Association of Health Insurance and Documentation with Stigma and Social Support Among Myanmar Migrants with Tuberculosis Before and During Thailand’s Policy on Border Closure Due to COVID-19: a Cross-Sectional Study
Autor: | Htet Ko Ko Aung, Petchawan Pungrassami, Naris Boonathapat, Myo Minn Oo, Tippawan Liabsuetrakul |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Health (social science) TB-related stigma Sociology and Political Science Cross-sectional study media_common.quotation_subject Ethnic group Stigma (botany) Myanmar Documentation Article Social support Promotion (rank) Epidemiology medicine Humans Tuberculosis Thailand’s policy on border closure Closure (psychology) Socioeconomics media_common Transients and Migrants Insurance Health Myanmar migrants Health Policy Public Health Environmental and Occupational Health COVID-19 Social Support Thailand Cross-Sectional Studies Policy Geography Anthropology |
Zdroj: | Journal of Racial and Ethnic Health Disparities |
ISSN: | 2196-8837 2197-3792 |
Popis: | Objective The objective of this study was to assess the effect of health insurance and documentation status on tuberculosis (TB)-related stigma and social support before and during Thailand’s policy on border closure. Methods A cross-sectional study was conducted in two TB clinics in Mae Sot district, a border area of Thailand. Myanmar migrants with new TB were interviewed before (between September 2019 and March 2020) and during Thailand’s policy (between April 2020 and January 2021). We used multiple linear regression models to assess the association of health insurance and documentation status with stigma and social support before and during the policy on border closure. Results Of 229 migrants diagnosed new TB recruited, 117 and 112 were interviewed before and during Thailand’s policy on border closure. The relationship of stigma with health insurance and documentation status was modified by the policy. Migrants with health insurance reported significantly lower stigma during the policy compared to those without health insurance, whereas documented migrants had lower stigma before the policy compared to undocumented migrants. No significant association of health insurance and documentation status with social support was observed. Ethnicity, perceived TB severity and education level were also independently associated with TB-related stigma. Conclusion The relationships between health insurance, documentation status and TB-related stigma were modified by Thailand’s policy on border closure among Myanmar migrants with TB in a border area of Myanmar and Thailand. Promotion of health insurance and well-planned documentation for migrants should be more discussed and strengthened among stakeholders and policymakers. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-021-01185-3. |
Databáze: | OpenAIRE |
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