<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-0300</journal-id>
<journal-title><![CDATA[Revista Cubana de Investigaciones Biomédicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Invest Bioméd]]></abbrev-journal-title>
<issn>0864-0300</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-03002021000300004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados al estigma en personas afectadas por tuberculosis en una región peruana de alto riesgo]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated to stigma in people with tuberculosis from a high-risk region in Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla-Asalde]]></surname>
<given-names><![CDATA[César Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Lozada]]></surname>
<given-names><![CDATA[Isabel Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Lozada]]></surname>
<given-names><![CDATA[Oriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada San Juan Bautista Escuela profesional de salud Humana ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Cauca  ]]></institution>
<addr-line><![CDATA[ Popayán]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Norbert Wiener South American Center for Education and Research in Public Health ]]></institution>
<addr-line><![CDATA[ Lima]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-03002021000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-03002021000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-03002021000300004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El estigma hacia los afectados por tuberculosis es un desafío importante para el control de la enfermedad. De ahí la necesidad de conocer los factores que lo desencadenan, ya que puede comprometer la adherencia al tratamiento y, por tanto, incremento de complicaciones y mortalidad.  Objetivos:  Determinar los factores asociados al estigma en personas afectadas por tuberculosis en una región de alto riesgo en el Perú.  Métodos:  Estudio correlacional en 110 pacientes tratados por tuberculosis. Los factores fueron la funcionalidad familiar medida con la escala de Apgar familiar; las características sociodemográficas y clínicas, los conocimientos sobre la enfermedad y la comunicación médico-paciente, a través de una encuesta. Para el estigma se utilizó la escala de Yang. En el análisis bivariado se utilizó la prueba de chi cuadrado. La relación entre variables se evaluó mediante la correlación de Pearson y la regresión lineal multivariada.  Resultados:  El nivel de estigma mostró un punto de corte (cutt off) &#8805; 9 en 21,3 % en tuberculosis sensible y 69,4 % en tuberculosis multirresistente, con diferencias significativas (p = 0,000). El análisis de regresión lineal multivariado evidenció que el nivel bajo de conocimientos sobre la tuberculosis (ß = -0,32; p = 0,000), bajas puntuaciones en escala Apgar familiar (ß = -0,41; p = &lt;0,000) y la baja comunicación médico-paciente (ß = -0,47; p = 0,000) se asociaron negativamente con estigma.  Conclusiones: Se encontró un nivel alto de estigma relacionado con tuberculosis y una asociación negativa entre el estigma con el nivel de conocimientos sobre la enfermedad, la funcionalidad familiar y la comunicación con el médico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The stigma attached to people with tuberculosis is an important challenge posed to the control of this disease. Hence the need to know what factors trigger it, for they may affect adherence to treatment, increasing complications and mortality.  Objectives:  Determine the factors associated to stigma in people with tuberculosis from a high-risk region in Peru.  Methods:  A correlational study was conducted of 110 patients treated for tuberculosis. The factors analyzed were family function as gauged by the Family Apgar scale, sociodemographic and clinical characteristics, knowledge about the disease and doctor-patient communication as measured through a survey. Stigma was determined by Yang's scale. Bivariate analysis was based on the chi-square test, whereas the relationship between variables was evaluated by Pearson's correlation and multivariate linear regression.  Results:  The level of stigma showed a cut off value &#8805; 9 in 21.3% in sensitive tuberculosis and 69.4% in multiresistant tuberculosis, with significant differences (p = 0.000). Multivariate linear regression analysis found that a low level of knowledge about tuberculosis (ß = -0.32; p = 0.000), low scores on the Family Apgar scale (ß = -0.41; p = &lt;0.000) and poor doctor-patient communication (ß = -0.47; p = 0.000) were negatively associated to stigma.  Conclusions: The study found a high level of stigma associated to tuberculosis, as well as a negative association between stigma and knowledge about the disease, family function and communication with the doctor.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[estigma social]]></kwd>
<kwd lng="es"><![CDATA[sistema de salud]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[social stigma]]></kwd>
<kwd lng="en"><![CDATA[health system]]></kwd>
</kwd-group>
</article-meta>
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