Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana

by Joshua Amo-Adjei
BMC Public Health – Published: 25 November 2016

9 pp. 414 kB
http://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-016-3842-y?
site=bmcpublichealth.biomedcentral.com
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In tuberculosis (TB) control, early disclosure is recommended for the purposes of treatment as well as a means of reducing or preventing person-to-person transmission of the bacteria. However, disclosure maybe avoided as a means of escaping stigma, and possible discrimination. This study aimed at providing insights into factors associated with intentions of Ghanaians to keep positive TB diagnosis in their families’ a secret. The authors conclude that unwillingness towards disclosing TB status in Ghana is associated with varied socioeconomic and demographic characteristics, which may be driven by fears of stigma and discrimination. Addressing TB-related stigma and discrimination can enhance positive attitudes towards TB disclosure. For an infectious disease such as TB, openness towards status disclosure is important for public health.

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