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