耻辱在大麻使用披露中的作用:一项探索性研究
Daniel D King1, Christopher J Gill2, Carey S Cadieux3
1College of Nursing, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, IL, 60064, USA. daniel.king@rosalindfranklin.edu.
Harm reduction journal
|January 25, 2024
概括
医疗保健中的大麻使用披露受到患者耻辱的限制. 预期的耻辱和总的耻辱与不披露有关,影响了护理. 医疗保健提供者需要无偏见的知识来进行公开的讨论.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 大麻研究 大麻研究
背景情况:
- 大麻的使用正在增加,但在美国仍然是联邦非法,创造了一个复杂的医疗环境.
- 患者往往不愿意向医疗保健提供者披露大麻使用情况,这可能会危及患者的护理.
- 这项研究调查了大麻使用披露的频率及其与各种形式的耻辱的关系.
研究的目的:
- 评估美国医疗保健系统中大麻使用披露的频率.
- 检查感知,预期,颁布和内化污名和大麻使用披露之间的联系.
- 了解由于患者保密而导致提供综合护理的提供者限制.
主要方法:
- 一个描述性的探索性设计,利用匿名的在线全国调查.
- 参与者 (n=249) 是美国成年人 (≥21岁),在五年内使用大麻并获得医疗保健.
- 用修改的尺度 (SU-SMS,SASS) 测量了耻辱;逻辑回归分析了披露模式和耻辱.
主要成果:
- 大多数参与者 (57.1%) 开始谈论大麻;然而,在27.8%的时间里,它从未被讨论过.
- 预期的耻辱和总的耻辱与大麻使用的不披露显著相关.
- 收入,大麻使用的长期性,使用频率和CBD含量与披露频率有关.
结论:
- 医疗保健机构的污名化阻碍了大麻使用的披露,影响了患者的病史.
- 预期的污名要求进行更深入的调查,因为这是公开沟通的障碍.
- 医疗保健提供者需要更好的知识和公正的方法来促进与大麻有关的讨论.
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