title: Patients perceived stigma associated with community-based directly observed therapy of tuberculosis in Uganda.
abstract: OBJECTIVE
  To assess whether linkage of tuberculosis (TB) and HIV/AIDS increases the perception of stigma among TB patients on Community-Based Directly Observed Therapy (CB-DOT) compared to similar TB patients on self-administered therapy (SAT).
  
  
  METHODS
  A Cross-sectional study.
  
  
  METHODS
  Kiboga (CB-DOT) and Mubende (SAT) districts, Uganda in 2000.
  
  
  METHODS
  One hundred and five tuberculosis patients on CB-DOT and 202 patients on SAT. One hundred and twenty one (39%) of these patients agreed to be tested for HIV.
  
  
  RESULTS
  Patients on CB-DOT and patients on SAT were similar on most of the domains used to assess stigma associated with a TB diagnosis, except for the domain of TB diagnosis and general belief that TB and HIV/AIDS are linked. Patients on CB-DOT were more likely to believe that neighbours knew they had TB compared to patients on SAT (91% vs. 62%, p < 0.001), but the groups did not differ in their perception that neighbours thought they have HIV because of TB (46% vs. 46%, p = 0.954). HIV prevalence was similar in both groups.
  
  
  CONCLUSIONS
  The study demonstrates that TB patients on CB-DOT did not differ from SAT patients in their perception of stigma as a result of TB. Therefore, HIV-related stigma may not limit wide implementation of CB-DOT in countries like Uganda.
authors.affiliation: City Council of Kampala, P.O. Box 21696, Kampala, Uganda.
authors.forename: A
authors.initials: A
authors.lastname: Katamba
authors.forename: D B
authors.initials: DB
authors.lastname: Neuhauser
authors.forename: K A
authors.initials: KA
authors.lastname: Smyth
authors.forename: F
authors.initials: F
authors.lastname: Adatu
authors.forename: E
authors.initials: E
authors.lastname: Katabira
authors.forename: C C
authors.initials: CC
authors.lastname: Whalen
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D023801:Directly Observed Therapy / Q000523:psychology* / Q000706:statistics & numerical data*; D005163:Factor Analysis, Statistical; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011287:Prejudice; D012424:Rural Population / Q000706:statistics & numerical data; D012646:Self Administration / Q000523:psychology; D012938:Social Perception; D014376:Tuberculosis / Q000209:etiology / Q000628:therapy*; D014454:Uganda