一个进化概念分析:C型肝炎妇女的耻辱感
Chelsea Masterman1, Andrew B Mendlowitz2, Camelia Capraru2
1Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
BMC public health
|September 28, 2024
概括
耻辱感会对感染C型肝炎病毒 (HCV) 的妇女产生负面影响,影响她们的身份和获得医疗保健的机会. 解决HCV污名的独特方面对于改善护理和实现HCV消除至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 护理 护理 护理
背景情况:
- 耻辱是健康的重要社会决定因素,导致边缘化和影响疾病轨迹.
- 型肝炎病毒 (HCV) 污名化对护理,治疗和治愈构成重大障碍,尤其是在女性中HCV发病率上升的同时.
- 了解女性HCV污名的细微差别对于开发有效的干预措施至关重要.
研究的目的:
- 进行C型肝炎病毒 (HCV) 感染妇女所经历的耻辱的概念分析.
- 应用罗杰斯的进化方法来探索女性HCV污名的背景,先例,属性和后果.
- 与其他传染病相比,确定女性中HCV污名的独特方面.
主要方法:
- 在多个数据库 (PubMed,CINAHL,Scopus,Medline,PsycINFO,护理和相关健康) 进行了全面的文献搜索.
- 包括2002年至2023年间发表的文章,重点关注女性中HCV污名.
- 罗杰斯的进化方法指导了对选定的文章的分析,检查了概念的上下文,相关术语,先例,属性,例子和后果.
主要成果:
- 分析了33篇文章,确定歧视和边缘化是与耻辱相关的术语.
- 关于HCV污名的先例包括有限的知识,对诊断的恐惧和披露的担忧.
- 关键的属性是自我价值下降,消极的刻板印象,以及对传播的恐惧;耻辱独特地影响了女性的母亲和照顾者身份.
- 后果包括对个人关系和医疗保健的负面影响,因为健康寻求行为减少.
结论:
- 在女性中,HCV污名化具有不同的先例,属性和后果,需要量身定制的方法.
- 更好地了解女性的HCV污名化,可以为改善护理策略提供信息,以支持消除HCV的努力.
- 未来的研究应该调查直接作用抗病毒治疗时代的耻辱分层和耻辱.
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