Health literacy and TB-related stigma among nurses in Jayapura, Papua: A cross-sectional study
DOI: https://doi.org/10.33024/minh.v8i1.658
Health Literacy Nurse Stigma Tuberculosis
Abstract
Background: Tuberculosis (TB) remains a significant global and national health concern. In Papua, the TB treatment success rate has yet to reach national targets. One of the key barriers to achieving this goal is the stigma surrounding TB patients.
Purpose: To identify the relationship between TB-related health literacy and nurse stigma at Abepura Regional Hospital.
Method: A quantitative correlational study was carried out between April and June 2024, involving 125 purposively selected nurses from Abepura Regional Hospital. Data collection was conducted using a TB literacy questionnaire and a TB-Related Stigma questionnaire. The data were analyzed using univariate analysis and the Chi-square test.
Results: Most respondents were female, non-Papuan, in early or late adulthood, held a bachelor's degree, and had 5-20 years of work experience. The majority were civil servants without prior TB-related training and were assigned to the Emergency and Pulmonary Rooms. While most respondents demonstrated good TB-related literacy, nearly 40% exhibited stigma toward TB patients. No significant correlation was found between TB health literacy and nurses' stigma.
Conclusion: Despite possessing sufficient TB knowledge, nurses still exhibited a high level of stigma toward TB patients. Enhancing awareness and understanding among nurses and the community is essential through health promotion initiatives and strengthening the role of community and religious leaders.
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References
Adeoye, B. D., Michael, T. O., & Agbana, R. D. (2024). Insights, beliefs, and myths surrounding tuberculosis among pulmonary patients with delayed healthcare access in a high-burden TB state in Nigeria–a qualitative inquiry. Frontiers in sociology, 9, 1378586.
Ali, M. A., Gupta, V., Addanki, R. N. D., Mannava, A. S., & Parashar, K. D. (2024). A cross-sectional study to assess stigma associated with tuberculosis in patients, family members, and health care staff in central India. Indian Journal of Tuberculosis, 71, S237-S244.
Anggraeni, N., Nuryastuti, T., & Nurrochmad, A. (2024). Gambaran Pengobatan Terapi Obat Antituberkulosis (OAT) Pada Pasien TB Koinfeksi HIV Di RSUD Abepura Jayapura Papua. Majalah Farmaseutik, 20(1).
Baskaran, L., Vasudevan, K., & Anandaraj. (2023). Prevalence of Stigma Among TB Patients and Its Associated Factors-A Community Based Cross-Sectional Study in Puducherry, India. National Journal of Community Medicine, 14(06), 379-385.
British Red Cross. (2020). A guide to preventing and addressing social stigma associated with COVID-19. Retrieved from: https://communityengagementhub.org/resource/a-guide-to-preventing-and-addressing-social-stigma-associated-with-covid-19/
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., & Zhou, L. (2021). Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC public health, 21, 1-10.
Datiko, D. G., Jerene, D., & Suarez, P. (2020). Stigma matters in ending tuberculosis: Nationwide survey of stigma in Ethiopia. BMC Public Health, 20(1), 190.
Dewi, B. A. S., Sari, I. R. P., Agustin, D., & Sari, S. A. (2023). Kecemasan pada Penderita Tuberculosis (Anxiety in Tuberculosis Patients). Jurnal Kesehatan dan Kebidanan Nusantara, 1(2), 66-69.
Elavarasi, E. A., Smitha, M. C., Manasa, K., & Kruthika, B. N. (2024). Depression and stigma experience among patients with tuberculosis in urban and rural settings. Indian Journal of Tuberculosis, 71, S171-S177.
Health Office of Papua Province. (2023). Validasi Data Program Tuberkulosis Se-Kabupaten Biak Numfor dan Supiori Tahun 2023. Retrieved from: https://dinkes.papua.go.id/validasi-data-program-tuberkulosis-se-kabupaten-biak-numfor-dan-supiori-tahun-2023/
Fathana, P. B., Lestari, R., & Wardani, I. S. (2020). Pelatihan tuberkulosis pada tenaga kesehatan di Rumah Sakit Umum Daerah Propinsi Nusa Tenggara Barat. Prosiding PEPADU, 2, 153-157.
Foster, I., Biewer, A., Vanqa, N., Makanda, G., Tisile, P., Hayward, S. E., & Nathavitharana, R. R. (2024). “This is an illness. No one is supposed to be treated badly”: community-based stigma assessments in South Africa to inform tuberculosis stigma intervention design. BMC Global and Public Health, 2(1), 41.
Fuady, A., Arifin, B., Yunita, F., Rauf, S., Fitriangga, A., Sugiharto, A., & Wingfield, T. (2023). Stigma towards people with tuberculosis: a cross-cultural adaptation and validation of a scale in Indonesia. BMC psychology, 11(1), 112.
