Evidence map›Paper›PMID 36701386›Full record

Observational studyPloS one2023

A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai.

Karikalan Nagarajan, Malaisamy Muniyandi, Senthil Sellappan, Srimathi Karunanidhi, Keerthana Senthilkumar, Bharathidasan Palani, Lavanya Jeyabal, Rajendran Krishnan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Karikalan NagarajanDepartment of Social and Behavioral Research, ICMR-National Institute for Research in Tuberculosis, Chennai, India.
Malaisamy MuniyandiDepartment of Health Economics, ICMR-National Institute for Research in Tuberculosis, Chennai, India.ORCID 0000-0002-1209-4062
Senthil SellappanICMR-Regional Medical Research Centre, Port Blair, Andaman and the Nicobar Islands, India.
Srimathi KarunanidhiDepartment of Social and Behavioral Research, ICMR-National Institute for Research in Tuberculosis, Chennai, India.
Keerthana SenthilkumarDepartment of Social and Behavioral Research, ICMR-National Institute for Research in Tuberculosis, Chennai, India.
Bharathidasan PalaniDepartment of Statistics, ICMR-National Institute for Research in Tuberculosis, Chennai, India.
Lavanya JeyabalDistrict TB Office, National TB Elimination Programme, Chennai, India.
Rajendran KrishnanDepartment of Statistics (Epidemiology Unit), ICMR-National Institute for Research in Tuberculosis, Chennai, India.
National Institute of Research in Tuberculosis · INRegional Medical Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patients with their family and wider social network relations.

methodsThis prospective observational study was conducted in Chennai Corporation treatment units during 2019-2021. TB patients were recruited and followed-up from treatment initiation to completion. Information on disease disclosures made to different social members at different time points, and outcomes were collected and compared. Bivariate and multi variate analysis were used to identify the patients and contact characteristics predictive of TB disclosure status.

resultsA total of 466 TB patients were followed-up, who listed a total of 4039 family, extra familial and social network contacts of them. Maximum disclosures were made with family members (93%) and half of the relatives, occupational contacts and friendship contacts (44-58%) were disclosed within 15 days of treatment initiation. Incremental disclosures made during the 150-180 days of treatment were highest among neighbourhood contacts (12%), and was significantly different between treatment initiation and completion period. Middle aged TB patients (31 years and 46-55 years) were found less likely to disclose (AOR 0.56 and 0.46 respectively; p<0.05) and illiterates were found more likely to disclose their TB status (AOR 3.91; p<0.05). Post the disclosure, family contacts have mostly provided resource support (44.90%) and two third of all disclosed contacts have provided emotional support for TB patients (>71%).

conclusionFindings explain that family level disclosures were predominant and disclosures made to extra familial network contacts significantly increased during the latter part of treatment. Emotional support was predominantly received by TB patients from all their contacts post disclosure. Findings could inform in developing interventions to facilitate disclosure of disease status in a beneficial way for TB patients.

Indexed as

DisclosureTuberculosisContact TracingFamilyHumansIndiaMiddle AgedProspective Studies

Identifiers

PMID36701386
PMCPMC9879515
OpenAlexW4318142192

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.