印度北部州的COVID-19耻辱和歧视:一项同时混合方法研究
Manmeet Kaur1, P V M Lakshmi2, Abhishek Sharma3
1Former Professor of Health Promotion, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
Indian journal of public health
|June 27, 2024
概括
在旁遮普邦,COVID-19的耻辱和歧视很普遍,严重的形式影响了37%的成年人. 农村人口的耻辱感比城市人口少,感染和披露的恐惧是关键驱动因素.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 由于COVID-19的流行,导致了重大的社会和心理影响.
- 与传染病相关的耻辱和歧视可能会阻碍公共卫生工作.
研究的目的:
- 测量在旁遮普邦的COVID-19相关的耻辱和歧视的流行和驱动因素.
- 确定与增加的耻辱和歧视相关的因素.
主要方法:
- 同时的混合方法设计,包括定量调查和定性深入访谈.
- 简单和系统的随机抽样用于选择地区,卫生中心和家庭.
- 使用结构化问卷采访了423名成年人;进行了10次深入采访.
主要成果:
- 耻辱的发生率:轻度 (18%),中度 (45%),严重 (37%).
- 与城市人口相比,农村人口的耻辱感明显较低 (P < 0.01).
- 住院患者报告的歧视比在家接受治疗/隔离的患者多.
- 主要的恐惧驱动的耻辱:警察 (71%),测试 (69%) 和感染 (65%).
- 耻辱的驱动因素包括对查,身份披露和病毒传播的恐惧.
- 观察到标签,刻板印象和认知分离的同时发生.
结论:
- 与COVID-19相关的耻辱和歧视是Punjab的重要问题,特别是在城市环境中.
- 与检测,警察互动和疾病传播有关的恐惧是主要的驱动因素.
- 需要有针对性的干预措施来解决耻辱,特别是在住院患者和城市人口中.
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