Evidence map›Paper›PMID 33097021›Full record

ArticleBMC public health2020

Knowledge, attitudes, beliefs, and stigma related to latent tuberculosis infection: a qualitative study among Eritreans in the Netherlands.

Ineke Spruijt, Dawit Tesfay Haile, Susan van den Hof, Kathy Fiekert, Niesje Jansen, Degu Jerene, Eveline Klinkenberg, Ieva Leimane, Jeanine Suurmond

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07609264 (Making Sense of Tuberculosis), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07609264 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Making Sense of Tuberculosis (TB) Related Stigma in a Low-incidence Area of the UK: Patients Experiences and Everyday Responses

TypeobservationalSponsorBournemouth UniversityRan2026 to 2028Enrolled20ConditionsTB, Tuberculosis, Stigma, TB Stigma
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  5. Managing tuberculosis infection among migrants from high-incidence tuberculosis countries: challenges, strategies and recommendations.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ineke SpruijtKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands. ineke.spruijt@kncvtbc.org.ORCID http://orcid.org/0000-0002-9190-2696
Dawit Tesfay HaileDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Susan van den HofKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Kathy FiekertKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Niesje JansenKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Degu JereneKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Eveline KlinkenbergKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Ieva LeimaneKNCV Tuberculosis Foundation, Maanweg 174, 2516, AB, The Hague, The Netherlands.
Jeanine SuurmondDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centre, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
TuBerculosis Vaccine Initiative · NLUniversity of Amsterdam · NL

Funding

ZonMw 50-53000-98-128
6 · The paper itself

Abstract

backgroundTailored and culturally appropriate latent tuberculosis (TB) infection screening and treatment programs, including interventions against TB stigma, are needed to reduce TB incidence in low TB incidence countries. However, we lack insights in stigma related to latent TB infection (LTBI) among target groups, such as asylum seekers and refugees. We therefore studied knowledge, attitudes, beliefs, and stigma associated with LTBI among Eritrean asylum seekers and refugees in the Netherlands.

methodsWe used convenience sampling to interview adult Eritrean asylum seekers and refugees: 26 semi-structured group interviews following TB and LTBI related health education and LTBI screening, and 31 semi-structured individual interviews with Eritreans during or after completion of LTBI treatment (November 2016-May 2018). We used a thematic analysis to identify, analyse and report patterns in the data.

resultsDespite TB/LTBI education, misconceptions embedded in cultural beliefs about TB transmission and prevention persisted. Fear of getting infected with TB was the cause of reported enacted (isolation and gossip) and anticipated (concealment of treatment and self-isolation) stigma by participants on LTBI treatment.

conclusionThe inability to differentiate LTBI from TB disease and consequent fear of getting infected by persons with LTBI led to enacted and anticipated stigma comparable to stigma related to TB disease among Eritreans. Additional to continuous culturally sensitive education activities, TB prevention programs should implement evidence-based interventions reducing stigma at all phases in the LTBI screening and treatment cascade.

Indexed as

Social StigmaAdolescentAdultEritreaFemaleHealth Knowledge, Attitudes, PracticeHumansLatent TuberculosisMaleNetherlandsQualitative ResearchRefugeesYoung AdultAsylum seekersLatent tuberculosis infectionLow incidence countryRefugeesStigmaTuberculosis prevention

Identifiers

PMID33097021
PMCPMC7585221
OpenAlexW3093936977

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.