The Impact of Stigma on Medication Compliance for Tuberculosis Patients at the Health Center in Bandar Lampung City
DOI:
https://doi.org/10.31965/infokes.Vol21.Iss3.1068Keywords:
Tuberculosis, Stigma, Compliance with MedicationAbstract
Tuberculosis, a lethal infectious illness, is known as the ninth leading cause of mortality worldwide. Self-stigma might emerge from the social stigma that Tuberculosis patients experience in their social environment. Stigma is triggered by five factors: self-isolation, supportive views, discrimination experiences, social withdrawal, and stigma resistance. The purpose of this study was to see how Tuberculosis stigma affected medication adherence at Bandar Lampung City Health Center. This study is a quantitative study employing a case-control technique. The simple random sampling technique was utilized with a total sampling of up to 54 respondents who fulfilled the inclusion criteria. Data collection through the completion of the questionnaire. A bivariate chi-square test and a multivariate logical regression test were utilized to analyze the data. The findings indicated age, sex, marital status, education, occupation, self-isolation, views of support, experience of discrimination, social withdrawal, and rejection Stigma: p-value of self-isolation = 0.000, views of support = 0.000, experience of discrimination = 0.007, social withdrawal = 0.001, resistance to stigma = 0.000. The value of the logistic regression equation is Y = a + b1 X + b2 X + b3 X. This study concludes that stigma resistance is the most influential factor impacting medication adherence. This study suggests that tuberculosis sufferers do not withdraw, may contribute to society, socialize more, get along conveniently, and overcome stigma by thinking positively.
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References
Arininta, N. (2019). Effects of Social and Self Stigma on Adolescent Tuberculosis Patients. Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer), 2(1), 43-45. https://doi.org/10.22146/rpcpe.44474
Arafa, Y. G. (2022). Relationship of Nurse’s Knowledge About Schizophrenia With The Care Of Schhizoprenia Patients In The Regional General Services Agency of Aceh Mental Hospital Banda Aceh. Journal of Midwifery and Nursing, 4(1), 7-12. https://doi.org/10.35335/jmn.v4i1.1712
Courtwright, A., & Turner, A. N. (2010). Tuberculosis and stigmatization: pathways and interventions. Public health reports, 125(4_suppl), 34-42. https://doi.org/10.1177/00333549101250S407
Dinas Kesehatan Kota Bandar Lampung. (2014). Profil Kesehatan Kota Bandar Lampung Tahun 2014. Dinas Kesehatan Kota Bandar Lampung.
Dinas Kesehatan Provinsi Lampung. (2015). Profil kesehatan Provinsi Lampung tahun 2015. Dinas Kesehatan Provinsi Lampung.
Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementerian Kesehatan Republik Indonesia. (2014). Pedoman Nasional Pengendalian Tuberkulosis. Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Kementerian Kesehatan Republik Indonesia.
Endria, V. (2019). Depresi Dan Stigma Tb Dengan Kualitas Hidup Pasien Tuberkulosis Paru. Jurnal Riset Kesehatan Nasional, 3(1), 21-28. https://doi.org/10.37294/jrkn.v3i1.151
Freeman, J., Gorst, T., Gunn, H., & Robens, S. (2020). “A non-person to the rest of the world”: experiences of social isolation amongst severely impaired people with multiple sclerosis. Disability and rehabilitation, 42(16), 2295-2303. https://doi.org/10.1080/09638288.2018.1557267
Hammarlund, R., Crapanzano, K. A., Luce, L., Mulligan, L., & Ward, K. M. (2018). Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug-and alcohol-use disorders. Substance abuse and rehabilitation, 115-136. https://doi.org/10.2147/SAR.S183256
Herawati, C., Abdurakhman, R. N., & Rundamintasih, N. (2020). Peran dukungan keluarga, petugas kesehatan dan perceived stigma dalam meningkatkan kepatuhan minum obat pada penderita tuberculosis paru. Jurnal Kesehatan Masyarakat Indonesia, 15(1), 19-23. https://doi.org/10.26714/jkmi.15.1.2020.19-23
Iribarren, S. J., Wallingford, J., Schnall, R., & Demiris, G. (2020). Converting and expanding mobile support tools for tuberculosis treatment support: Design recommendations from domain and design experts. Journal of Biomedical Informatics, 112, 100066. https://doi.org/10.1016/j.yjbinx.2019.100066
Kementerian Kesehatan Republik Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia No 67 tahun 2016 - Tentang Penanggulangan Tuberkulosis. Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional Riset Kesehatan Dasar 2018. Kementerian Kesehatan Republik Indonesia.
