Volume 28, Issue 3 (Iran South Med J 2025)
Iran South Med J 2025, 28(3): 675-687 |
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Kondori M, Masoudy G, Setoodeh H, Rahdar M, Arabborzu Z. Predictors of Tuberculosis Treatment Behaviors Based on Social Stigma and Social Cognitive Theory in Southeastern Iran. Iran South Med J 2025; 28 (3) :675-687
URL: http://ismj.bpums.ac.ir/article-1-2342-en.html
URL: http://ismj.bpums.ac.ir/article-1-2342-en.html
Mojtaba Kondori1 
, Gholamreza Masoudy *2 , Hoseinali Setoodeh1 , Masoumeh Rahdar3 , Zahra Arabborzu4
, Gholamreza Masoudy *2 , Hoseinali Setoodeh1 , Masoumeh Rahdar3 , Zahra Arabborzu4
1- Public Health, Health School, Zabol University of Medical Sciences. Zabol, Iran
2- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran ,Masoudy55@yahoo.com
3- Department of Management, School of Paramedical Sciences, Zabol University of Medical Sciences, Zabol, Iran
4- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran ,
3- Department of Management, School of Paramedical Sciences, Zabol University of Medical Sciences, Zabol, Iran
4- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract: (174 Views)
Background: Tuberculosis is the leading cause of death from a single infectious agent worldwide. This study aimed to investigate the predictors of tuberculosis treatment behaviors in patients in the Sistan, Iran.
Materials and Methods: The study enrolled 200 patients with tuberculosis who were diagnosed and treated in the Sistan region of Sistan and Baluchestan province between November 2022 and November 2023. Patients were included in the study by census. Data were collected using a questionnaire whose validity and reliability were confirmed by experts and a Cronbach's alpha test. Data were analyzed using descriptive statistics (mean, standard deviation, frequency, and percentage) and analytical statistics (Pearson’s correlation coefficient and linear regression) in SPSS software at the significance level of P<0.05.
Results: The mean age of patients was 55.13±20.21 years, and the majority were female (67.3%) and illiterate (70.4%). Treatment behaviors showed a statistically significant relationship with the constructs of self-regulation, self-efficacy, outcome expectation, and social support. Based on the linear regression analysis, the constructs of social support and outcome expectation accounted for 34% of the variance in TB treatment behaviors.
Conclusion: Contrary to expectations, social stigma did not play a predictive role in tuberculosis treatment-related behaviors in this population. This finding emphasizes the importance of focusing on factors that enhance individual empowerment and support when designing interventions to promote tuberculosis treatment behaviors. Furthermore, incorporating the constructs of social support and outcome expectation in structured educational interventions will increase the effectiveness of educational programs.
Materials and Methods: The study enrolled 200 patients with tuberculosis who were diagnosed and treated in the Sistan region of Sistan and Baluchestan province between November 2022 and November 2023. Patients were included in the study by census. Data were collected using a questionnaire whose validity and reliability were confirmed by experts and a Cronbach's alpha test. Data were analyzed using descriptive statistics (mean, standard deviation, frequency, and percentage) and analytical statistics (Pearson’s correlation coefficient and linear regression) in SPSS software at the significance level of P<0.05.
Results: The mean age of patients was 55.13±20.21 years, and the majority were female (67.3%) and illiterate (70.4%). Treatment behaviors showed a statistically significant relationship with the constructs of self-regulation, self-efficacy, outcome expectation, and social support. Based on the linear regression analysis, the constructs of social support and outcome expectation accounted for 34% of the variance in TB treatment behaviors.
Conclusion: Contrary to expectations, social stigma did not play a predictive role in tuberculosis treatment-related behaviors in this population. This finding emphasizes the importance of focusing on factors that enhance individual empowerment and support when designing interventions to promote tuberculosis treatment behaviors. Furthermore, incorporating the constructs of social support and outcome expectation in structured educational interventions will increase the effectiveness of educational programs.
Type of Study: Original |
Subject:
Public Health
Received: 2024/12/2 | Accepted: 2025/10/19 | Published: 2025/12/27
Received: 2024/12/2 | Accepted: 2025/10/19 | Published: 2025/12/27
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