Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana
Identifieur interne : 000184 ( Main/Exploration ); précédent : 000183; suivant : 000185Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana
Auteurs : Joshua Amo-Adjei [Kenya, Ghana]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- psychology : Tuberculosis.
- Adolescent, Adult, Family Characteristics, Female, Ghana, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Social Stigma, Young Adult.
Abstract
In tuberculosis (TB) control, early disclosure is recommended for the purposes of treatment as well as a means of reducing or preventing person-to-person transmission of the bacteria. However, disclosure maybe avoided as a means of escaping stigma, and possible discrimination. This study aimed at providing insights into factors associated with intentions of Ghanaians to keep positive TB diagnosis in their families’ a secret.
The paper was based on data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics of proportions with Chi-square test and binary logistic regression were used to identify individual, household and community level factors that predicted the outcome variable (keeping TB secret).
Women were more inclined (33%) than men (25%) to keep TB in the family a secret. Views about keeping TB secret declined with age for both sexes. For women, higher education had a positive association with whether TB in the family would be kept a secret or not but the same was not observed for men. In a multivariable regression model, the strongest predictor of keeping TB secret was whether the respondent would keep HIV secret, and this was uniform among women (OR = 6.992,
Unwillingness towards disclosing TB status in Ghana is associated with varied socioeconomic and demographic characteristics, which may be driven by fears of stigma and discrimination. Addressing TB-related stigma and discrimination can enhance positive attitudes towards TB disclosure. For an infectious disease such as TB, openness towards status disclosure is important for public health.
Url:
DOI: 10.1186/s12889-016-3842-y
PubMed: 27887600
PubMed Central: 5124270
Affiliations:
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Population and Health Research Center, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Population and Health, University of Cape Coast, Cape Coast</wicri:regionArea><wicri:noRegion>Cape Coast</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Family Characteristics</term><term>Female</term><term>Ghana</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Social Stigma</term><term>Tuberculosis (psychology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Caractéristiques familiales</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Stigmate social</term><term>Tuberculose (psychologie)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tuberculose</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Tuberculosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Family Characteristics</term><term>Female</term><term>Ghana</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Social Stigma</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Caractéristiques familiales</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Stigmate social</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In tuberculosis (TB) control, early disclosure is recommended for the purposes of treatment as well as a means of reducing or preventing person-to-person transmission of the bacteria. However, disclosure maybe avoided as a means of escaping stigma, and possible discrimination. This study aimed at providing insights into factors associated with intentions of Ghanaians to keep positive TB diagnosis in their families’ a secret.</p></sec><sec><title>Methods</title><p>The paper was based on data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics of proportions with Chi-square test and binary logistic regression were used to identify individual, household and community level factors that predicted the outcome variable (keeping TB secret).</p></sec><sec><title>Results</title><p>Women were more inclined (33%) than men (25%) to keep TB in the family a secret. Views about keeping TB secret declined with age for both sexes. For women, higher education had a positive association with whether TB in the family would be kept a secret or not but the same was not observed for men. In a multivariable regression model, the strongest predictor of keeping TB secret was whether the respondent would keep HIV secret, and this was uniform among women (OR = 6.992, <italic>p</italic> < 0.001) and men (OR = 9.870, <italic>p</italic> < 0.001).</p></sec><sec><title>Conclusion</title><p>Unwillingness towards disclosing TB status in Ghana is associated with varied socioeconomic and demographic characteristics, which may be driven by fears of stigma and discrimination. Addressing TB-related stigma and discrimination can enhance positive attitudes towards TB disclosure. For an infectious disease such as TB, openness towards status disclosure is important for public health.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ortblad, Kf" uniqKey="Ortblad K">KF Ortblad</name></author><author><name sortKey="Lozano, R" uniqKey="Lozano R">R Lozano</name></author><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yuen, Cm" uniqKey="Yuen C">CM Yuen</name></author><author><name sortKey="Amanullah, F" uniqKey="Amanullah F">F Amanullah</name></author><author><name sortKey="Dharmadhikari, A" uniqKey="Dharmadhikari A">A Dharmadhikari</name></author><author><name sortKey="Nardell, Ea" uniqKey="Nardell E">EA Nardell</name></author><author><name sortKey="Seddon, Ja" uniqKey="Seddon J">JA Seddon</name></author><author><name sortKey="Vasilyeva, I" uniqKey="Vasilyeva I">I 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