title: TB perspectives among a sample of Mexicans in the United States: results from an ethnographic study.
abstract: OBJECTIVE
  A study was conducted to describe the sociocultural aspects of tuberculosis (TB) among Mexicans in the U.S. and to provide TB programs with practical recommendations for serving this population.
  
  
  METHODS
  In-depth, structured, open-ended interviews were conducted with 50 persons from Mexico living in the U.S. Local bilingual, bicultural researchers conducted the interviews with respondents recruited from TB clinics and surrounding communities. Both qualitative and quantitative strategies were used to analyze the data.
  
  
  RESULTS
  We found diverse TB perceptions and attitudes, but few were associated with specific participant characteristics. We detected widespread misperceptions about TB transmission and low perceptions of risk. Anticipated TB stigma among those with no history of disease was qualitatively greater than reported stigma among those who had TB disease. We also detected missed opportunities for TB education. Reported barriers to care included lack of transportation, limited clinic hours, cost of services, inconvenient clinic location, and communication problems with staff.
  
  
  CONCLUSIONS
  To address the diverse needs of Mexican-born clients, we recommend that TB programs provide culturally-appropriate, patient-centered care. We suggest several strategies aimed at raising risk awareness and reducing stigma. Finally, we encourage programs to facilitate access by providing language-appropriate services, extending clinic hours, and facilitating transportation.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE Mailstop E-37, Atlanta, GA 30333, USA. hbj7@cdc.gov
authors.forename: Heather A
authors.initials: HA
authors.lastname: Joseph
authors.forename: K
authors.initials: K
authors.lastname: Waldman
authors.forename: C
authors.initials: C
authors.lastname: Rawls
authors.forename: M
authors.initials: M
authors.lastname: Wilce
authors.forename: R
authors.initials: R
authors.lastname: Shrestha-Kuwahara
mesh_terms: D000328:Adult; D000368:Aged; D000884:Anthropology, Cultural; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D017058:Mexican Americans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D012307:Risk Factors; D012959:Socioeconomic Factors; D014397:Tuberculosis, Pulmonary / Q000208:ethnology*