Perceived Stigma, Social Support and Quality of Life in Patients of Tuberculosis

Quality of Life in Patients of TB


  • Nasreen Akhtar Department of Psychology, Government College University (GCU), Lahore, Pakistan
  • Iffat Batool Government College University (GCU), Lahore, Pakistan
  • Muhammad Zohaib Khan Department of Psychology, Government College University (GCU), Lahore, Pakistan



Perceived Stigma, Social Support, Quality of Life, Tuberculosis


Stigma associated with tuberculosis impairs the quality of life in the patients of this disease by causing delay in seeking treatment whereas the social support improves their quality of life. Objective: To find out the role of perceived stigma, and social support in predicting the quality of life among patients of tuberculosis.  A correlational research design using a survey method was used in this research. The study was conducted in hospitals in Lahore during 2019-2020. Methods: The sample consisted of 200 patients with tuberculosis (99 men, 101 women). Urdu versions of the Perceived Stigma Scale, Multidimensional Scale of Perceived Social Support, and World Health Quality of Life were employed to collect data. Results: Pearson correlation analysis indicated that patients who perceived more social stigma had a significantly poor quality of life whereas those patients who perceived greater social support had a better quality of life. Furthermore, regression analysis indicated that social support appeared to be the strongest positive predictor for quality of life followed by stigma which appeared to be a negative predictor for quality of life in patients of tuberculosis. Conclusion: The findings of this study have important implications for mental health professionals, health psychologists, and medical practitioners.


World Health Organization. Global tuberculosis control: epidemiology, strategy, financing: WHO report 2009. World Health Organization; 2009.

Courtwright A and Turner AN. Tuberculosis and stigmatization: pathways and interventions. Public Health Reports. 2010 Jul; 125(4): 34-42. doi: 10.1177/00333549101250S407

Hansel NN, Wu AW, Chang B, Diette GB. Quality of life in tuberculosis: patient and provider perspectives. Quality of Life Research. 2004 Apr; 13(3): 639-52. doi: 10.1023/B:QURE.0000021317.12945.f0

Smith R, Rossetto K, Peterson BL. A meta-analysis of disclosure of one's HIV-positive status, stigma and social support. AIDS Care. 2008 Nov; 20(10): 1266-75. doi: 10.1080/09540120801926977

Li L, Lee S-J, Thammawijaya P, Jiraphongsa C, Rotheram-Borus MJ. Stigma, social support, and depression among people living with HIV in Thailand. AIDS Care. 2009 Aug; 21(8): 1007–13. doi: 10.1080/09540120802614358

Corrigan P. How stigma interferes with mental health care. American Psychologist. 2004 Oct; 59(7): 614-625. doi: 10.1037/0003-066X.59.7.614

Mashiach-Eizenberg M, Hasson-Ohayon I, Yanos PT, Lysaker PH, Roe D. Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope. Psychiatry Research. 2013 Jun; 208(1): 15-20. doi: 10.1016/j.psychres.2013.03.013

Cremers AL, de Laat MM, Kapata N, Gerrets R, Klipstein-Grobusch K, Grobusch MP. Assessing the consequences of stigma for tuberculosis patients in urban Zambia. PloS One. 2015 Mar; 10(3): e0119861. doi: 10.1371/journal.pone.0119861

Deribew A, Tesfaye M, Hailmichael Y, Negussu N, Daba S, Wogi A, et al. Tuberculosis and HIV co-infection: its impact on quality of life. Health and Quality of Life Outcomes. 2009 Dec; 7(1): 1-7. doi: 10.1186/1477-7525-7-105

Rajeswari R, Muniyandi M, Balasubramanian R, Narayanan PR. Perceptions of tuberculosis patients about their physical, mental and social well-being: a field report from south India. Social Science & Medicine. 2005 Apr; 60(8): 1845-53. doi: 10.1016/j.socscimed.2004.08.024

Eastwood SV and Hill PC. A gender-focused qualitative study of barriers to accessing tuberculosis treatment in The Gambia, West Africa. The International Journal of Tuberculosis and Lung Disease. 2004 Jan; 8(1): 70-5.

Liefooghe R, Michiels N, Habib S, Moran MB, De Muynck A. Perception and social consequences of tuberculosis: a focus group study of tuberculosis patients in Sialkot, Pakistan. Social Science & Medicine. 1995 Dec; 41(12): 1685-92. doi: 10.1016/0277-9536(95)00129-U

Khan A, Walley J, Newell J, Imdad N. Tuberculosis in Pakistan: socio-cultural constraints and opportunities in treatment. Social Science & Medicine. 2000 Jan; 50(2): 247-54. doi: 10.1016/S0277-9536(99)00279-8

Van Rie A, Sengupta S, Pungrassami P, Balthip Q, Choonuan S, Kasetjaroen Y, et al. Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales. Tropical Medicine & International Health. 2008 Feb; 13(1): 21–30. doi: 10.1111/j.1365-3156.2007.01971.x

Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988 Mar; 52(1): 30-41. doi: 10.1207/s15327752jpa5201_2

World Health Organization. The world health organization quality of life (WHOQOL)-BREF. World Health Organization; 2004.

Long NH, Johansson E, Diwan VK, Winkvist A. Different tuberculosis in men and women: beliefs from focus groups in Vietnam. Social Science & Medicine. 1999 Sep; 49(6): 815-22. doi: 10.1016/S0277-9536(99)00171-9

Kaulagekar-Nagarkar A, Dhake D, Jha P. Perspective of tuberculosis patients on family support and care in rural Maharashtra. The Indian Journal of Tuberculosis. 2012 Oct; 59(4): 224-30.

Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Medicine. 2010 Jul; 7(7): e1000316. doi: 10.1371/journal.pmed.1000316

Guo N, Marra F, Marra CA. Measuring health-related quality of life in tuberculosis: a systematic review. Health and Quality of Life Outcomes. 2009 Dec; 7(1): 1-0. doi: 10.1186/1477-7525-7-14

Chang B, Wu AW, Hansel NN, Diette GB. Quality of life in tuberculosis: a review of the English language literature. Quality of Life Research. 2004 Dec; 13(10): 1633-42. doi: 10.1007/s11136-004-0374-1

Galvan FH, Davis EM, Banks D, Bing EG. HIV stigma and social support among African Americans. AIDS Patient Care and STDs. 2008 May; 22(5): 423-36. doi: 10.1089/apc.2007.0169



DOI: 10.54393/pjhs.v4i01.490
Published: 2023-01-31

How to Cite

Akhtar, N. ., Batool, I. ., & Zohaib Khan, M. . (2023). Perceived Stigma, Social Support and Quality of Life in Patients of Tuberculosis: Quality of Life in Patients of TB. Pakistan Journal of Health Sciences, 4(01), 89–93.



Original Article