乌干达社区与结核有关的耻辱和相关因素的程度
Derrick Kimuli1, Florence Nakaggwa2, Norah Namuwenge1
1Social & Scientific Systems, Inc., a DLH Holdings Company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda.
PloS one
|January 24, 2025
概括
结核病 (TB) 污名在乌干达社区普遍存在,与年龄,教育,城市环境和结核病知识相关的较高水平. 为了有效控制结核病,社区干预必须平衡意识和减少恐惧.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 污名是全球结核病控制的主要障碍,特别是在高负担的国家.
- 乌干达先前对结核病污名的研究范围有限,并且基于设施.
- 这项研究解决了乌干达社区一级的结核病污名.
研究的目的:
- 测量乌干达社区与结核病相关的耻辱感.
- 在社区层面确定与结核病耻辱相关的因素.
主要方法:
- 利用了来自77个地区的33349名参与者的批量质量保证采样 (LQAS) 数据 (2021/2022).
- 采用后勤回归分析来确定与结核病污名相关的因素.
- 评估了结核病的耻辱性,使用0-30级别的得分,中位数以上的得分表明更高的耻辱性.
主要成果:
- 平均结核病耻辱评分为21.67 (±8.22),中位数为24.
- 45.48%的参与者得分高于结核病污名的中位数.
- 与较高的结核病耻辱相关的因素包括年龄较大,高等教育,城市居住和结核病知识.
结论:
- 在乌干达,在社区层面存在显著的结核病污名,因地区而异.
- 干预措施的目的应该是通过平衡意识与减少恐惧来减少耻辱和错误信息.
- 以特定环境为中心,以社区为中心的干预措施对于加强结核病控制工作至关重要.
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