A study on tuberculosis disease disclosure patterns and its associated factors: Findings from a prospective observational study in Chennai

Disclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patients with their family and wider...

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Veröffentlicht in:PloS one 2023-01, Vol.18 (1), p.e0280812-e0280812
Hauptverfasser: Nagarajan, Karikalan, Muniyandi, Malaisamy, Sellappan, Senthil, Karunanidhi, Srimathi, Senthilkumar, Keerthana, Palani, Bharathidasan, Jeyabal, Lavanya, Krishnan, Rajendran
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Sprache:eng
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Zusammenfassung:Disclosure of tuberculosis (TB) status by patients is a critical step in their treatment cascade of care. There is a lack of systematic assessment of TB disclosure patterns and its positive outcomes which happens dynamically over the disease period of individual patients with their family and wider social network relations. This prospective observational study was conducted in Chennai Corporation treatment units during 2019-2021. TB patients were recruited and followed-up from treatment initiation to completion. Information on disease disclosures made to different social members at different time points, and outcomes were collected and compared. Bivariate and multi variate analysis were used to identify the patients and contact characteristics predictive of TB disclosure status. A total of 466 TB patients were followed-up, who listed a total of 4039 family, extra familial and social network contacts of them. Maximum disclosures were made with family members (93%) and half of the relatives, occupational contacts and friendship contacts (44-58%) were disclosed within 15 days of treatment initiation. Incremental disclosures made during the 150-180 days of treatment were highest among neighbourhood contacts (12%), and was significantly different between treatment initiation and completion period. Middle aged TB patients (31 years and 46-55 years) were found less likely to disclose (AOR 0.56 and 0.46 respectively; p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0280812