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Indian J Community Med. 2016 Jan-Mar;41(1):62-4. doi: 10.4103/0970-0218.170990.

Socio-cultural and Knowledge-Based Barriers to Tuberculosis Diagnosis for Women in Bhopal, India.

Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine

Evonne McArthur, Surya Bali, Azim A Khan

Affiliations

  1. Department of Biology, University of North Carolina, Chapel Hill, North Carolina, USA; School for International Training, New Delhi, India.
  2. Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
  3. School for International Training, New Delhi, India.

PMID: 26917876 PMCID: PMC4746957 DOI: 10.4103/0970-0218.170990

Abstract

BACKGROUND: In India, only one woman is diagnosed with tuberculosis (TB) for every 2.4 men. Previous studies have indicated gender disparities in care-seeking behavior and TB diagnosis; however, little is known about the specific barriers women face.

OBJECTIVES: This study aimed to characterize socio-cultural and knowledge-based barriers that affected TB diagnosis for women in Bhopal, India.

MATERIALS AND METHODS: In-depth interviews were conducted with 13 affected women and 6 health-care workers. The Bhopal Diagnostic Microscopy Laboratory Register (n = 121) and the Bhopal district report (n = 261) were examined for diagnostic and care-seeking trends.

RESULTS: Women, especially younger women, faced socio-cultural barriers and stigma, causing many to hide their symptoms. Older women had little awareness about TB. Women often sought treatment from private practitioners, resulting in delayed diagnosis.

CONCLUSIONS: Understanding these diagnostic and help-seeking behaviors barriers for women is critical for development of a gender-sensitive TB control program.

Keywords: Age; Bhopal; gender; stigma; tuberculosis

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