Psychosocial experiences of adolescents with tuberculosis in Cape Town

被引：0

作者：

Wademan, Dillon T. ^{[1
]}

Mlomzale, Mfundo ^{[1
]}

Marthinus, Arlene J. ^{[1
]}

Jacobs, Stephanie ^{[1
]}

Mcimeli, Khanyisa ^{[1
]}

Zimri, Klassina ^{[1
]}

Seddon, James A. ^{[1
,2
]}

Hoddinott, Graeme ^{[1
,3
]}

机构：

[1] Stellenbosch Univ, Fac Med & Hlth Sci, Desmond Tutu TB Ctr, Dept Paediat & Child Hlth, Cape Town, South Africa

[2] Imperial Coll London, Dept Infect Dis, London, England

[3] Univ Sydney, Sch Publ Hlth, Fac Med & Hlth, Sydney, Australia

来源：

PLOS GLOBAL PUBLIC HEALTH | 2024年 / 4卷 / 09期

基金：

英国医学研究理事会;

关键词：

MULTIDRUG-RESISTANT TUBERCULOSIS; TREATMENT OUTCOMES; QUALITATIVE DATA; YOUNG-ADULTS; CHILDREN; ACCEPTABILITY; HEALTH;

D O I：

10.1371/journal.pgph.0003539

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Adolescents (10-19-years-old) account for almost 10% of the annual global tuberculosis (TB) incidence. Adolescents' experiences of TB care, TB stigma, and the consequences of TB for their relationships, schooling, and mental health are different, and often more severe, compared to younger children and adults. How TB impacts the lives of adolescents is not well described or understood. We aimed to locate adolescents' experiences of TB relative to their psychosocial contexts, describe the impact of TB on adolescents' wellbeing, and describe how TB and its treatment affects their socio-familial contexts. Teen TB was a prospective observational cohort study which recruited 50 adolescents with newly diagnosed TB disease (including both multidrug-resistant TB and drug-susceptible TB) in Cape Town, South Africa. A nested sub-sample of 20 adolescents were purposively sampled for longitudinal qualitative data collection. Nineteen participants completed all qualitative data collection activities between December 2020 and September 2021. Adolescents described their communities as undesirable places to live-rife with violence, poverty, and unemployment. The negative experiences of living in these conditions were exacerbated by TB episodes among adolescents or within their households. TB and its treatment disrupted adolescents' socio-familial connections; many participants described losing friendships and attachment to family members as people reacted negatively to their TB diagnosis. TB, inclusive of the experience of disease, diagnosis and treatment also negatively impacted adolescents' mental health. Participants reported feeling depressed, despondent, and at times suicidal. TB also disrupted adolescents' schooling and employment opportunities as adolescents were absent from school and college for substantial periods of time. Our findings confirm that adolescents' psychosocial experiences of TB are often highly negative, compounding underlying vulnerability. Future research should prioritize exploring the potential of social protection programmes providing adolescents and their families with psychosocial and economic support.

引用

页数：15