Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana
Identifieur interne : 000127 ( Pmc/Curation ); précédent : 000126; suivant : 000128Individual, 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.
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
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<author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name>
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<affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</nlm:aff>
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<author><name sortKey="Amo Adjei, Joshua" sort="Amo Adjei, Joshua" uniqKey="Amo Adjei J" first="Joshua" last="Amo-Adjei">Joshua Amo-Adjei</name>
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<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>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id>
<journal-title-group><journal-title>BMC Public Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2458</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27887600</article-id>
<article-id pub-id-type="pmc">5124270</article-id>
<article-id pub-id-type="publisher-id">3842</article-id>
<article-id pub-id-type="doi">10.1186/s12889-016-3842-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-8394-1874</contrib-id>
<name><surname>Amo-Adjei</surname>
<given-names>Joshua</given-names>
</name>
<address><email>jamo-adjei@aphrc.org</email>
<email>joshua.amo-adjei@ucc.edu.gh</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
African Population and Health Research Center, Nairobi, Kenya</aff>
<aff id="Aff2"><label>2</label>
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana</aff>
</contrib-group>
<pub-date pub-type="epub"><day>25</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>25</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>16</volume>
<elocation-id>1196</elocation-id>
<history><date date-type="received"><day>5</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>15</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Tuberculosis status</kwd>
<kwd>Secret</kwd>
<kwd>Disclosure</kwd>
<kwd>Ghana</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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