CHAPTER I - SOCIOLOGICAL APPROACH TO HEALTH CARE & TB CONTROL <<Back
 
c) Behavioural And Psychological Factors
 
073
AU : Avinash CM & Dwarkapershad
TI : Psycho-social survey of tuberculosis.
SO : INDIAN J TB 1972, 19, 34-38.
DT : Per
AB :

To study the psycho-social variations of hospitalized TB patients, fifty percent of the population of the TB Sanatorium named Hermitage, of Sangrur District in Punjab, was selected. The subjects responded to the Structured Interview Schedule, a Physician's Rating Scale and objective-type psychological tests. The findings revealed that the peak age of the patients was in the range of 25-45 years; that most of the population of that Sanatorium was illiterate, and their socio-economic status was poor. Eighty-two percent of the patients came from the countryside; 77.5 were married and 84% among them had 1-7 children. Sixty-five percent of the patients had been ill for less than two years. About 56% of the male patients had a habit of drinking. Only 13% of the patients had disturbed family relations. No correlation was found between the patients' attitude towards their illness and the physician's rating about the severity of their illness. The Psychological Tests indicated that TB patients did not have different neurotic scores when compared with patients with other chest diseases.

KEYWORDS: SOCIAL PSYCHOLOGY; SOCIAL SURVEY; INDIA.

075
AU : Dubey BL
TI : Psychological survey of tuberculosis patients.
SO : INDIAN J TB 1975, 22, 83-85.
DT : Per
AB :

The study aimed to determine some of the psychosocial variables of hospitalized male and female TB patients and how they responded on the Rorschach Ink Blot and Thematic Apperception Tests (TAT). Evidence suggesting social rejection, apprehensions about life and unhealthy family relationships were looked for among the responses to the tests. Two consecutive series of 25 male and 25 female TB patients admitted to the TB Ward of K.G's Medical College and, Gandhi Memorial and Associated Hospitals, Lucknow, from May-November 1968, were studied. They responded to a structured interview. Information on the history of parental attitudes, any parental deprivation and broken home situations was elicited and, the Rorschach test and TAT were administered. The mean ages of the males and females were 33.2 and 22.4 years respectively.

A significantly higher number of females (72%) perceived their childhood as having been difficult compared to 45% of the males. There was no difference in male and female patients with regard to indications of disturbed interpersonal relationships with parental figure as revealed by the Rorschach test. On the TAT, more females projected fear of death and fear of being cast out of the social sphere than males. This result is probably due to the social settings, where most females are found to be economically dependent.

KEYWORDS: SOCIAL PSYCHOLOGY; SOCIAL SURVEY; INDIA.
 

 
     CHAPTER III - ILLNESS PERCEPTION & UTILIZATION OF HEALTH FACILITIES  
 
a) Community Survey Based
 
179
AU : Tewari RN, Jain PC & Prasad BG
TI : A medico-social study of pulmonary tuberculosis in Mati village, Lucknow.
SO : INDIAN J MED RES 1969, 57, 2283-2288.
DT : Per
AB :

A modified medico-social survey of Mati village in the area of the Rural Health Training Centre, Sarojini Nagar, Lucknow was carried out during January to October 1967. A total population of 2,544 persons living in 419 families was investigated. One hundred and eighty-six (7.31 %) persons were found to be symptomatics, 70 (37.6 % of symptomatics) X-ray suspects and 21 (30.0% of X-ray suspects) bacillary cases. The most frequent symptom was cough followed by pain in chest, dyspnoea, fever and haemoptysis. Duration of symptoms was more than one month. The prevalence of X-ray suspects among symptomatics increased with advancing age. Social classes III (lower middle), IV (poor) and V (very poor) suffered increasingly more from the disease. Tendency amongst the patients was to attend the nearest health facility for relief of symptoms. Default was common due to ignorance and lack of proper supervision of patients.

KEYWORDS: DEFAULT; SOCIAL SURVEY; INDIA.

184
AU : Geetakrishnan K, Pappu KP & Roychowdhury K
TI : A study on knowledge and attitude towards tuberculosis in a rural area of West Bengal.
SO : INDIAN J TB 1988, 35, 83-89.
DT : Per
AB :

A survey was carried out in the population of Bisnupur Blocks I and II in the south 24 parganas district of West Bengal to find out the level of general knowledge and awareness about TB and also the prevalent social attitudes towards the disease. The target population was classified into two broad groups comprising persons living within and outside the research project area respectively. The results showed that the general knowledge of TB was high in both groups and about 24% of the new patients did not know the correct duration of treatment. The majority of people interviewed, favored hospitalization of the TB patients and the patients' belief that consuming anti-TB drugs without taking a high protein diet was futile contributed to default on drug collection. Women with TB denied breast-milk to their babies, making the babies vulnerable to different diseases including TB. Health education increased the awareness of TB while negative social attitudes for TB patients persisted because most people were not convinced of the curability of the disease.

The above findings led to the conclusion that community leaders should be actively involved in any TB control programme and that health education should be an important component of the TB programme.

KEYWORDS: SOCIAL SURVEY; SOCIAL AWARENESS; SOCIAL ATTITUDE; INDIA.
 
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