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Journal : Svāsthya: Trends in General Medicine and Public Health

Stigmatization and social discrimination of pulmonary tuberculosis patients in Kotamobagu City, North Sulawesi: A qualitative study Akbar, Hairil; Kamaruddin, Syamsu A.; Adam, Arlin
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 1 (2025): January 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i1.79

Abstract

Tuberculosis (TB) remains a significant public health challenge, particularly in developing countries such as Indonesia. In Kotamobagu city, North Sulawesi, despite being recognized as one of Indonesia's most tolerant cities, patients with TB face persistent stigmatization and discrimination.  This study aimed to examine the social construction of discrimination against TB patients in Kotamobagu city, focusing on how these perceptions develop and persist. This qualitative study employed a constructivist paradigm and utilized Berger and Luckman's social construction theory. Data were collected through in-depth interviews and direct observations of 16 informants, including patients with TB, healthcare workers, family members, neighbors, and colleagues. The analysis was conducted via NVIVO 12 Plus software following a systematic thematic approach. The study revealed complex patterns of stigmatization and discrimination across familial, community, and workplace settings. Network analysis revealed interconnected stigmatization factors, with physical isolation emerging as a primary preventive reaction within families. Social distancing behaviors have been documented in both familial and workplace environments. This research identified multiple pathways through which stigmatization affects patients' lives, including social isolation, psychological impact, and treatment adherence. Fear of transmission has emerged as the primary driver of discriminatory behaviors, leading to various forms of social exclusion and workplace ostracism. TB-related stigma and discrimination in Kotamobagu manifest through complex social mechanisms that significantly affect patients' psychological well-being and treatment outcomes. These findings emphasize the need for comprehensive interventions that address both the structural and interpersonal aspects of stigma, particularly in workplace and family settings.
Co-Authors Abdul Malik Darmin Asri ade rahmawati Adi Yeremia Mamahit Agustang, Andi Agustin Agustin Agustin Amir, Fitri Amni, Ummayal Anri, Anri Arda, Zul Adhayani Arlin Adam, Arlin Bahi, Rizky Resvita R. Bia, Sri Aldas Dadu, Mohammad Fauzi Pratama Putra Darmawansyah Darmawansyah Darmiasih, Ni Nyoman Darmin Darmin Darmin, Darmin Dewi Puspito Sari, Dewi Puspito Dyah Suryani Eko Budi Santoso Eko Budi Santoso Eko Budi Santoso Fauzan, Moh. Rizki Fitriani Fitriani Fitriani Franning Deisi Badu, Franning Deisi Gaib, Coco Giovani Gloria Tutu, Christien Goma, Metsan Arie Dharma Gunadarma, I Wayan Bennardy Gustini Gustini Hafsia K.N Mokodompit Hamzah, Diza Fathamira Hardi Hardi, Hardi Hariyanti, Yunida Harma, Asmarani Harun, Amalia Hatta, Herman Helkim Sarino Laode Manika Hikma, Wa Ode Erty I Kadek Wartana I Wayan Supetran, I Wayan Imban, Putri Natasya Imbar, Andri W. J. Juritno Harmi Gaib Kadullah, Laila Alghifaria Kamaruddin, Syamsu A. Kanahaya, Anindya Adelweis Kaseger, Henny Kolopita, Reva Nurshifa Krisdayanti Goni Kuna, Moh. Rasyid Langingi, Ake Royke Calvin Latief, Mutmainnah Lestari, Mariati Indah Limo, Ramadhanya Made Agus Nurjana Maemunah Magfira, Aliza Makalalag, Celsia Olivia Mamonto, Carli Mamonto, Faramita Mappa, Moh. Rivaldi Maretalinia, Maretalinia Maria Kanan Marice Marice Masni Masni Matius Paundanan, Matius Matulu, Perwistin Maulana, Jaya Maulida, Anisah Mewengkang, Inggrit Miranda, Tenike Gita Mokoagow, Anggi Mokoagow, Firman Arbi Mutu Mokodompit, Putra Mokodongan, Meylani Mokoginta, Jasira Silvia Mokoginta, Tantri Wulandari Mua, Estelle Lilian Muhammad Asriadi Muhammad, Riski Muzayyana Natsir, Ramdhani M Nelson Alexander Ni Wayan Dimkatni Niluh Desy Purnamasari Novitasari, Dalia Nur Lu’lu Fitriyani Nuraeni, Tating Nurhamidin, Syarafina Wardani Nurul Hikma Saleh, Sitti Nuryani Nuryani Oruh, Shermina Pangeran, Paryany Paputungan, Siti Arifqa Pontoan, Mifta Putri Salsabila Pusvitasari, Inda Ra'bung, Alfrida Semuel Rahmiati Rahmiati Ramena, Tiara Fitra Putri Rikwan Rismayani, Besse Riswan Riswan Rumaf, Fachry Safitri, Retno Ayu Sandalayuk, Marselia Sari, Niluh Desy Purnama Sarman Sarman Shahira, Syafina Nailah Sibua, Siska N. Sitti Fajrah Sugeha, Amanda Pratiwi Sukmana , Dared Gesang Sukri, Almas Supriatin Supriatin, Supriatin Sutriyawan, Agung Suyitno Suyitno T.M. Rafsanjani Talamati, Bambang Herianto Tangahu, Putri Isauraamabel Toli, Asi Cia Tiara Tutu, Christien Gloria Wa Ode Indang Waru, Hamsia L. widya astuti Yasin, Tazkia Aulia Yosef Pandai Lolan