title: Mexican American Men's Experience of Living With Tuberculosis on the U.S.-Mexico Border.
abstract: The Texas-Mexico border incidence rate of tuberculosis (TB) is 10 times the rate of TB in the United States. Additionally, this area is plagued by antibiotic-resistant TB at a rate that is 70% higher among those living along the border than among nonborder residents. Both the high rate of TB and the emergence of drug-resistant TB increases the importance of controlling TB along the U.S.-Mexico border. Men have higher rates of TB than women, which can be attributed to biological differences and increased environmental exposure. The purpose of this article is to describe the experience of TB for Mexican American men living on the Texas-Mexico border. This a qualitative descriptive study, using participants from a larger study. A purposeful sample was recruited through two south Texas TB clinics. Interviews were audio recorded, transcribed, and translated into English. Data analysis consisted of line-by-line coding, labeling, organizing, and discovering common codes to describe participants' experience of TB and TB treatment. The participants include 13 Mexican American men. Ages ranged from 22 to 76 years. Only one participant was employed during treatment. Years of education ranged from no school to an associate's degree. Five themes were discovered: misinformation, delayed diagnosis, stigma, depression, and loss of community. Participants without social support were further isolated and felt a greater burden of treatment. Two participants contemplated suicide and two others told their families to leave them because they were a burden and infectious. The burden of treatment on the patient is great, especially for Hispanic men.
authors.affiliation: Emory University, Atlanta, GA, USA julie.zuniga@emory.edu.
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Zuñiga
authors.affiliation: University of Texas at Austin, TX, USA.
authors.forename: Silvia
authors.initials: S
authors.lastname: Muñoz
authors.affiliation: University of Texas at Austin, TX, USA.
authors.forename: Mary Zuñiga
authors.initials: MZ
authors.lastname: Johnson
authors.affiliation: University of Texas at Austin, TX, USA.
authors.forename: Alexandra A
authors.initials: AA
authors.lastname: García
mesh_terms: D000328:Adult; D000368:Aged; D057210:Delayed Diagnosis; D003863:Depression / Q000209:etiology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D015994:Incidence; D007407:Interviews as Topic; D008297:Male; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D036301:Qualitative Research; D064890:Social Determinants of Health / Q000191:economics / Q000208:ethnology*; D012934:Social Isolation / Q000523:psychology*; D057545:Social Stigma; D013781:Texas / Q000453:epidemiology; D061665:Time-to-Treatment; D014376:Tuberculosis / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D055815:Young Adult
keywords: male caregivers; men of color; population-based; qualitative research; social determinants of health