Evidence map›Paper›PMID 33134412›Full record

ArticleOpen forum infectious diseases2020

Characterizing and Measuring Tuberculosis Stigma in the Community: A Mixed-Methods Study in Cambodia.

Alvin Kuo Jing Teo, Rayner Kay Jin Tan, Caoimhe Smyth, Viorel Soltan, Sothearith Eng, Chetra Ork, Ngovlyly Sok, Sovannary Tuot, Li Yang Hsu, Siyan Yi

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
0.5field-weighted citation impact, top 22% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 37 citations in OpenAlex.

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  19. Knowledge, Attitudes, and Stigma: The Perceptions of Tuberculosis in Equatorial Guinea.International journal of environmental research and public health · 2022
    Article
  20. Nonadherence Predictors to Tuberculosis Medications among TB Patients in Gambella Region of Ethiopia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2022
    Article
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

10 authors at 1 institution in 3 countries.

Alvin Kuo Jing TeoSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore.ORCID 0000-0002-0569-3518
Rayner Kay Jin TanSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore.
Caoimhe SmythStop TB Partnership, Geneva, Switzerland.
Viorel SoltanStop TB Partnership, Geneva, Switzerland.
Sothearith EngKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Chetra OrkKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Ngovlyly SokKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Sovannary TuotKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Li Yang HsuSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore.ORCID 0000-0002-0396-066X
Siyan YiSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore.
National University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStigma is a significant barrier to healthcare and a factor that drives the global burden of tuberculosis (TB). However, there is a scarcity of information on TB stigma in developing countries. We aimed to characterize, measure, and explore the determinants of TB stigma among people with TB in Cambodia.

methodsWe conducted a mixed-methods study between February and August 2019 using a triangulation convergent design-a cross-sectional survey (

resultsA total of 56% and 51% of participants experienced self-stigma and perceived stigma by the community, respectively. We found rural dwellers, knowledge of how TB is transmitted, and knowledge that anybody can get TB were associated with higher levels of self-stigma and perceived stigma by the community. Higher scores on knowledge of TB symptoms were inversely associated with both self-stigma and community stigma. Thematic analyses revealed accounts of experienced stigma, acts of intentional distancing and hiding TB diagnosis from others, and feelings of embarrassment and shame.

conclusionsTuberculosis stigma was prevalent, suggesting a need for the incorporation of stigma-reduction strategies in the national TB responses. These strategies should be contextualized and developed through community engagement. Future research should continue to measure the levels and dimensions of TB stigma among people with TB through behavioral surveillance using standardized tools.

Indexed as

communitydiscriminationself-perceivedstigmatuberculosis

Identifiers

PMID33134412
PMCPMC7585330
OpenAlexW3093583398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.