"让他死去. 让他死去. 他造成了":坦桑尼亚癌症污名的定性研究
Judith M Mwobobia1, Brandon A Knettel1,2, Jennifer Headley1
1Duke Global Health Institute, Duke University, Durham, North Carolina, United States of America.
PLOS global public health
|June 12, 2024
概括
坦桑尼亚的癌症污名,由金融恐惧和误解驱动,显著阻碍了寻求护理和治疗坚持. 干预措施必须解决识字,社区态度和负担能力,以改善癌症的结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 癌症是坦桑尼亚的第三大死亡原因,发病率不断上升,结果不佳.
- 与癌症相关的耻辱是寻求护理,治疗坚持和患者支持的重要障碍.
- 在坦桑尼亚,减少癌症耻辱的干预措施在历史上一直是优先考虑的.
研究的目的:
- 探讨在坦桑尼亚推动癌症污名化的态度.
- 了解癌症污名对寻求护理和治疗坚持的影响.
- 确定潜在的干预策略,以减少癌症的耻辱.
主要方法:
- 采用了一种横截面的定性研究设计.
- 在坦桑尼亚莫希,140名新诊断患有癌症的成年人接受了采访,采用开放式问题.
- 数据分析采用了以团队为基础的,使用NVivo 12软件应用的主题方法.
主要成果:
- 参与者认为财务负担,误解 (例如,癌症是传染性的),以及对死亡的恐惧是耻辱的主要驱动因素.
- 耻辱导致羞耻,害怕负担家庭,减少治疗机会,以及脱离护理.
- 一些患者报告诊断后增加了社会支持,这表明耻辱感并非普遍存在.
结论:
- 解决癌症污名需要干预,重点是提高癌症知识,社区宣传,并加强情感/实践支持.
- 财政支持,专业咨询和社区教育对于减少污名化态度至关重要.
- 改善癌症护理负担能力和可访问性的政策变化对于减轻患者和家庭的财务负担至关重要.
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