Fuady, A., Arifin, B., Yunita, F., Rauf, S., Fitriangga, A., Sugiharto, A., & Wingfield, T. (2024). Stigma, depression, quality of life, and the need for psychosocial support among people with tuberculosis in Indonesia: A multi-site cross-sectional study. PLOS Global Public Health, 4(1), e0002489.
Jing, R., Dong, H., Huang, K., Liu, Z., Xue, R., Dong, Y., & Sun, H. (2024). A cross-sectional study on awareness of tuberculosis control among post-treatment tuberculosis patients in a city in China. Infection and Drug Resistance, 1041-1049.
John, S., Abdulkarim, S., & Martins, O. F. (2024). Assessment of knowledge, attitude, and practices on tuberculosis amongst nomads in Adamawa State, Nigeria. Texila Int. J. Public Health, 12, 1-16.
Loh, S. Y., Zakaria, R., & Mohamad, N. (2023). Knowledge, attitude, and stigma on tuberculosis and the associated factors for attitude among tuberculosis contacts in Malaysia. Medeniyet Medical Journal, 38(1), 45.
Manglapy, Y. M., Fani, T., Sabata, L., & Miarso, D. (2023). Hubungan Literasi TBC dengan Stigma Tuberkulosis Masyarakat di Kelurahan Pekunden Semarang. VISIKES J Kesehat Masy, 22, 139-47. Retrieved from: https://publikasi.dinus.ac.id/index.php/visikes/article/view/8047
Mubarokah, K., Nurjanah, N., Handayani, S., Astarini, H. R., Maharani, A. W., Masitoh, D., & Yulianah, S. D. (2022). Tuberculosis literacy and stigma: female activists in five areas with the lowest treatment success rate in Semarang, Indonesia. South Eastern European Journal of Public Health (SEEJPH).
Muhandiki, W. D., Matemba, L. E., Mabega, N. G., Kisonga, R. M., Matechi, E. H., Kigumi, H. O., & Kapyolo, E. P. (2023). Tuberculosis-Related Stigma Among Healthcare Workers in Tanzania: Level, Experience and Manifestations. American Journal of Health Research, 11(1), 23-30.
Nurmala, I. (2020). Promosi kesehatan. Airlangga University Press.
Penaloza, R., Navarro, J. I., Jolly, P. E., Junkins, A., Seas, C., & Otero, L. (2019). Health literacy and knowledge related to tuberculosis among outpatients at a referral hospital in Lima, Peru. Research and reports in tropical medicine, 1-10.
Pradhan, A., Koirala, P., Bhandari, S. S., Dutta, S., García-Grau, P., Sampath, H., & Sharma, I. (2022). Internalized and perceived stigma and depression in pulmonary tuberculosis: do they explain the relationship between drug sensitivity status and adherence?. Frontiers in psychiatry, 13, 869647.
Sima, B. T., Belachew, T., Bjune, G., & Abebe, F. (2024). Traditional Healers’ Knowledge, Attitudes, and Perceptions About Tuberculosis and Collaboration with the Conventional Health System in the Kereyu Pastoralist Area of Ethiopia: A Cross-Sectional Study. medRxiv, 2024-04.
World Health Organization. (2017). Global Tuberculosis Report 2017. Retrieved from: https://www.who.int/publications/i/item/9789241565516
Yuantari, M. G. C., Manglapy, Y. M., Nurmandhani, R., & Jaya, E. (2024). Level Of Knowledge, Stigma, And Community Literacy on TB Disease Prevention Behavior. In Proceedings of the International Seminar and Workshop Public Health (ISWHOPHA 2023) (p. 80). Springer Nature.
Zakaria, Z. (2022). Literasi Kesehatan: Peluang Pembelajaran Sekolah Dasar dalam Mitigasi Covid-19. Dirasah: Jurnal Pemikiran dan Pendidikan Dasar Islam, 5 (1), 1-11. Retrieved from: https://stai-binamadani.e-journal.id/jurdir/article/view/311/239.
Zhang, J., Yang, Y., Qiao, X., Wang, L., Bai, J., Yangchen, T., & Chodron, P. (2020). Factors influencing medication nonadherence to pulmonary tuberculosis treatment in Tibet, China: a qualitative study from the patient perspective. Patient preference and adherence, 1149-1158.
Zimmerman, E., Smith, J., Banay, R., Kau, M., & Garfin, A. M. C. G. (2022). Behavioural barriers and perceived trade-offs to care-seeking for tuberculosis in the Philippines. Global Public Health, 17(2), 210-222.
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