对结核污名减少干预措施的系统审查
Nadira Aitambayeva1, Altyn Aringazina2, Laila Nazarova3
1Department of Public Health and Social Sciences, Kazakhstan's Medical University "KSPH", Almaty 050000, Kazakhstan.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
减少结核病 (TB) 污名化的干预措施正在不断发展,包括同行领导和数字工具. 最近的策略解决了多层次的耻辱,强调了环境和生活经验,以改善患者的福祉和治疗坚持.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医学社会学 医学社会学
背景情况:
- 与结核病 (TB) 相关的耻辱显著影响患者的福祉,治疗坚持和公共卫生结果.
- 系统审查对于了解目前减轻与结核病相关的耻辱感的策略至关重要.
研究的目的:
- 系统地审查和综合2015年至2025年期间公布的结核病污名减少干预措施.
- 为了确定趋势和有效的耻辱减少战略的关键组成部分.
主要方法:
- 遵守PRISMA指南,在主要的学术数据库中进行全面的文献搜索.
- 包括定性,定量和混合方法研究,重点关注结核病污名干预措施.
- 将研究分类为干预开发,结核病治疗与污名化结果,以及污名化特异性干预,并使用MMAT进行质量评估.
主要成果:
- 十五项研究符合纳入标准,详细介绍了各种减少耻辱的方法.
- 干预措施包括共同开发的策略,结核病治疗计划与偶然的耻辱减少,和向的耻辱干预 (教育,治疗,同行支持).
- 策略解决了个人,社区和政策层面的内部化,颁布,预期和交叉的耻辱.
结论:
- 结核病污名干预措施已经多样化,超越了教育范围,包括同行领导,数字平台和社会生态框架.
- 最近的干预措施越来越多地整合了多层次和多组件的方法.
- 有效的干预措施需要全面的,特定于环境的设计,反映出受结核病影响的个体的经验.
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