尼日利亚拉各斯耐药结核病患者所经历的耻辱:一项横截面研究
Olusola A Adejumo1,2, Champaklal Jinabhai3, Olusoji Daniel4
1Mainland Hospital Yaba, Lagos Nigeria.
概括
在尼日利亚拉各斯,污名影响了65.5%的耐药结核病 (DR-TB) 患者. 诸如男性,失业,药物使用和更长的诊断时间等因素与更高的耻辱体验有关.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 社会流行病学 社会流行病学
背景情况:
- 结核病 (TB) 污名显著影响了通报率,特别是尼日利亚的耐药结核病 (DR-TB).
- 了解耻辱的驱动因素对于有效的结核病控制策略至关重要.
研究的目的:
- 评估尼日利亚拉各斯DR-TB患者的患病率和与耻辱相关的因素.
主要方法:
- 一项描述性的横截面研究,涉及203名接受DR-TB治疗的成年人.
- 红木DR-TB耻辱度表被用来衡量经历的耻辱感.
- 后勤回归分析确定了与耻辱相关的因素.
主要成果:
- 在研究人口中,结核病污名的流行率为65.5%.
- 耻辱感与男性性别,收入缺乏,物质使用 (酒精/香烟) 和较长时间的DR-TB诊断有显著的关联.
- 虽然HIV阴性个体最初表现出更高的耻辱感,但在多变量分析中,这并不重要.
结论:
- 鉴定的因素需要有针对性的干预措施,以减轻拉各斯DR-TB患者的耻辱感.
- 紧急实施减少耻辱的战略对于改善患者的治疗结果和结核病控制至关重要.
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