感知结核病患者和家庭接触者之间的耻辱感
E Machavariani1, B A S Nonyane2, L Lebina3
1Yale School of Medicine, New Haven, CT.
概括
结核病 (TB) 污名影响患者及其家庭接触者. 较高的感知结核病污名与艾滋病毒阳性状态和城市生活有关,影响了疫情控制工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 与结核病 (TB) 相关的耻辱阻碍了诊断和治疗的准入.
- 了解污名化驱动因素对于控制结核病至关重要.
- 结核病家庭接触者中的耻辱,这是一个高风险群体,仍未得到充分研究.
研究的目的:
- 调查与感知结核病污名相关的人口和临床因素.
- 为了比较结核病患者及其家庭接触者之间的耻辱程度.
主要方法:
- 在南非进行的横截面研究,涉及143名结核病患者和135名家庭接触者.
- 使用了12项感知结核病耻辱度表 (0-36分).
- 采用线性混合效应回归来分析耻辱决定因素.
主要成果:
- 结核病患者 (22.1) 和家庭接触者 (22.2) 的平均感知结核病耻辱评分高且相似.
- 在同一个家庭中生活占了污名感知变化的24.3%.
- 城市居住 (Soshanguve) 和阳性艾滋病毒诊断与更高的耻辱评分相关.
结论:
- 高感知结核病污名在结核病患者和他们的家庭接触者中普遍存在.
- 艾滋病毒阳性状况和城市环境与结核病污名的增加有关.
- 解决这些人群中的耻辱是有效控制结核病流行病的关键.
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