Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Concept Analysis of Self-stigma in Patients with Tuberculosis

결핵 환자의 자기 낙인(self-stigma)에 대한 개념 분석

  • Yeom, Seonmi (College of Nursing, Jeonbuk National University) ;
  • Kang, Jeong Hee (College of Nursing.Research Institute of Nursing Science, Jeonbuk National University) ;
  • Yang, Youngran (College of Nursing.Research Institute of Nursing Science, Jeonbuk National University)
  • 염선미 (전북대학교 간호대학) ;
  • 강정희 (전북대학교 간호대학.간호과학연구소) ;
  • 양영란 (전북대학교 간호대학.간호과학연구소)
  • Received : 2021.04.27
  • Accepted : 2021.07.13
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

Keywords

References

  1. WHO. Global tuberculosis report 2020 [Internet]. Geneva: World Health Organization; 2020 October 14 [cited 2021 January 15]. Available from: https://www.who.int/tb/publications/global_report/en/
  2. WHO. Tuberculosis Country Profiles [Internet]. Geneva: World Health Organization; 2019 [cited 2020 June 21]. Available from: https://www.who.int/tb/country/data/profiles/en/
  3. National Tuberculosis Controllers Association, Centers for Disease Control and Prevention. Guidelines for the investigation of contacts of persons with infectious tuberculosis: Recommendations from the National Tuberculosis Controllers Association and CDC. MMWR Recommendations and Reports. 2005;54(RR15):1-37.
  4. Bello SI, Itiola OA. Drug adherence amongst tuberculosis patients in the University of Ilorin Teaching Hospital, Ilorin, Nigeria. African Journal of Pharmacy and Pharmacology. 2010;4(3):109-114.
  5. Souza SDSD, Silva DMGVD, Meirelles BHS. Social representations of tuberculosis. Acta Paul Enferm. 2010;23(1):23-28. https://doi.org/10.1590/S0103-21002010000100004
  6. Goffman E. Stigma: Notes on management of spoiled identity. New York, NY: Simon & Schuster Inc; 1986. 147 p.
  7. Lee IO, Lee EO. Concept analysis of stigma. Journal of Muscle and Joint Health. 2006;13(1):53-66.
  8. Weiss MG, Ramakrishna J. Stigma interventions and research for international health. The Lancet. 2006;367(9509):536-538. https://doi.org/10.1016/S0140-6736(06)68189-0
  9. Corrigan P. How stigma interferes with mental health care. American Psychologist. 2004;59(7):614-625. https://doi.org/10.1037/0003-066X.59.7.614
  10. Mak WW, Mo PK, Cheung RY, Woo J, Cheung FM, Lee D. Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong. Social Science & Medicine. 2006;63(7):1912-1922. https://doi.org/10.1016/j.socscimed.2006.04.016
  11. Jeon KS, Choi KW, Jang KS. Influence of stigma and social support on depressive symptoms in hospitalized patients with pulmonary tuberculosis. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2017;26(4):344-352. https://doi.org/10.12934/jkpmhn.2017.26.4.344
  12. Yoo SW, Shin HC, Roh HS, Jo SE. A study on the stigma and the intention of disclosure of tuberculosis: Focused on health beliefs factors, emotion and knowledge's of effect and age group comparison. Advertising Research. 2014;103:214-262.
  13. Park CK, Shin HJ, Kim YI, Lim SC, Yoon JS, Kim YS, et al. Predictors of default from treatment for tuberculosis: A single center case-control study in Korea. Journal of Korean Medical Science. 2016;31(2):254-260. https://doi.org/10.3346/jkms.2016.31.2.254
  14. Kim SY, Chae DH, So HS, Yoo SH. Effect of knowledge and perception of tuberculosis on social stigma towards tuberculosis patients among Korean college students. Korean Journal of Health Education and Promotion. 2017;34(5):71-82. https://doi.org/10.14367/kjhep.2017.34.5.71
  15. Walker LO, Avant KC. Strategies for theory construction in nursing. 5th ed. Upper Saddle River, New Jersey: Prentice Hall; 2010. 256 p.
  16. Lee KM. New Korean dictionary. 5th ed. Seoul: Dong-A publishing corporation; 2019. 2836 p.
  17. Mayor M. (Ed.). Longman active study dictionary. 5th edition. Harlow, England: Pearson Longman; 2010. 1037 p.
  18. Moya EM, Biswas A, Chavez Baray SM, Martinez O, Lomeli B. Assessment of stigma associated with tuberculosis in Mexico. Public Health Action. 2014;4(4):226-232. https://doi.org/10.5588/pha.14.0065
  19. Cho KS. Tuberculosis control in the Republic of Korea. Health and Social Welfare Review. 2017;37(4):179-212. https://doi.org/10.15709/hswr.2017.37.4.179
  20. Lee YJ, Kim YS. Evaluation of tuberculosis campaign effectiveness in 2013 [Internet]. Cheongju: Korea Centers for Disease Control & Prevention; 2014 June 26 [cited 2021 August 21]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20602010000&bid=0034&list_no=27085&act=view
  21. Lee YJ, Lim JL. The effects of media campaign for TB prevention in Korea, 2012 [Internet]. Cheongju: Korea Centers for Disease Control & Prevention; 2013 May 10 [cited 2021 August 21]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20602010000&bid=0034&list_no=20861&act=view
  22. Bae ES, Yeum DM. Effect of a telephone-administered cognitive behavioral therapy for the management of depression, anxiety, and chronic illness anticipated stigma in Parkinson's disease. Korean Journal of Adult Nursing. 2015;27(2):223-232. https://doi.org/10.7475/kjan.2015.27.2.223
  23. Miller CT, Major B. Coping with stigma and prejudice. In: Heatherton TF, Kleck RE, Hebel MR, Hull JG, editors. The social psychology of stigma. New York: Guilford Press; 2000. p. 243-272.