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Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review

Stigma is a critical barrier for TB care delivery; yet data on stigma reduction interventions is limited. This review maps the available literature on TB stigma reduction interventions, using the Health Stigma and Discrimination framework and an implementation analysis to identify research gaps and...

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Autores principales: Foster, Isabel, Galloway, Michelle, Human, Wieda, Anthony, Michaile, Myburgh, Hanlie, Vanqa, Nosivuyile, Wademan, Dillon T., Makanda, Goodman, Tisile, Phumeza, Schoeman, Ingrid, Hoddinott, Graeme, Nathavitharana, Ruvandhi R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022226/
https://www.ncbi.nlm.nih.gov/pubmed/36962638
http://dx.doi.org/10.1371/journal.pgph.0000989
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author Foster, Isabel
Galloway, Michelle
Human, Wieda
Anthony, Michaile
Myburgh, Hanlie
Vanqa, Nosivuyile
Wademan, Dillon T.
Makanda, Goodman
Tisile, Phumeza
Schoeman, Ingrid
Hoddinott, Graeme
Nathavitharana, Ruvandhi R.
author_facet Foster, Isabel
Galloway, Michelle
Human, Wieda
Anthony, Michaile
Myburgh, Hanlie
Vanqa, Nosivuyile
Wademan, Dillon T.
Makanda, Goodman
Tisile, Phumeza
Schoeman, Ingrid
Hoddinott, Graeme
Nathavitharana, Ruvandhi R.
author_sort Foster, Isabel
collection PubMed
description Stigma is a critical barrier for TB care delivery; yet data on stigma reduction interventions is limited. This review maps the available literature on TB stigma reduction interventions, using the Health Stigma and Discrimination framework and an implementation analysis to identify research gaps and inform intervention design. Using search terms for TB and stigma, we systematically searched PubMed, EMBASE and Web of Science. Two independent reviewers screened all abstracts, full-texts, extracted data, conducted a quality assessment, and assessed implementation. Results were categorized by socio-ecological level, then sub-categorized by the stigma driver or manifestation targeted. After screening 1865 articles, we extracted data from nine. Three studies were implemented at the individual and interpersonal level using a combination of TB clubs and interpersonal support to target internal and anticipated stigma among persons with TB. Two studies were implemented at the interpersonal level using counselling or a video based informational tool delivered to households to reduce stigma drivers and manifestations. Three studies were implemented at the organizational level, targeting drivers of stigma among healthcare workers (HW) and enacted stigma among HWs. One study was implemented at the community level using an educational campaign for community members. Stakeholder consultation emphasized the importance of policy level interventions and education on the universality of risk to destigmatize TB. Review findings suggest that internal and anticipated TB stigma may be addressed effectively with interventions targeted towards individuals using counselling or support groups. In contrast, enacted TB stigma may be better addressed with information-based interventions implemented at the organizational or community level. Policy level interventions were absent but identified as critical by stakeholders. Implementation barriers included the lack of high-quality training and integration with mental health services. Three key gaps must be addressed in future research: consistent stigma definitions, standardized stigma measurement, and measurement of implementation outcomes.
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spelling pubmed-100222262023-03-17 Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review Foster, Isabel Galloway, Michelle Human, Wieda Anthony, Michaile Myburgh, Hanlie Vanqa, Nosivuyile Wademan, Dillon T. Makanda, Goodman Tisile, Phumeza Schoeman, Ingrid Hoddinott, Graeme Nathavitharana, Ruvandhi R. PLOS Glob Public Health Research Article Stigma is a critical barrier for TB care delivery; yet data on stigma reduction interventions is limited. This review maps the available literature on TB stigma reduction interventions, using the Health Stigma and Discrimination framework and an implementation analysis to identify research gaps and inform intervention design. Using search terms for TB and stigma, we systematically searched PubMed, EMBASE and Web of Science. Two independent reviewers screened all abstracts, full-texts, extracted data, conducted a quality assessment, and assessed implementation. Results were categorized by socio-ecological level, then sub-categorized by the stigma driver or manifestation targeted. After screening 1865 articles, we extracted data from nine. Three studies were implemented at the individual and interpersonal level using a combination of TB clubs and interpersonal support to target internal and anticipated stigma among persons with TB. Two studies were implemented at the interpersonal level using counselling or a video based informational tool delivered to households to reduce stigma drivers and manifestations. Three studies were implemented at the organizational level, targeting drivers of stigma among healthcare workers (HW) and enacted stigma among HWs. One study was implemented at the community level using an educational campaign for community members. Stakeholder consultation emphasized the importance of policy level interventions and education on the universality of risk to destigmatize TB. Review findings suggest that internal and anticipated TB stigma may be addressed effectively with interventions targeted towards individuals using counselling or support groups. In contrast, enacted TB stigma may be better addressed with information-based interventions implemented at the organizational or community level. Policy level interventions were absent but identified as critical by stakeholders. Implementation barriers included the lack of high-quality training and integration with mental health services. Three key gaps must be addressed in future research: consistent stigma definitions, standardized stigma measurement, and measurement of implementation outcomes. Public Library of Science 2022-10-19 /pmc/articles/PMC10022226/ /pubmed/36962638 http://dx.doi.org/10.1371/journal.pgph.0000989 Text en © 2022 Foster 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
Foster, Isabel
Galloway, Michelle
Human, Wieda
Anthony, Michaile
Myburgh, Hanlie
Vanqa, Nosivuyile
Wademan, Dillon T.
Makanda, Goodman
Tisile, Phumeza
Schoeman, Ingrid
Hoddinott, Graeme
Nathavitharana, Ruvandhi R.
Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title_full Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title_fullStr Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title_full_unstemmed Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title_short Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review
title_sort analysing interventions designed to reduce tuberculosis-related stigma: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022226/
https://www.ncbi.nlm.nih.gov/pubmed/36962638
http://dx.doi.org/10.1371/journal.pgph.0000989
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