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Table 1 Definitions of key terms related to TB stigma

From: “As a patient I do not belong to the clinic, I belong to the community”: co-developing multi-level, person-centred tuberculosis stigma interventions in Cape Town, South Africa

Key term

Definition (adapted for the context of TB)

Stigma

The negative labelling or rejection of people with TB, due to stereotyping or other negative attributes that are associated with TB and affected communities

Discrimination

Enacting stigma towards people with TB, which may be through illegal means, including denying a person equal treatment

Internal stigma

The process by which people with TB internalise negative stereotypes and think/behave accordingly

Anticipated stigma

Fear of how others will act towards people with TB

Enacted stigma

Expressions of stigma towards people with TB, such as discrimination, isolation or judgement

Intersectional stigma

Stigma due to the intersection of multiple marginalised characteristics, e.g. TB and gender, ethnicity, HIV co-infection, alcohol or substance use, incarceration, or homelessness

  1. Definitions were adapted from the Health Stigma and Discrimination Framework and the International Union Against Tuberculosis and Lung Disease Guide on Psychological Counselling [ 8, 20]