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Mapping risk and protective factors in tuberculosis-related stigma: a scoping review

2025-07-09Artigo científico Acesso aberto
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dc.contributor.authorVieira, Mariana
dc.contributor.authorBarbosa, Pedro
dc.contributor.authorRamos, João Pedro
dc.contributor.authorCastro, Marta
dc.contributor.authorTorres, Dulce
dc.contributor.authorDuarte, Raquel
dc.date.accessioned2026-02-12T16:44:15Z
dc.date.available2026-02-12T16:44:15Z
dc.date.issued2025-07-09
dc.description.abstractDespite global efforts to end tuberculosis (TB), slow declines in incidence and mortality rates persist, partly due to entrenched social and structural challenges. TB-related stigma is a critical barrier to effective TB prevention and treatment. However, existing frameworks often overlook broader structural and intersectional influences, underscoring the need for a comprehensive analysis of the social and structural factors influencing TB-related stigma. We aimed to (1) identify risk and protective factors influencing TB-related stigma and (2) examine how cultural, social, and economic determinants shape stigma experiences among people with TB. A systematic search was conducted across PubMed, SCOPUS, Web of Science, APA PsycInfo, and Sociology Source Ultimate. Studies were included if they (a) involved human participants, (b) were published in the last decade, and (c) reported stigma experiences influenced by social, economic, or environmental determinants. A total of 43 studies were included. Key determinants associated with higher TB-related stigma included lower educational attainment, rural residency, low income, gender, and specific mental health conditions. Cultural perceptions of TB, healthcare system interactions, and the dual stigma associated with HIV co-infection significantly exacerbated TB-related stigma experiences. Factors such as social support, patient-provider communication, and prior TB experience emerged as protective against stigma. Findings underscore TB-related stigma's complex intersection with social and structural determinants, highlighting gaps research, especially concerning standardised conceptual definitions and measurements. Addressing stigma is essential for improving TB care-seeking behaviours and health outcomes, particularly in low-resource settings where TB-related social isolation and discrimination are prevalent.por
dc.description.abstractHighlights: - TB stigma remains a significant barrier to effective prevention and care. - Social and economic determinants shape TB stigma experiences globally. - TB stigma appears to increase mental health risks, including stress and depression. - Healthcare stigma appears to cause delays in diagnosis and reduces treatment adherence. - Targeted interventions must address stigma at individual, community, and policy levels.por
dc.description.sponsorshipThis work was supported by Portuguese Funds through FCT - Foundation for Science and Technology, I.P., under the projects UIDB/04750/2020 (DOI identifier: https://doi.org/10.54499/UIDB/04750/2020) and LA/P/0064/2020 (DOI identifier: https://doi.org/10.54499/LA/P/0064/2020). João P. Ramos and Mariana Vieira are supported by a PhD Grant (Refs: 2024.00492.BD & 2024.03947.BD, respectively), co-funded by the Foundation for Science and Technology (FCT) and the Fundo Social Europeu (FSE) Program.
dc.identifier.citationSoc Sci Med. 2025 Oct:383:118396. doi: 10.1016/j.socscimed.2025.118396. Epub 2025 Jul 9
dc.identifier.doi10.1016/j.socscimed.2025.118396
dc.identifier.issn0277-9536
dc.identifier.pmid40683105
dc.identifier.urihttp://hdl.handle.net/10400.18/10922
dc.language.isoen
dc.peerreviewedyes
dc.publisherElsevier
dc.relationEpidemiology Research Unit - Institute of Public Health, University of Porto
dc.relationLaboratory for Integrative and Translational Research in Population Health
dc.relation2024.00492.BD
dc.relation2024.03947.BD
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S0277953625007270?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHealthcare disparities
dc.subjectIntersectionality
dc.subjectStigma
dc.subjectTuberculosis
dc.subjectInfecções Respiratórias
dc.titleMapping risk and protective factors in tuberculosis-related stigma: a scoping reviewpor
dc.typejournal article
dcterms.referenceshttps://ars.els-cdn.com/content/image/1-s2.0-S0277953625007270-mmc1.docx
dspace.entity.typePublication
oaire.awardTitleEpidemiology Research Unit - Institute of Public Health, University of Porto
oaire.awardTitleLaboratory for Integrative and Translational Research in Population Health
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04750%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/LA%2FP%2F0064%2F2020/PT
oaire.citation.startPage118396
oaire.citation.titleSocial Science & Medicine
oaire.citation.volume383
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isProjectOfPublication05f4f337-eeba-4c07-82ed-4202b21618a2
relation.isProjectOfPublication18ca3cb0-ef66-4dd8-b45e-4cb0654cd7e8
relation.isProjectOfPublication.latestForDiscovery05f4f337-eeba-4c07-82ed-4202b21618a2

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