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Lack of education about TB infectivity was cited as the underlying cause of stigma.
Violence is itself evidence of impaired social function, as well as a cause of stigma.
In agreement with our findings, a recent systematic review on the pathways of TB stigma revealed the most common cause of stigma to be the perceived risk of transmission to vulnerable individuals [ 27].
Many of the PLHIV thought of this approach as a major cause of stigma and discrimination because, as one informant commented: "People get scared when they look at them [the images], (a 28-year-old woman, focus group discussion).
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The causes of stigma are widespread and rife, so should be addressed at every opportunity.
The underlying causes of stigma are similar across a wide diversity of countries and continents [ 29].
The sources and causes of stigma in patients with diabetes differ across cultures.
Racial and ethnic differences are well documented causes of stigma and discrimination in most populations, irrespective of sexual orientation.
The impact on sufferers is considerable, yet there is little understanding of the precise nature of the causes of stigma and discrimination.
Without knowledge of the causes of stigma and discrimination associated with TB, it is difficult to devise discrimination-reduction strategies that are likely to work.
The main points discussed in both the in-depth interviews and focus groups were: the perception of the causes of stigma, the expressions and forms of stigma, and the effects of stigma and discrimination on PLHIV.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com