Stigma as a barrier to the use of occupational health units for tuberculosis services in South Africa
OBJECTIVE: To investigate whether the perception of TB stigma among colleagues has a negative effect on the willingness to use OHUs for TB services.
DESIGN: In the Free State Province, South Africa, a representative sample of 804 HCWs from six hospitals were surveyed on workplace stigma as a predictor for the use of OHUs for TB services. Applying structural equation modelling, we also controlled for exogenous variables.
RESULTS: There was a significant negative relationship between the perception of stigmatising attitudes and behaviours among co-workers and the use of OHUs for TB screening (β −0.21, P = 0.000), treatment (β −0.16, P = 0.001) and isoniazid preventive therapy (β −0.17, P = 0.000).
CONCLUSION: The negative effect of TB stigma on OHU use among HCWs can impact upon their health and increase hospital costs. This needs to be addressed by interventions combating TB stigma among HCWs in the workplace.
Document Type: Research Article
Affiliations: 1: Department of Sociology and Centre for Longitudinal and Life Course Studies, University of Antwerp, Antwerp, Belgium 2: Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa
Publication date: November 1, 2017
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