Advanced search
1 file | 829.77 KB Add to list

Unpacking the dynamics of double stigma : how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers

Author
Organization
Abstract
Background HIV and tuberculosis (TB) are intricably interlinked in South Africa. The social aspects of this co-epidemic remain relatively unexplored. More specifically, no research has quantitatively explored the double stigma associated with HIV and TB in this context, and more specifically the impact of the co-epidemic on [1] the stigmatisation of TB and [2] the TB stigma mangement strategy of covering (i.e. the use of TB as a cover for having HIV). The current study aims to address this research gap by disentangling the complex mechanisms related to HIV-TB stigma. Methods Using Structural Equation Modelling (SEM), data of 882 health care workers (HCWs) in the Free State province, South Africa, are analysed to investigate the link between the stigmatization of HIV and TB and the stigma management by those affected. The current study focuses on health care workers (HCWs), as both TB and HIV have a severe impact on this professional group. Results The results demonstrate that the perceived link between the epidemics is significantly associated with double HIV-TB stigmatization. Furthermore, the link between the illnesses and the double stigma are driving the stigmatization of TB. Finally, the link between HIV and TB as well as the stigmatization of both diseases by colleagues are associated with an increased use of covering as a stigma management strategy. Conclusions This is the first quantitative study disentagling the mediating role of double stigma in the context of the co-epidemic as well as the impact of the co-epidemic on the social connotations of TB. The results stress the need for an integrated approach in the fight against HIV and TB recognizing the intertwined nature of the co-epidemic, not only in medical-clinical terms, but also in its social consequences.
Keywords
Infectious Diseases, Tuberculosis, HIV/AIDS, Co-epidemic, Stigma, double stigma, Health care workers, Structural equation modeling, South Africa, DRUG-RESISTANT TUBERCULOSIS, FREE STATE PROVINCE, QUALITY-OF-LIFE, SOUTH-AFRICA, ADHERENCE, ASSOCIATION, HIV/AIDS, PROGRAM, REDUCE

Downloads

  • 2020 Wouters et al 2020 Unpacking the dynamics of double stigma.pdf
    • full text (Published version)
    • |
    • open access
    • |
    • PDF
    • |
    • 829.77 KB

Citation

Please use this url to cite or link to this publication:

MLA
Wouters, Edwin, et al. “Unpacking the Dynamics of Double Stigma : How the HIV-TB Co-Epidemic Alters TB Stigma and Its Management among Healthcare Workers.” BMC INFECTIOUS DISEASES, vol. 20, no. 1, 2020, doi:10.1186/s12879-020-4816-3.
APA
Wouters, E., Sommerland, N., Masquillier, C., Rau, A., Engelbrecht, M., Van Rensburg, A. J., … Van Damme, W. (2020). Unpacking the dynamics of double stigma : how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers. BMC INFECTIOUS DISEASES, 20(1). https://doi.org/10.1186/s12879-020-4816-3
Chicago author-date
Wouters, Edwin, Nina Sommerland, Caroline Masquillier, Asta Rau, Michelle Engelbrecht, André Janse Van Rensburg, Gladys Kigozi, Koen Ponnet, and Wim Van Damme. 2020. “Unpacking the Dynamics of Double Stigma : How the HIV-TB Co-Epidemic Alters TB Stigma and Its Management among Healthcare Workers.” BMC INFECTIOUS DISEASES 20 (1). https://doi.org/10.1186/s12879-020-4816-3.
Chicago author-date (all authors)
Wouters, Edwin, Nina Sommerland, Caroline Masquillier, Asta Rau, Michelle Engelbrecht, André Janse Van Rensburg, Gladys Kigozi, Koen Ponnet, and Wim Van Damme. 2020. “Unpacking the Dynamics of Double Stigma : How the HIV-TB Co-Epidemic Alters TB Stigma and Its Management among Healthcare Workers.” BMC INFECTIOUS DISEASES 20 (1). doi:10.1186/s12879-020-4816-3.
Vancouver
1.
Wouters E, Sommerland N, Masquillier C, Rau A, Engelbrecht M, Van Rensburg AJ, et al. Unpacking the dynamics of double stigma : how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers. BMC INFECTIOUS DISEASES. 2020;20(1).
IEEE
[1]
E. Wouters et al., “Unpacking the dynamics of double stigma : how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers,” BMC INFECTIOUS DISEASES, vol. 20, no. 1, 2020.
@article{8647269,
  abstract     = {Background HIV and tuberculosis (TB) are intricably interlinked in South Africa. The social aspects of this co-epidemic remain relatively unexplored. More specifically, no research has quantitatively explored the double stigma associated with HIV and TB in this context, and more specifically the impact of the co-epidemic on [1] the stigmatisation of TB and [2] the TB stigma mangement strategy of covering (i.e. the use of TB as a cover for having HIV). The current study aims to address this research gap by disentangling the complex mechanisms related to HIV-TB stigma. Methods Using Structural Equation Modelling (SEM), data of 882 health care workers (HCWs) in the Free State province, South Africa, are analysed to investigate the link between the stigmatization of HIV and TB and the stigma management by those affected. The current study focuses on health care workers (HCWs), as both TB and HIV have a severe impact on this professional group. Results The results demonstrate that the perceived link between the epidemics is significantly associated with double HIV-TB stigmatization. Furthermore, the link between the illnesses and the double stigma are driving the stigmatization of TB. Finally, the link between HIV and TB as well as the stigmatization of both diseases by colleagues are associated with an increased use of covering as a stigma management strategy. Conclusions This is the first quantitative study disentagling the mediating role of double stigma in the context of the co-epidemic as well as the impact of the co-epidemic on the social connotations of TB. The results stress the need for an integrated approach in the fight against HIV and TB recognizing the intertwined nature of the co-epidemic, not only in medical-clinical terms, but also in its social consequences.},
  articleno    = {106},
  author       = {Wouters, Edwin and Sommerland, Nina and Masquillier, Caroline and Rau, Asta and Engelbrecht, Michelle and Van Rensburg, André Janse and Kigozi, Gladys and Ponnet, Koen and Van Damme, Wim},
  issn         = {1471-2334},
  journal      = {BMC INFECTIOUS DISEASES},
  keywords     = {Infectious Diseases,Tuberculosis,HIV/AIDS,Co-epidemic,Stigma,double stigma,Health care workers,Structural equation modeling,South Africa,DRUG-RESISTANT TUBERCULOSIS,FREE STATE PROVINCE,QUALITY-OF-LIFE,SOUTH-AFRICA,ADHERENCE,ASSOCIATION,HIV/AIDS,PROGRAM,REDUCE},
  language     = {eng},
  number       = {1},
  pages        = {12},
  title        = {Unpacking the dynamics of double stigma : how the HIV-TB co-epidemic alters TB stigma and its management among healthcare workers},
  url          = {http://dx.doi.org/10.1186/s12879-020-4816-3},
  volume       = {20},
  year         = {2020},
}

Altmetric
View in Altmetric
Web of Science
Times cited: