<![CDATA[Tuberculosis (TB)-related stigma undermines timely diagnosis, treatment engagement, mental health, and social participation. This scoping review mapped sociocultural drivers and psychosocial consequences of TB stigma across community, healthcare, and policy contexts, while distinguishing evidence from people affected by TB, general community members, and policy documents. Following JBI guidance and PRISMA-ScR, PubMed, Scopus, ScienceDirect, and JSTOR were searched for English-language primary studies published from 1 January 2021 to 31 May 2026; the final search was run on 18 July 2026. A single reviewer screened records and charted study characteristics, stigma domains, mechanisms, consequences, and limitations, with all entries rechecked against the source reports. Seventeen studies spanning Africa, Asia, Europe, and the Americas were included. Reported drivers clustered around fear of contagion, moral or spiritual attribution, symbolic conflation of TB with other devalued identities, structurally stigmatising practices, and gendered social expectations. Reported consequences included anticipated and internalised stigma, concealment, social isolation, depressive and anxiety symptoms, economic exclusion, and disruption across the care cascade. The evidence was dominated by cross-sectional and facility-linked studies; only one study used a prospective design, and intervention evidence was absent from the included primary-study set. The findings suggest that TB stigma is not adequately explained as an information deficit alone. Multilevel responses should combine accurate transmission communication, confidential and non-stigmatising services, psychosocial support, livelihood protection, and community co-design. Longitudinal and intervention studies are required to test the temporal and causal pathways mapped in this review.]]>
