Stigma in head and neck tuberculosis patients: Evaluation and analysis

Stigma in head and neck tuberculosis patients: Evaluation and analysis

Aim: Stigma means wound, scar, degrading situation, labeling. In particular, patients with infectious diseases are exposed to stigma.The presence of stigma has a detrimental effect on the healing process, physical and mental problems of patients. For this reason,the study was performed to evaluate the stigma condition in head and neck tuberculosis cases.Materials and Methods: The research was carried out as descriptive with tuberculosis patients in the otorhinolaryngology clinic ofa university hospital. The sample of the study consisted of 32 head and neck tuberculosis patients who are active in the treatmentperiod. The data of the study were collected using the Patient Questionnaire and the Tuberculosis Patients Stigma Scale. The dataobtained were evaluated by Pearson correlation analysis and t-test.Results: The average age of the patients was 39.5 ± 19.6 years, 65.6% were female, 31.3% were high school graduates, cervicalregion tuberculosis ranked first with 81.3%, and 34.4% of the patients were in denial regarding the disease. While 87.5% of patientshad Bacillus Calmette-Guérin vaccine scar; 3.1% Acid-resistant bacilli test was found to be positive. The scale score average of thepatients was found to be 99.8 ± 8.8. It was determined that the mean score of female patients was high, but there was no statisticallysignificant difference between the mean scores of female and male patients (p> 0.05).Conclusion: In our study specifically for Head and Neck tuberculosis patients; The scale mean scores of all patients were found to behigh. This shows that patients have high stigma levels. For this reason, it is recommended to inform the patient and family that headand neck tuberculosis patients can fully recover if they use their medication regularly by providing them with the necessary trainingabout tuberculosis from the moment of diagnosis.

___

  • 1. WHO: Global Tuberculosıs Report 2019: Executıve Summary 2019. https://www.who.int/tb/publications/ global_report/tb19_Exec_Sum_12Nov2019.pdf?ua=1 access date 15.09.2019.
  • 2. Sommerland N, Wouters E, Mitchell EMH, et al. Evidence-based interventions to reduce tuberculosis stigma: a systematic review. Int J Tuberc Lung Dis 2017;21:81-6.
  • 3. Reid MJA, Arinaminpathy N, Bloom A, et al. Building a tuberculosis-free world: The Lancet Commission on tuberculosis. Lancet. Published Online: 2019.
  • 4. Corrigan PW, Edwars AB, Gren A, et al. Prejudice, social distance and familiarity with mental illness. Schizopherinia Bulletin 2001;27:219-25.
  • 5. Acıkel Yigit G, Cinar Pakyuz S. Evaluating the stigma on patients with tuberculosis. Florance Nightingale Nurs J 2015;2:136-45.
  • 6. Abioye IA, Omotayo MO, Alakija W. Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria. Afr Health Sci 2011;11:100-4.
  • 7. Dhingra VK, Khan S. A sociological study on stigma among TB patients in Delhi. Indian J Tuberc 2010;57:12-8
  • 8. Mak WW, Mo PK, Cheung RY, et al. Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong. Soc Sci Med 2006;63:1912-22.
  • 9. Craig GM, Daftary A, Engel N, et al. Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries. Int J Infect Dis 2017;56:90-100.
  • 10. Murray EJ, Bond VA, Marais BJ, et al. High levels of vulnerability and anticipated stigma reduce the impetus for tuberculosis diagnosis in Cape Town, South Africa. Health Policy Plan 2013;28:410-8.
  • 11. Tadesse S. Stigma against Tuberculosis Patients in Addis Ababa, Ethiopia. PLoS ONE 2016;11:e0152900.
  • 12. Juniarti N, Evans D. A qualitative review: the stigma of tuberculosis. J Clin Nurs 2011;20:1961-70.
  • 13. Mason PH, Roy A, Spillane J, et al. Social, historical and cultural dimensions of tuberculosis. J Biosoc Sci 2016;48:206-32.
  • 14. Courtwright A, Turner AN. Tuberculosis and stigmatization: pathways and interventions. Public Health Rep 2010;125:34-42.
  • 15. Sert H. Tüberkülozlu hastalarda stigma düzeyleri ve etkileyen faktörlerin belirlenmesi. Doktora Tezi, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul, 2010.
  • 16. Aslan D. Halk Sağlığı Bakış Açısıyla Sosyal Açıdan Damgalayıcı Bir Hastalık: Tüberküloz. Klinik Gelişim Dergisi 2007;20:86-90.
  • 17. Macq J, Solis A, Martinez G, et al. An exploration of social stigma of tuberculosis in fi ve municipios of Nicaragua to refl ect on local interventions. Health Policy 2005;74:205-17.
  • 18. Zhang T, Liu X, Bromley H, et al. Perceptions of tuberculosis and health seeking behaviour in rural Inner Mongolia, China. Health Policy 2007;81:155-65.
  • 19. Öztürk FÖ. Ankara ilindeki verem savaşı dispanserlerinde tedavi alan tüberküloz hastalarında damgalanma. Yüksek Lisans Tezi, Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara, 2013.
  • 20. Erer OF. Tüberküloz ve damgalanma: Toplumsal Bakış. Toraks Bülteni. 2014; Haziran:54-57.https://www. toraks.org.tr/uploadFiles/book/file/66201416261- 5457.pdf access date 15.03.2020.
  • 21. Goceer S, Gunay O, Ulutabanca RO, et al. Factors affecting psychosocial adjustments to illness of active tuberculosis patients. Medicine 2017;6:700-5.
  • 22. Yin X, Yan S, Tong Y, et al. Status of tuberculosisrelated stigma and associated factors: a crosssectional study in central China. Trop Med Int Health 2018;23:199-205.
  • 23. de Almeida Crispim J, da Silva LMC, Yamamura M, et al. Validity and reliability of the tuberculosis-related stigma scale version for Brazilian Portuguese. BMC Infect Dis Published Online Dec 21,2017;17:510.
  • 24. Ahmed Suleiman MM, Sahal N, Sodemann M, et al. Tuberculosis stigma in Gezira State, Sudan: a casecontrol study. Int J Tuberc Lung Dis 2013;17:388-93.
  • 25. Bayraktar D, Khorshtd L. Examination of Sitmgatization Levels Related to Tubeculosis in Patients and Healthy Individuals. Journal of Psychiatric Nursing 2017;8:129-36.
  • 26. Jittimanee SX, Nateniyom S, Kittikraisak W, et al. Social stigma and knowledge of tuberculosis and HIV among patients with both diseases in Thailand. PLoS One 2009;4:e6360.
  • 27. Nyblade L, Stockton MA, Giger K, et al. Stigma in health facilities: why it matters and how we can change it. BMC Med 2019;17:25.
  • 28. 73.Verem Eğitim ve Propaganda Haftası. (05- 11 Ocak 2020) https://giresuneah.saglik.gov.tr/ TR,413153/73verem-egitim-ve-propaganda-haftasi05-11-ocak-2020.html access date 15.03.2020.
  • 29. Dhingra VK, Khan S. A sociological study on stigma among TB patients in Delhi. Indian J Tuberc 2010;57:12-8.
  • 30. Cremers AL, de Laat MM, Kapata N, et al. Assessing the consequences of stigma for tuberculosis patients in urban Zambia. PLoS One 2015;10:e0119861.
  • 31. Courtwright A, Turner AN. Tuberculosis and stigmatization: pathways and interventions. Public Health Rep 2010;125:34-42.
  • 32. Moya EM, Biswas A, Chavez Baray SM, et al. Assessment of stigma associated with tuberculosis in Mexico. Public Health Action 2014;4:226-32.
  • 33. Eser O, Ayçicek A, Tokyol Ç, et al. Cervical Tuberculosis Lymphadenitis: Case Report. J Nervous Sys Surgery 2014;4:111-4.
  • 34. Duyan V, Kurt B, Aktas Z, et al. Relationship between quality of life and characteristics of patients hospitalised with tuberculosis. Int J Tuberc Lung Dis 2005;9:1361-6.
  • 35. Ünalan D, Baştürk M, Ceyhan O. Tüberkülozun yaşam olayları ile ilişkisi ve hastalığın algılanması. İnönü Üniversitesi Tıp Fakültesi Dergisi 2008;15:249-55.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Intracranial arterial variations and their relation with cerebral aneurysms: Analysis of 640 patients

