University of Hertfordshire

From the same journal


  • G M Craig
  • A Daftary
  • N Engel
  • S O'Driscoll
  • A Ioannaki
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Original languageEnglish
Number of pages11
Pages (from-to)90-100
JournalInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Journal publication date31 Mar 2017
Early online date27 Oct 2016
Publication statusPublished - 31 Mar 2017


Tuberculosis (TB)-related stigma is an important social determinant of health. Research generally highlights how stigma can have a considerable impact on individuals and communities, including delays in seeking health care and adherence to treatment. There is scant research into the assessment of TB-related stigma in low incidence countries. This study aimed to systematically map out the research into stigma. A particular emphasis was placed on the methods employed to measure stigma, the conceptual frameworks used to understand stigma, and whether structural factors were theorized. Twenty-two studies were identified; the majority adopted a qualitative approach and aimed to assess knowledge, attitudes, and beliefs about TB. Few studies included stigma as a substantive topic. Only one study aimed to reduce stigma. A number of studies suggested that TB control measures and representations of migrants in the media reporting of TB were implicated in the production of stigma. The paucity of conceptual models and theories about how the social and structural determinants intersect with stigma was apparent. Future interventions to reduce stigma, and measurements of effectiveness, would benefit from a stronger theoretical underpinning in relation to TB stigma and the intersection between the social and structural determinants of health.


This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. ß2016 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.

ID: 11297777