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

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dc.contributor.authorAshaba, Clare
dc.contributor.authorMusoke, David
dc.contributor.authorTsebeni Wafula, Solomon
dc.contributor.authorKonde-Lule, Joseph
dc.date.accessioned2023-04-18T15:00:59Z
dc.date.available2023-04-18T15:00:59Z
dc.date.issued2021
dc.description.abstractStigma 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. 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. 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). 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.en_US
dc.identifier.citationAshaba, C., Musoke, D., Wafula, S. T., & Konde-Lule, J. (2021). Stigma among tuberculosis patients and associated factors in urban slum populations in Uganda. African Health Sciences, 21(4), 1640-50.https://doi.org/10.4314/ahs.v21i4.18en_US
dc.identifier.issn1729-0503
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8502
dc.language.isoenen_US
dc.publisherAfrican Health Sciencesen_US
dc.subjectTuberculosisen_US
dc.subjectHealth facilityen_US
dc.subjectUrban populationen_US
dc.titleStigma among tuberculosis patients and associated factors in urban slum populations in Ugandaen_US
dc.typeArticleen_US
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