55: 385396; discussion 397–401. [Google Scholar]
  55. Craig GM, Daftary A, Engel N, O’Driscoll S, Ioannaki A, , 2016. Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries. Int J Infect Dis 56: 90100. [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.18-0591
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  • Received : 17 Jul 2018
  • Accepted : 07 Sep 2018
  • Published online : 17 Sep 2018

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