Prevalence and associated factors of psychological distress in tuberculosis patients in Northeast China: a cross-sectional study

作者：Xu Chen, Ruiheng Wu, Jia Xu, Jiawei Wang, Min Gao, Yunting Chen, Yuanping Pan, Haoqiang Ji, Yuxin Duan, Meng Sun, Liang Du, Ling Zhou · 发表于：BMC Infectious Diseases · 年份：2021 · DOI：10.1186/s12879-021-06284-4 · 被引用次数：35 · 研究领域：Tuberculosis Research and Epidemiology、Family Caregiving in Mental Illness、Mental Health Treatment and Access

BACKGROUND: Psychological distress, a major comorbidities of tuberculosis (TB) patients, has posed a serious threat to the progress being made in global TB programs by affecting treatment adherence and health outcomes. However, the magnitude and associated factors of psychological distress have not been fully studied in China. The aim of the current study was to assess the prevalence of psychological distress in TB patients and to further determine the effects of socio-demographic characteristics, health-related variables, substance use status, social support, and experienced stigma on psychological distress. METHODS: A cross-sectional survey was conducted among TB patients attending three medical institutions in Dalian, Liaoning Province, Northeast China from November 2020 to March 2021. A structured questionnaire was developed to collect data on patients' socio-demographic characteristics, health-related information, substance use status, psychological distress, family function, doctor-patient relationship, policy support, experienced stigma and so on. The binary logistics regression model was used to determine the associated factors of psychological distress. RESULTS: A total of 473 TB patients were enrolled in this study, and the prevalence of psychological distress was 64.1%. Binary logistic regression analysis revealed that patients with a middle school education level or above (OR: 0.521, 95%CI: 0.279-0.974), no adverse drug reactions (OR: 0.476, 95%CI: 0.268-0.846), a...