Social Impact of Stigma Regarding Tuberculosis Hindering Adherence to Treatment: A Cross Sectional Study Involving Tuberculosis Patients in Rajshahi City, Bangladesh

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  • Chowdhury Md Rocky Khan
    Department of Population Science and Human Resource Development, University of Rajshahi Department of Public Health, First Capital University of Bangladesh
  • Rahman Md Shafiur
    Department of Public Health, First Capital University of Bangladesh
  • Mondal Md Nazrul Islam
    Department of Population Science and Human Resource Development, University of Rajshahi
  • Sayem Abu
    Divisional Consultant, Rajshahi Division, National Tuberculosis Control Program (NTP), Directorate General of Health Service (DGHS)
  • Billah Baki
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University

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Stigma, considered a social disease, is more apparent in developing societies which are driven by various social affairs, and influences adherence to treatment. The aim of the present study was to examine levels of social stigma related to tuberculosis (TB) in sociodemographic context and identify the effects of sociodemographic factors on stigma. The study sample consisted of 372 TB patients. Data were collected using stratified sampling with simple random sampling techniques. T tests, chi-square tests, and binary logistic regression analysis were performed to examine correlations between stigma and sociodemographic variables. Approximately 85.9% of patients had experienced stigma. The most frequent indicator of the stigma experienced by patients involved problems taking part in social programs (79.5%). Mean levels of stigma were significantly higher in women (55.5%), illiterate individuals (60.8%), and villagers (60.8%) relative to those of other groups. Chi-square tests revealed that education, monthly family income, and type of patient (pulmonary and extrapulmonary) were significantly associated with stigma. Binary logistic regression analysis demonstrated that stigma was influenced by sex, education, and type of patient. Stigma is one of the most important barriers to treatment adherence. Therefore, in interventions that aim to reduce stigma, strong collaboration between various institutions is essential.

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