Individual, household and community level factors associated with keeping tuberculosis status secret in Ghana |
Authors: |
Joshua Amo-Adjei |
Source: |
BMC Public Health, 16:1196; DOI: 10.1186/s12889-016-3842-y |
Topic(s): |
Tuberculosis
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Country: |
Africa
Ghana
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Published: |
NOV 2016 |
Abstract: |
Background
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.
Methods
The paper was based on data from the 2014 Ghana Demographic and Health Survey. Descriptive statistics of proportions with Chi-square test and binary logistic regression were used to identify individual, household and community level factors that predicted the outcome variable (keeping TB secret).
Results
Women were more inclined (33%) than men (25%) to keep TB in the family a secret. Views about keeping TB secret declined with age for both sexes. For women, higher education had a positive association with whether TB in the family would be kept a secret or not but the same was not observed for men. In a multivariable regression model, the strongest predictor of keeping TB secret was whether the respondent would keep HIV secret, and this was uniform among women (OR?=?6.992, p?0.001) and men (OR?=?9.870, p?0.001).
Conclusion
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.
Keywords: Tuberculosis status, Secret, Disclosure, Ghana |
Web: |
http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3842-y |
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