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南非农村社区中COVID-19相关的耻辱:一种混合方法分析

Duduzile P Mashinini¹, Nicole K Kelly², Palesa Mataboge³

¹Carolina Population Center, Biosocial Training Program, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.

|July 18, 2024

概括

在南非农村地区,COVID-19的耻辱感有所减少,但对排斥的恐惧仍然影响了披露感染状况的意愿. 公共卫生战略必须解决这些社区持续存在的传染病污名.

科学领域:

公共卫生公共卫生
社会学社会学社会学
传染性疾病传染性疾病

背景情况:

在全球范围内,传染病的耻辱感阻碍了疾病控制,阻碍了治疗和预防.
非洲农村地区的COVID-19污名化存在有限的研究,尽管艾滋病毒/艾滋病污名化存在历史挑战.

研究的目的:

评估南非农村地区COVID-19相关的耻辱感.
检查 stigma 随着时间的推移以及相关的社会人口统计因素的变化.
了解污名对揭露感染状况的意愿的影响.

主要方法:

在南非Mpumalanga (2020-2021) 对1662名成年人的基于人口的调查.
测量预期的COVID-19污名化水平和社会人口统计学关联.
对31名参与者进行的关于感知和实施的耻辱感的定性访谈进行主题分析.

主要成果:

预期的COVID-19污名在2020年和2021年之间显著下降 (p<0.0001).
2020年,更高的耻辱程度与老年人群和较低的COVID-19知识有关.
参与者认为COVID-19的耻辱感类似于艾滋病毒/艾滋病的耻辱感,随着时间的推移,恐惧感减少.

结论:

虽然COVID-19的耻辱感下降了,但各种形式仍然存在,影响了披露意愿.
在南非农村社区减轻传染病污名对公众健康至关重要.
需要政府战略来解决耻辱,以艾滋病毒流行病的教训为基础.

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