英国的Mpox耻辱和对未来疫情控制的影响:一个横截面混合方法研究
Amy Paterson1, Ashleigh Cheyne2, Harun Tulunay3
1Pandemic Sciences Institute, University of Oxford, Old Road Campus, Roosevelt Drive, Oxford, OX3 7DQ, UK. amy.paterson@ndm.ox.ac.uk.
BMC medicine
|July 14, 2025
概括
英国的Mpox耻辱源于偏见和错误信息,导致预期的负面判断和回避. 解决这些因素对于控制mopox疫情和支持受影响个体至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 传染病控制和控制传染病
背景情况:
- 污名化严重挑战了全球mopox疫情控制和受影响个人的福祉.
- 解决与mopox相关的耻辱感对于加强感染预防和控制战略至关重要.
- 缺乏对MPOX污名的有力的评估,尽管它在公众和政策讨论中占据着重要地位.
研究的目的:
- 调查英国中与mopox相关的耻辱的原因,表现和影响.
- 专注于直接和间接受到mpox.影响的社区中预期的耻辱感.
- 开发和验证一种工具,用于评估新的和重新出现的疫情中的耻辱感.
主要方法:
- 进行了一项在线,混合方法的横截面调查,以评估mopox的耻辱感.
- 开发和验证了新的和重新出现的疫情的污名调查和社区评估 (Stigma-SCANR) 工具.
- 配额抽样针对受影响最严重的人群,包括同性恋,双性恋和其他与男性发生性关系的男性 (GBMSM) 和医疗保健工作者.
主要成果:
- 预先存在的偏见,恐惧和错误信息被确定为mopox污名的关键驱动因素.
- 受访者预计负面判断和回避的程度会更高,特别是来自性伴侣和公众.
- 有很大比例的mpox受访者经历了耻辱,羞耻是寻求护理的主要障碍.
结论:
- 调查结果为国际mopox疫情应对提供了洞察力,特别是在受到类似影响的社区.
- 学到的经验教训可能可用于管理其他疾病爆发中的耻辱感.
- 建议包括同行支持,关于社会/工作时间表的可访问信息,以及共同设计的公共通讯和联系人追踪.
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