title: TB patients' perspectives on integrated TB/HIV services in South Africa.
abstract: There are few data describing patients' attitudes towards the integration of antiretroviral therapy for HIV-infected patients into existing TB services. We investigated this issue among patients receiving TB treatment at a primary care facility in Cape Town, South Africa. Of 85 patients interviewed, the vast majority (92%, n = 78) stated they would be willing to attend an integrated TB/HIV service; perceived stigmatization of TB and HIV was a significant predictor of negative attitudes towards a combined TB/HIV programme (adjusted odds ratio, 19.90, P = 0.02). While integrated TB/HIV services appear generally acceptable in this setting, continuing efforts to combat stigmatization are necessary to ensure maximum uptake.
authors.affiliation: School of Public Health & Family Medicine, University of Cape Town, South Africa.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Levin
authors.forename: Katharine
authors.initials: K
authors.lastname: Irving
authors.forename: Mogotsi
authors.initials: M
authors.lastname: Dikgang
authors.forename: Jayshina
authors.initials: J
authors.lastname: Punwasi
authors.forename: Mariam
authors.initials: M
authors.lastname: Isaacs
authors.forename: Landon
authors.initials: L
authors.lastname: Myer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019380:Anti-HIV Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D019033:Delivery of Health Care, Integrated; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000458:organization & administration*; D013019:South Africa; D013240:Stereotyping; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000188:drug therapy* / Q000523:psychology
chemical_list: D019380:Anti-HIV Agents; D000995:Antitubercular Agents