与结核病相关的耻辱在蒙古的结核病患者和护理人员中普遍存在
B Tsogt1, J T Denholm2,3, N Dambaa4
1Mongolian Anti-Tuberculosis Coalition, Ulaanbaatar, Mongolia.
IJTLD open
|July 14, 2025
概括
结核病 (TB) 污名在蒙古非常普遍,影响了超过一半的受访者,包括医疗保健工作者. 迫切需要有针对性的干预措施,以减少整个社区的结核病污名.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 蒙古面临着高结核病 (TB) 发病率,治疗覆盖率低.
- 污名感被怀疑是结核病护理获取障碍,但仍未得到评估.
- 了解与结核病相关的耻辱感对于改善公共卫生结果至关重要.
研究的目的:
- 评估蒙古的结核病相关污名的流行和影响.
- 确定受结核病污名影响最大的特定群体和环境.
- 为制定有针对性的耻辱减少策略提供信息.
主要方法:
- 在2021-2022年期间,蒙古进行了一项全国性结核病耻辱评估.
- 面对面的采访使用了与不同参与者的半结构化问卷.
- 参与者包括结核病患者,家庭成员,社区成员和医疗保健工作者.
主要成果:
- 总体而言,53%的参与者报告经历了耻辱感,其中医疗保健工作者 (72%) 患病率最高.
- 在诊断和治疗开始期间,在医疗机构中最常见的耻辱是诊断和治疗.
- 女性受访者,城市贫民窟居民和家庭/社区成员报告了更高或次要的耻辱影响.
结论:
- 与结核病相关的耻辱是蒙古各地普遍存在的问题.
- 干预措施必须解决结核病患者,他们的家人,医疗保健工作者和整个社区之间的耻辱感.
- 迫切需要全面的耻辱化降低策略,以改善结核病治疗的准入和结果.
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