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乌干达结核病患者中的耻辱和相关的性别差异:一项跨部门研究

Juliet N Sekandi¹, Trang Quach², Ronald Olum³

¹Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, Georgia, USA.

Research square

|January 23, 2024

概括

乌干达的结核病患者经历了高水平的自我,预期和公共耻辱. 女性性别和失业与自我耻辱感的增加有关,而艾滋病共同感染与预期的耻辱感有关.

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:

结核病 (TB) 仍然是全球主要的传染性死亡原因.
耻辱感,包括自我,预期和公共形式,会对结核病治疗的坚持产生负面影响.
关于乌干达结核病污名的流行及其与性关系的数据有限.

研究的目的:

评估乌干达结核病患者中自我,预期和公共耻辱的流行情况.
为了检查性与这三种耻辱的关系.
识别影响污名的潜在混因素.

主要方法:

在2020年7月至2021年3月期间,在乌干达坎帕拉进行了一项横截面研究.
招募了144名年龄在18-65岁之间的结核病患者开始治疗.
多变量后勤回归分析了性别和耻辱类型之间的关联,控制年龄,艾滋病毒状况和就业.

主要成果:

污名的高患病率:自我污名 (71.1%),预期的污名 (75.7%),公共污名 (41.7%).
女性性别 (AOR: 2.35) 和失业率 (AOR: 2.95) 显著与自我耻辱相关.
同时感染艾滋病毒 (AOR:3.58) 与预期的耻辱相关;没有公共耻辱的重要因素.

结论:

乌干达的结核病患者表现出高度的耻辱感.
干预措施必须解决性别特异性需求和艾滋病毒等共同感染,以打击耻辱感.
需要对高负担环境中的结核病耻辱决定因素进行进一步的研究.

关键词:

预期的污名 - 预期的污名公众的污名化自我耻辱是一种自我耻辱.结核病结核病是一种疾病.乌干达乌干达乌干达乌干达乌干达

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