吉尔吉斯斯坦妇女结核病患者的耻辱和歧视 - 一项现象学研究
Rhea Brüggemann1,2, Fabian Schlumberger3, Firuza Chinshailo2
1Department of Health Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, 6211 LK, The Netherlands.
International journal for equity in health
|July 2, 2025
概括
吉尔吉斯斯坦的妇女面临着与结核病相关的严重耻辱,影响心理健康和日常生活. 干预措施应侧重于教育和心理社会支持,以减轻这种负担.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 性别研究是性别研究.
背景情况:
- 吉尔吉斯斯坦的多耐药结核病 (MDR-TB) 负担很高.
- 污名化和歧视是导致结核病负担的重要因素,不成比例地影响女性.
- 之前的研究表明,与男性相比,耻辱对妇女的生活和心理健康的影响更大.
研究的目的:
- 探讨吉尔吉斯斯坦妇女面临结核病相关污名化的生活经历.
- 提高人们对结核病背景下的耻辱和歧视对性别特异性的影响的认识.
- 了解耻辱对女性心理健康和日常生活的影响.
主要方法:
- 描述性的现象学方法.描述性的现象学方法.
- 15个半结构化的深度访谈与女性结核病患者在比什凯克.
- 主题分析结合了演和归纳编码.
主要成果:
- 15名参与者中有14人经历了耻辱和歧视.
- 预期的耻辱导致诊断的不披露;在社会和医疗机构中发生了颁布的耻辱.
- 耻辱感影响了日常生活,社会前景,并在12名参与者中显著导致了心理健康问题.
结论:
- 与之前的研究不同,这项研究没有发现由于耻辱而导致的诊断延迟或治疗不坚持.
- 家庭相关的耻辱感,通常来自岳母,与父权社会态度有关.
- 广泛缺乏结核病知识导致了耻辱;心理健康问题很普遍. 干预措施应包括结核病教育,心理社会支持和改善医疗保健质量.
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