在乌干达结核病患者中的耻辱和相关的性别差异:一个横截面研究
Juliet N Sekandi1,2, Trang Quach2, Ronald Olum3
1Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, GA, USA.
Therapeutic advances in infectious disease
|December 16, 2024
概括
乌干达的结核病患者经历了高水平的自我和预期的耻辱感,女性和失业者更容易受到自我耻辱的风险. 干预措施应解决性别特异性需求和同时发生的艾滋病毒.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 传染病研究 传染病研究
背景情况:
- 结核病 (TB) 仍然是全球主要的传染性死亡原因.
- 与结核病相关的耻辱感会对治疗坚持产生负面影响.
- 关于乌干达结核病污名的流行率和与性别有关的差异的数据有限.
研究的目的:
- 评估乌干达结核病患者中自我,预期和公共耻辱的流行情况.
- 检查患者的性别与这些耻辱类型之间的关系.
- 为了确定与结核病相关的耻辱感相关的因素.
主要方法:
- 在2020年7月至2021年3月期间,在乌干达坎帕拉进行了一项横截面研究.
- 144名结核病患者完成了社会人口统计调查问卷和耻辱评估.
- 多变量后勤回归分析了性别,耻辱和混因素 (年龄,艾滋病毒,就业) 之间的关联.
主要成果:
- 污名的高患病率:自我污名 (71.1%),预期的污名 (75.7%),公共污名 (41.7%).
- 女性性别 (AOR: 2.35) 和失业 (AOR: 2.95) 与自我耻辱感的增加有关.
- 同时感染艾滋病毒 (AOR:3.58) 与预期的耻辱相关;公共耻辱没有显著的关联.
结论:
- 乌干达的结核病患者面临着相当大的自我,预期和公共耻辱.
- 干预措施必须考虑性别特异性需求和艾滋病毒共感染的影响.
- 需要对高负担环境中的结核病耻辱决定因素进行进一步的研究.
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