麻疹流行病学,治疗和预防的障碍,以及感知到的耻辱感:一个横截面研究
Angelique E Boutzoukas1,2, Pedro A Serrano3, Alfred Cortez3
1Duke University Hospital, 300 W Morgan St, Suite 700, Durham, NC, 27701, USA. angelique.boutzoukas@duke.edu.
BMC public health
|October 1, 2025
概括
围绕mopox的耻辱严重影响了医疗保健和预防行为,特别是在同性恋男性中. 公共卫生倡议必须解决污名化问题,以改善mpox患者的治疗结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 2022年的mopox疫情不成比例地影响了美国的性少数群体男性.
- 对于mopox医疗保健,治疗和疫苗接种的障碍仍然不清楚.
- 与Mpox相关的耻辱感尚未得到充分量化,可能会阻碍疫情制.
研究的目的:
- 评估美国的mopox流行病学
- 探索mopox治疗和疫苗接种的障碍.
- 评估mopox相关的耻辱及其对受影响个人的影响.
主要方法:
- 通过面向LGBTQ+的平台招募的122名参与者的横截面研究.
- 在线调查评估人口统计,医疗保健准入,治疗,疫苗接种和污名.
- 使用适应的HIV污名度表测量Mpox污名度;进行统计分析.
主要成果:
- 22%的参与者有mopox; 82%的男性,90%的同性恋者.
- 治疗的主要障碍:没有提供治疗 (57%).
- 疫苗接种障碍:有限的接种机会 (30%) 和耻辱 (14%). 报道了普遍的耻辱感,49%的人担心避免,而43%的人担心被认为是"脏的".
结论:
- 马普克斯的耻辱加剧了医疗保健的差距,并影响了预防措施.
- 公共卫生战略应侧重于减少耻辱,文化上有能力的护理和社区参与.
- 解决耻辱是改善MPOX和类似传染病爆发的结果至关重要的.
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