Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study

作者：Chen Xu, Liang Du, Ruiheng Wu, Jia Xu, Haoqiang Ji, Yu Zhang, Xuexue Zhu, Ling Zhou · 发表于：BMC Public Health · 年份：2021 · DOI：10.1186/s12889-020-10055-2 · 被引用次数：92 · 研究领域：Tuberculosis Research and Epidemiology、Diagnosis and treatment of tuberculosis、Infectious Diseases and Tuberculosis

BACKGROUND: The stigma of tuberculosis (TB) poses a significant challenge to TB control because it leads to delayed diagnosis and non-adherence. However, few studies on TB-related stigma have been completed in China. The aim of the current study was to explore the status of TB-related stigma and its associated predictive factors among TB patients in Dalian, Northeast China. METHODS: An institution-based, cross-sectional survey was conducted among outpatients at Dalian Tuberculosis Hospital in Liaoning Province, Northeast China. Data were collected by using a questionnaire that measured TB-related stigma, treatment status, anxiety, social support, doctor-patient communication and so on. A multiple linear regression model was used to determine the predictors of TB-related stigma. RESULTS: A total of 601 eligible participants were recruited. The mean score for TB-related stigma was 9.07, and the median score was 10. The average scores for anxiety, social support and doctor-patient communication were 4.03, 25.41 and 17.17, respectively. Multiple linear regression analysis revealed that patients who were female (β = 1.19, 95% CI: 0.38-2.01, P < 0.05), had self-assessed moderate or severe disease (β = 1.08, 95% CI: 0.12-2.03 and β = 1.36, 95% CI: 0.03-2.70, respectively, P < 0.05), and had anxiety (β = 0.38, 95% CI: 0.30-0.46, P < 0.001) were more likely to have a greater level of TB-related stigma than their counterparts. However, a significantly lower level of TB-related stigma w...