与结核病家庭接触调查交织的伦理影响的影响:一种定性研究
L M Mlambo1, M Milovanovic1,2, C F Hanrahan3
1Perinatal HIV Research Unit, University of the Witwatersrand, Soweto, South Africa.
medRxiv : the preprint server for health sciences
|July 9, 2024
概括
家庭接触调查 (HCI) 有效地发现结核病 (TB) 病例和艾滋病披露. 然而,它可能会增加社区对艾滋病毒检测的耻辱和不适,影响接受.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 定性研究方法 定性研究方法
背景情况:
- 家庭接触调查 (HCI) 是全球结核病 (TB) 控制的关键战略.
- 了解HCI在参与者层面的影响和心理社会影响是有限的.
- HCI对结核病患者,家庭和社区的影响,包括耻辱感,仍然在很大程度上未被探索.
研究的目的:
- 探索家庭接触调查 (HCI) 对结核病患者及其家庭接触者的感知影响.
- 了解南非HCI对个人,人际关系和社区层面的影响.
- 确定影响HCI接受和有效性的因素.
主要方法:
- 在南非的一项随机试验中进行了一项探索性定性研究.
- 与结核病患者及其家庭接触者进行深入采访和聚焦小组讨论.
- 对定性数据进行主题分析,以确定有关HCI感知的关键主题.
主要成果:
- 参与者认为HCI在结核病例发现和教育方面是有效的,减少了获得医疗保健的障碍.
- HCI促进了对结核病状况的安全披露,并加强了家庭的支持.
- 人们担心艾滋病毒检测的不适以及由于家庭医疗保健工作者访问而增加的社区耻辱感.
结论:
- HCI对个人,家庭和社区产生了不同的影响.
- 解决社区对艾滋病毒检测的耻辱和不适对于提高HCI接受度至关重要.
- 需要量身定制的方法来最大限度地发挥HCI的好处,同时减轻负面的心理社会影响.
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