Kipp, A. M., Audet, C. M., Earnshaw, V. A., Owens, J., McGowan, C. C., & Wallston, K. A. (2015). Re-validation of the Van Rie HIV/AIDS-related stigma scale for use with people living with HIV in the United States. PLoS One, 10(3), e0118836. https://doi.org/10.1371/journal.pone.0118836
Kwaghe, A. V., Ilesanmi, O. S., Amede, P. O., Okediran, J. O., Utulu, R., & Balogun, M. S. (2021). Stigmatization, psychological and emotional trauma among frontline health care workers treated for COVID-19 in Lagos State, Nigeria: a qualitative study. BMC Health Services Research, 21(1), 855. https://doi.org/10.1186/s12913-021-06835-0
Lee, L. Y., Tung, H. H., Chen, S. C., & Fu, C. H. (2017). Perceived stigma and depression in initially diagnosed pulmonary tuberculosis patients. Journal of clinical nursing, 26(23-24), 4813-4821. https://doi.org/10.1111/jocn.13837
Moya, E. M., & Lusk, M. W. (2013). Tuberculosis stigma and perceptions in the US-Mexico border. Salud pública de México, 55(suppl 4), s498-s507. https://doi.org/10.21149/spm.v55s4.5155
Mathew, A. S., & Takalkar, A. M. (2007). Living with tuberculosis: the myths and the stigma from the Indian perspective. Clinical infectious diseases, 45(9), 1247-1247. https://doi.org/10.1086/522312
Minarni, L., & Sudagijono, J. S. (2015). Dukungan keluarga terhadap perilaku minum obat pada pasien skizofrenia yang sedang rawat jalan. EXPERIENTIA: Jurnal Psikologi Indonesia, 3(2), 13-22. https://doi.org/10.33508/exp.v3i2.904
Oladimeji, O., Tsoka-Gwegweni, J. M., Adeyinka, D. A., Makola, L., Mitonga, K. H., Udoh, E. E., & Hazangwe, P. (2018). Knowledge, attitude and perception of tuberculosis management among tuberculosis-infected patients in resource constraint setting: field experience from Oyo state, South-West, Nigeria. International Journal of Community Medicine and Public Health, 5(5), 1694.
Osamor, P. E., & Owumi, B. E. (2011). Factors Associated with Treatment Compliance In Hypertension In Southwest Nigeria. Journal of Health, Population, and Nutrition, 29(6), 619. https://doi.org/10.3329/jhpn.v29i6.9899
Pare, A. L., Amiruddin, R., & Leida, I. (2012). Hubungan antara pekerjaan, PMO, pelayanan kesehatan, dukungan keluarga dan diskriminasi dengan perilaku berobat pasien TB paru. Journal Infectious Diseases, 14(6), 60-68.
Prasetyo, F. A., & Gunawijaya, J. (2017). Manfaat Kelompok Dukungan bagi Orang dengan Schizophrenia untuk Meningkatkan Pengendalian Diri: Studi Kasus pada Komunitas Peduli Schizophrenia Indonesia (KPSI) Jakarta. Jurnal Sosio Konsepsia, 6(3), 221-234.
Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry research, 121(1), 31-49. https://doi.org/10.1016/j.psychres.2003.08.008
Riyanto, A. (2011). Application of Health Research Methodology. Yogyakarta: Nuha Medika.
Saraswati, R., Hasanah, N., & Al Ummah, M. B. (2016). Konsep Diri Penderita TB Paru Di RS PKU Muhammadiyah Gombong. Jurnal Ilmiah Kesehatan Keperawatan, 12(2), 91-101. https://doi.org/10.26753/jikk.v12i2.155
Sari, Y. (2018). Gambaran Stigma Diri Klien Tuberkulosis Paru (Tb Paru) Yang Menjalani Pengobatan Di Puskesmas Malingping (Self Stigma Of Pulmonary Tuberculosis Among Patients Seeking). Media Ilmu Kesehatan, 7(1), 43-50. https://doi.org/10.30989/mik.v7i1.266
Septia, A., Rahmalia, S., & Sabrian, F. (2014). Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Penderita TB Paru. urnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau, 1(2), 1–10.
Somma, D., Thomas, B. E., Karim, F., Kemp, J., Arias, N., Auer, C., ... & Weiss, M. G. (2008). Gender and socio-cultural determinants of TB-related stigma in Bangladesh, India, Malawi and Colombia [Special section on gender and TB]. The International Journal of Tuberculosis and Lung Disease, 12(7), 856-866.
Unalan, D., Soyuer, F., Ceyhan, O., Basturk, M., & Ozturk, A. (2008). Is the quality of life different in patients with active and inactive tuberculosis. Indian J Tuberc, 55(3), 127-137.
Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia bulletin, 33(6), 1312-1318. https://doi.org/10.1093/schbul/sbl076
WHO. (2016). Global Tuberculosis Report 2016. World Health Organization.
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