南非结核病相关耻辱的社区变化:MISSED结核病结果研究的生态分析
Aaron M Kipp1, Dawie Olivier2, Nelisiwe Skonje2
1Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
medRxiv : the preprint server for health sciences
|June 26, 2025
概括
在社区层面,结核病 (TB) 污名因地点而异,城市周边地区报告的最高水平. 干预措施必须解决当地环境和艾滋病毒污名,而不仅仅是个人知识,以有效地减少结核病污名.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结核病 (TB) 污名是诊断和治疗的一个主要障碍.
- 关于量化社区一级结核病耻辱及其地理变异的研究有限.
研究的目的:
- 描述测量社区结核病污名化的方法.
- 检查南非城市,郊区和农村社区结核病污名的变化.
主要方法:
- 调查了布法罗市大都会卫生区93个社区的3869个家庭.
- 用于结核病污名,艾滋病毒污名和结核病/艾滋病毒知识的验证尺度.
- 汇总个人反应以产生社区层面的耻辱数据.
主要成果:
- 社区结核病污名因地点而异;城郊地区的污名度最高,农村地区的污名度最低.
- 结核病污名显示出与所有社区类型的艾滋病毒污名的积极关联.
- 在根据地点调整后,没有发现结核病耻辱与结核病流行,知识或人口统计之间的联系.
结论:
- 结核病污名表现出社区层面的显著变化,受到城市化和艾滋病毒污名的影响.
- 耻辱减轻策略需要当地定制,应该考虑社区决定因素,而不仅仅是个人因素.
- 结果将为南非结核病护理级联的多层次分析提供信息.
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