Sadık Ahmet UYANIK, Handan UZUNÇAKMAK UYANIK, Umut OGUSLU, Doğan DEDE

Venom immunotherapy: A real-life experience in a tertiary referral center in Turkey.

Fatma Esra GÜNAYDIN, Ümmühan ŞEKER, Dane EDİGER, Müge ERBAY

Investigation of oxidative stress in experimental periodontitis treated with myricetin

Zeynep Pınar KELEŞ YÜCEL, Umut BALLI, Zehra GÜLSOY, Berrak GÜVEN

Radiological evaluation of anatomical changes in implant and adjacent segments after rigid fusion

Ümit Ali MALÇOK, Nilüfer AYLANÇ

The potential gastrointestinal side effects of excipients in imatinib preparations

Aydan AKDENİZ, Nalan TİFTİK, Anıl TOMBAK, Eyip Naci TİFTİK, Gülhan OREKİCİ, Mehmet Ali UÇAR, Berrin BALIK, Mahmut Bakır KOYUNCU

The analysis of patient preferences for oral and dental care: Factor analysis model

Hasan Onur ŞİMŞEK, Kıymet YAVUZASLAN

The role of serum Pro- and Anti-inflammatory cytokines as potential diagnostic markers for psoriasis

Gamze VAROL, Dumrul GÜLEN, Hülya ALBAYRAK, Gamze ERFAN, Berna ERDAL, Mine AYDIN KURC, Mehmet Emin YANIK

Clinical and functional results of patients after arthroscopic single row rotator cuff repair and arthroscopic acromioplasty

Duran TOPAK, Burak KUŞCU, Fatih DOĞAR, Bilal ÖKKEŞ, Ahmet TEMİZ, Fatih VATANSEVER

Rupture of testicle accompanying multiple traumas: A case report

Hasan GÖKÇE, Şükrü GÜRBÜZ, Serdar DERYA, Muhammed EKMEKYAPAR, Muhammed Gökhan TURTAY, Ömer Faruk SOLGUN

Evaluation of the relationship of Delta-CO2 with IVC-CI, IJV-CI, and CVP values in intubated critically ill patients with spontaneous breathing, and who were applied invasive mechanical ventilation in CPAP mode

Abdulkadir YEKTAŞ, Cem Kıvılcım KAÇAR, Mustafa BIÇAK, Sedat KAYA, Deniz KANDEMİR, Osman UZUNDERE