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结核病污名的认知失调:南非结核病污名测量的混合方法分析
Alanna J Bergman1,2, Chakra Budhathoki3, Michael V Relf4
1University of Virginia, School of Nursing, Charlottesville, Virginia, United States of America.
PLOS global public health
|November 20, 2024
概括
患者对结核病的看法规模可能无法完全捕捉南非结核病 (TB) 污名. 定性数据显示,结核病患者的规模和生活经验之间存在差异.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 定性研究方法 定性研究方法
背景情况:
- 结核病 (TB) 污名是撒哈拉以南非洲地区的重要护理障碍.
- 患者和社区对结核病的看法尺度被广泛使用,但在南非缺乏质量验证.
- 了解患者和社区的看法对于有效的结核病控制至关重要.
研究的目的:
- 质量地探索南非的结核病耻辱经历.
- 评估定量性耻辱评分与结核病患者生活经验之间的一致性.
- 确定"患者对结核病的看法"尺度是否充分反映了南非环境中的结核病污名.
主要方法:
- 混合方法方法结合了定量级管理和定性访谈.
- 认知采访技术用于比较尺度响应与深度体验.
- 研究参与者包括具有耐利芬素结核病和艾滋病毒同时感染的个体.
主要成果:
- 定量尺度显示出足够的因子结构,但定性发现与定量反应相矛盾.
- 该尺度未能区分报告高和低水平结核病污名的参与者.
- 参与者报告说,这些耻辱元素没有被尺度所捕捉到,并且项目措辞造成了混乱.
结论:
- 患者对结核病的看法尺度在捕捉南非结核病污名的全谱方面存在局限性.
- 整合定性方法对于验证不同人群中的耻辱评估工具至关重要.
- 未来的结核病污名研究应该通过混合方法方法来确保内容的有效性.
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