Cargando…

Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam

Stigma and isolation are common in people with tuberculosis (TB). Social isolation contributes to reduced health outcomes and TB treatment adherence. Stigma and the drivers of isolation in people with Drug-Resistant (DR)-TB may include modifiable advice and practices of family and Health Care Worker...

Descripción completa

Detalles Bibliográficos
Autores principales: Redwood, Lisa, Fox, Greg J., Nguyen, Thu Anh, Bernarys, Sarah, Mason, Paul, Vu, Van Anh, Nguyen, Viet Nhung, Mitchell, Ellen M. H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021913/
https://www.ncbi.nlm.nih.gov/pubmed/36962771
http://dx.doi.org/10.1371/journal.pgph.0000681
_version_ 1784908610919202816
author Redwood, Lisa
Fox, Greg J.
Nguyen, Thu Anh
Bernarys, Sarah
Mason, Paul
Vu, Van Anh
Nguyen, Viet Nhung
Mitchell, Ellen M. H.
author_facet Redwood, Lisa
Fox, Greg J.
Nguyen, Thu Anh
Bernarys, Sarah
Mason, Paul
Vu, Van Anh
Nguyen, Viet Nhung
Mitchell, Ellen M. H.
author_sort Redwood, Lisa
collection PubMed
description Stigma and isolation are common in people with tuberculosis (TB). Social isolation contributes to reduced health outcomes and TB treatment adherence. Stigma and the drivers of isolation in people with Drug-Resistant (DR)-TB may include modifiable advice and practices of family and Health Care Workers (HCW). This study aimed to understand the drivers of isolation and stigma from the perspective of people with DR-TB in Vietnam. A greater understanding of stigma and isolation is important to identify and balance patients’ needs and disease transmission risk. In-depth interviews were conducted with 12 people with DR-TB and seven HCWs who care for people with DR-TB in two provinces in Vietnam. Interviews were audio-recorded, transcribed verbatim and translated to English. Data collection and analysis were conducted simultaneously. The data were then analysed using a thematic framework approach. Stigma and extended isolation were common experiences among people with DR-TB. To mitigate stigma, people with DR-TB used the local term ‘lao lực’ to describe their condition to others which is believed to be a less infectious and less stigmatising type of TB. This study identified that although HCW informed people with DR-TB of when they were no longer infectious and isolation was no longer required, their infection control advice was not always consistent. Despite knowing they were no longer infectious, most people with DR-TB continued to self-isolate to minimise the perceived repercussions of societal stigma, to protect their ‘thể diện’ (honour, prestige, reputation), and eliminate all risk of transmitting DR-TB to their family. This study identified three interconnected drivers of self-isolation in Vietnam, including fear of infecting others, fear of stigmatization, and to protect family reputation. TB control programmes need to better understand the social aspects of DR-TB to enable them to better support patients. Educating HCW to provide evidence-based infection control advice is vital.
format Online
Article
Text
id pubmed-10021913
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-100219132023-03-17 Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam Redwood, Lisa Fox, Greg J. Nguyen, Thu Anh Bernarys, Sarah Mason, Paul Vu, Van Anh Nguyen, Viet Nhung Mitchell, Ellen M. H. PLOS Glob Public Health Research Article Stigma and isolation are common in people with tuberculosis (TB). Social isolation contributes to reduced health outcomes and TB treatment adherence. Stigma and the drivers of isolation in people with Drug-Resistant (DR)-TB may include modifiable advice and practices of family and Health Care Workers (HCW). This study aimed to understand the drivers of isolation and stigma from the perspective of people with DR-TB in Vietnam. A greater understanding of stigma and isolation is important to identify and balance patients’ needs and disease transmission risk. In-depth interviews were conducted with 12 people with DR-TB and seven HCWs who care for people with DR-TB in two provinces in Vietnam. Interviews were audio-recorded, transcribed verbatim and translated to English. Data collection and analysis were conducted simultaneously. The data were then analysed using a thematic framework approach. Stigma and extended isolation were common experiences among people with DR-TB. To mitigate stigma, people with DR-TB used the local term ‘lao lực’ to describe their condition to others which is believed to be a less infectious and less stigmatising type of TB. This study identified that although HCW informed people with DR-TB of when they were no longer infectious and isolation was no longer required, their infection control advice was not always consistent. Despite knowing they were no longer infectious, most people with DR-TB continued to self-isolate to minimise the perceived repercussions of societal stigma, to protect their ‘thể diện’ (honour, prestige, reputation), and eliminate all risk of transmitting DR-TB to their family. This study identified three interconnected drivers of self-isolation in Vietnam, including fear of infecting others, fear of stigmatization, and to protect family reputation. TB control programmes need to better understand the social aspects of DR-TB to enable them to better support patients. Educating HCW to provide evidence-based infection control advice is vital. Public Library of Science 2022-06-22 /pmc/articles/PMC10021913/ /pubmed/36962771 http://dx.doi.org/10.1371/journal.pgph.0000681 Text en © 2022 Redwood et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Redwood, Lisa
Fox, Greg J.
Nguyen, Thu Anh
Bernarys, Sarah
Mason, Paul
Vu, Van Anh
Nguyen, Viet Nhung
Mitchell, Ellen M. H.
Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title_full Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title_fullStr Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title_full_unstemmed Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title_short Good citizens, perfect patients, and family reputation: Stigma and prolonged isolation in people with drug-resistant tuberculosis in Vietnam
title_sort good citizens, perfect patients, and family reputation: stigma and prolonged isolation in people with drug-resistant tuberculosis in vietnam
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021913/
https://www.ncbi.nlm.nih.gov/pubmed/36962771
http://dx.doi.org/10.1371/journal.pgph.0000681
work_keys_str_mv AT redwoodlisa goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT foxgregj goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT nguyenthuanh goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT bernaryssarah goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT masonpaul goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT vuvananh goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT nguyenvietnhung goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam
AT mitchellellenmh goodcitizensperfectpatientsandfamilyreputationstigmaandprolongedisolationinpeoplewithdrugresistanttuberculosisinvietnam