与艾滋病毒相关的耻辱和相关因素:系统审查和元分析
Zelalem G Dessie1,2, Temesgen Zewotir2
1College of Science, Bahir Dar University, Bahir Dar, Ethiopia.
Frontiers in public health
|August 7, 2024
概括
与艾滋病毒相关的耻辱感因年龄,社会支持,教育和艾滋病毒知识等因素而减少. 相反,抑郁症,农村居住,女性身份和不披露增加了耻辱风险. 解决这些因素是关键.
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:
- 与艾滋病毒相关的耻辱严重阻碍了全球艾滋病毒检测,治疗和预防工作.
- 了解艾滋病毒污名和各种社会人口和临床因素之间的多方面的关联对于有效的干预至关重要.
研究的目的:
- 系统地审查和综合有关艾滋病毒相关耻辱和综合因素清单之间的联系的发现.
- 确定各种不同人群中减轻或加剧与艾滋病相关的耻辱感的关键决定因素.
主要方法:
- 在主要的电子数据库中进行了系统的文献搜索,直到2023年4月.
- 包括40项涉及171,627名患者的研究,使用混合效应模型进行数据合成和偏差评估.
主要成果:
- 与减少艾滋病毒污名感相关的积极因素包括年龄,社会支持,高等教育,社会经济地位,更好的艾滋病毒知识和诊断后的更长时间.
- 与增加艾滋病毒污名风险相关的因素包括抑郁症,农村居住,女性性别和未披露艾滋病毒状况.
结论:
- 打击艾滋病毒污名需要全面的社会战略,包括加强社区层面的艾滋病毒意识和当地经济发展.
- 加强社会结构和解决个人层面的决定因素对于减少与艾滋病毒相关的耻辱的负担至关重要.
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