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Abstract

Tuberculosis (TB) infection in Indonesia has not been completely eradicated. It is challenging for those who suffer from TB to be away from self-stigma. This study aimed to determine the relationship between age factors, gender, and a history of comorbid diseases related to self-stigma. This was a cross sectional study using a Tuberculosis Stigma Assessment questionnaire. Total 50 respondents were obtained by purposive sampling technique. Inclusion criteria are TB patients or former patients aged 18 years to the elderly, male and female, without or having a history of comorbidities (HIV & DM). Quantitative-qualitative analysis, univariate and bivariate tests using Pearson Correlation and Chi Square were employed. Based on the Pearson correlation test there were no relationships between age and stigma, adolescent (p = 0.506), adult (p = 0.732), and elderly (p = 0.539),. Through Chi Square test, there was no relationship between the gender and stigma (p=0.520) . Likewise, a history of comorbid disease with TB stigma which p-value 0.537 did not show any relationship. Quantitatively, 78% of respondents were stigmatized, where respondents tend to be shy and not open about their TB status. There were 78% of respondents were stigmatized but no significant relationships between age, gender, and history of comorbid diseases on TB self-stigma.

References

  1. World Health Organtization (WHO). Global TB Report 2018. Paris : France.
  2. World Health Organtization (WHO). Global TB Report 2019. Paris : France.
  3. Alison J Gray, MRCPsych. Stigma In Psychiatry. Journal of The Royal Society of Medicine 2002; 95(2): 72– 76.
  4. Shaw, B. A., Krause, N., Liang, J. and Bennett, J. Tracking changes in social relations throughout late life. Journals of Gerontology: Psychological Sciences and Social Sciences 2011; 62B, 2, S90–9.
  5. Chen, et.al. Tuberculosis-related Stigma and It’s Determinants in Dalian, Northeast China: a crosssectional study. BMC Public Health 2021; 21(6).
  6. Yuyun, Y, Rini,S.H dan Aryastami.N.K. Faktor - Faktor Pendukung Kepatuhan Orang Dengan HIV/AIDS (Odha) Dalam Minum Obat Antiretroviral Di Kota Bandung Dan Cimahi. Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Litbangkes, Pusat Humaniora, Pemberdayaan Masyarakat dan Kebijakan Kesehatan, Badan Litbangkes Buletin Peneliti Kesehatan 2011; 42(2): 72 - 83 73. Bandung.
  7. World Health Organtization (WHO). Global TB Report 2014. Paris : France.
  8. Sari Yunita. Gambaran Stigma Diri Klien Tuberkulosis Paru (TB Paru) Yang Menjalani Pengobatan Di Puskesmas Malingping. Media Ilmu Kesehatan 2018; 7(1).
  9. Aryal S., Badhu, A., Pandey, S., Bhandari, A., Khatiwoda, P., Khatiwada, P., & Giri, A. Stigma related to Tuberculosis among patients attending DOTS clinics of Dharan Municipality. Kathmandu Univ Med J 2012;37(1)48-52.
  10. Neff, K. D., dan McGehee, P. Self-Compassion and Psychological Resilience Among Adolescent and Young Adults’. Self and Identity 2010.
  11. Bach & Szivos., S. E. Social comparison, stigma and mainstreaming: the self-esteem of young adults with a mild mental handicap. Mental Handicap Research 2010; 6(3): 217-236. DOI: 10.1111/j.1468-3148.1993.tb00054.x.
  12. Jahja. Pertumbuhan dan perkembangan remaja. Jakarta: Salemba Medika; 2010.
  13. Kathleen M Griffiths,Helen Christensen, Anthony F Jorm. Predictors of Depression Stigma. BMC Psychiatry 2008; 8(25).
  14. Widayatun TR. Behavioral science. Jakarta: CV. Sagung Seto. 1999.
  15. Eba Abdisa, Ginenus Fekadu, Shimelis Girma, Tesfaye Shibiru, Temesgen Tilahun, Habib Mohamed, Aaga Wakgari, Amsalu Takele, Milkias Abebe,Reta Tsegaye. Self-stigma and medication adherence among patients with mental illness treated at Jimma University Medical Center, Southwest Ethiopia. International Journal of Mental Health System 2020;14(56).
  16. Mirowsky, J., & Ross, C. E. Social causes of psychological distress. New York: Aldine de Gruyter 2003.
  17. Hsiu-Lan Cheng, Cixin Wang, Ryon C. McDermott, Matthew Kridel, Jamey Leeanne Rislin. Self-Stigma, Mental Health Literacy, and Attitudes Toward Seeking Psychological Help. Journal of Counseling and Development 2018; (96) : DOI: 10.1002/jcad.12178.
  18. Jing Teo,et.al. Characterizing and Measuring Tuberculosis Stigma in the Community: A Mixed-Methods Study in Cambodia. Open Forum Infectious Diseases 2020; 7(10)
  19. Oladele, et.al. A Comparative Study of Knowledge, Attitude, and Determinants of Tuberculosis-Associated Stigma in Rural and Urban Communities of Lagos State, Nigeria. Tuberculosis Research and Treatment 2020; doi: 10.1155/2020/1964759
  20. Mushtaq ,et.al. Urban-rural Inequities in Knowledge, Attitudes and Practices Regarding Tuberculosis in Two Districts of Pakistan's Punjab Province. International Journal of Equity in Health 2011; 8(4)
  21. Fischer, A. H., Rodriguez Mosquera, P. M., van Vianen, A. E. M., & Manstead, A. S. R. Gender and Culture Differences in Emotion. Emotion 2004; 4(1): 87–94. https://doi.org/10.1037/1528- 3542.4.1.87
  22. American Association of Diabetes Educator. AADE7 self-care behaviors 2014. Available at : https://www.diabeteseducator.org/pati entresources/ diakses pada 18 September 2019
  23. Abioye, et.al Socio-demographic determinants of stigma among patients with pulmonary tuberculosis in Lagos, Nigeria. African Health Science 2011, 11(1)
  24. Marian Botchway, PhD, MPH1, Rachel E. Davis, PhD, MPH2, Anwar T. Merchant, ScD,MPH, DMD, Lambert T. Appiah, MD4, Spencer Moore, PhD, MPH. Diabetes-Related Stigma And Its Influence On Social Networks, Social Support, And Hba1c In Ghana. Original Report:Stigma,Discrimination,Health Disparities 2021; 31(1):57-66. DOI:10.18865/ed.31.1.57
  25. Cremers,et.al. Assessing the Consequences of Stigma for Tuberculosis Patients in Urban Zambia. PLoS ONE 2015; 10(3): e0119861.
  26. Helper Sahat P. Manalu. Faktor-Faktor Yang Mempengaruhi Kejadian Tb Paru Dan Upaya Penanggulangannya. Jurnal Ekologi Kesehatan 2010; 9(4).
  27. Courtwright, A., & Turner, A. N. Tuberculosis and Stigmatization:Pathways and Interventions. Public Health Reports 2010; 125(Suppl 4), 34±42.
  28. Muhardiani, Mardjan, Abrori. Hubungan Antara Dukungan Keluarga, Motivasi Dan Stigma Lingkungan Dengan Proses Kepatuhan Berobat Terhadap Penderita Tb Paru Di Wilayah Kerja Puskesmas Gang Sehat. Jurnal Mahasiswa dan Peneliti Kesehatan 2015; 2(3).
  29. E A Dodor. The Feelings and Experiences of Patients with Tuberculosis in the Sekondi-Takoradi Metropolitan District: Implications for TB Control Efforts. Ghana Medical Journal 2012; 46(4): 211–218.
  30. Dedeh Husnaniyah, Mamat Lukman, Raini Diah Susanti. Faktor-Faktor Yang Berpengaruh Terhadap Harga Diri (Self Esteem) Penderita Tuberkulosis Paru Di Wilayah Eks Kawedanan Indramayu. The Indonesian Journal of Health Science 2017; 9(1).

