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Tuberculosis stigma in Gezira State, Sudan: a case-control study
M M Ahmed Suleiman1, N Sahal, M Sodemann
1Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark. msuleiman@health.sdu.dk
Summary
Tuberculosis (TB) stigma was mild in Gezira State, Sudan, affecting both patients and controls. Higher stigma correlated with age, lower education, rural residence, unemployment, and poor TB awareness.
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Tuberculosis (TB) remains a significant global health challenge.
- Stigma associated with TB can impede control efforts and impact patient well-being.
- Understanding the prevalence and correlates of TB stigma is crucial for targeted interventions.
Purpose of the Study:
- To assess the prevalence of tuberculosis stigma in Gezira State, Sudan.
- To identify socio-demographic factors associated with TB stigma among TB patients and controls.
Main Methods:
- A case-control study was conducted with new smear-positive TB patients (n=425) and controls (n<850).
- Data on stigma was collected using a modified World Health Organization TB KAP instrument.
- Statistical analysis examined associations between socio-demographic characteristics and stigma levels.
Main Results:
- TB stigma levels were similar and mild in both TB cases and control groups.
- Increased stigma was significantly linked to higher age, lower education, rural living, unemployment, and limited TB knowledge.
- No significant association was found between sex and the degree of stigma.
Conclusions:
- Despite mild TB stigma in Gezira, it poses a risk to treatment adherence.
- Educational programs to increase knowledge among patients and communities are vital for TB control.
- Empowering the population through education can effectively combat TB stigma and improve outcomes.
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