Bahasa Abstract

Infeksi Tuberkulosis (TBC) di Indonesia belum tereradikasi sempurna. Penderita TBC seringkali sulit terlepas dari self-stigma. Penelitian ini bertujuan untuk mengetahui hubungan faktor usia (remaja, dewasa, dan lansia), jenis kelamin, dan riwayat penyakit komorbid dalam memengaruhi self-stigma. Penelitian cross sectional study menggunakan kuisioner Tuberculosis Stigma Assessment. Sebanyak 50 responden didapatkan dengan teknik purpossive sampling. Kriteria inklusi penderita atau mantan TBC usia 18 tahun hingga lansia, pria dan wanita, serta tanpa komorbid atau memiliki riwayat komorbid (HIV & DM). Dilakukan analisa kuantitatif – kualitatif, uji Univariat serta Bivariate dengan teknik Pearson Korelasi dan Chi Square. Berdasarkan uji korelasi pearson tidak terdapat hubungan antara usia dengan stigma, usia remaja (p= 0,506), usia dewasa (p=0,732), dan lansia (p=0,539). Melalui uji Chi Square tidak ada hubungan antara jenis kelamin dengan stigma (p-value 0.520). Begitu pula riwayat penyakit komorbid dengan stigma TB dengan p-value 0.537 juga tidak menunjukkan hubungan. Secara kuantitatif sebanyak 78% responden terstigma, dimana responden cenderung malu dan tidak terbuka tentang status TBCnya. Terdapat 78% responden terstigma namun tidak terdapat hubungan signifikan antara faktor usia, jenis kelamin, dan riwayat penyakit komorbid terhadap self-stigma TBC. Kata kunci: Self-stigma; TBC; usia; jenis kelamin; penyakit komorbi

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