智能药盒对结核病成年人的耻辱的影响 结核病治疗试验 结核病治疗试验 结核病治疗试验
L Jennings1, N Maraba2, R Mukora2,3
1Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine and Department of Medicine, University of Cape Town, Cape Town, South Africa.
IJTLD open
|October 15, 2025
概括
除了披露结核病状况外,结核病 (TB) 污名总体上很低. 一个惊慌的智能药盒干预措施在治疗期间没有增加结核病的耻辱.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结核病 (TB) 污名对寻求健康的行为和治疗开始产生负面影响.
- 在治疗期间结核病污名的定量数据有限.
- 结核病伴侣试验调查了一项针对结核病治疗的干预措施.
研究的目的:
- 在治疗开始时量化结核病的污名.
- 评估一个警报的电子药箱干预对结核病耻辱的影响随着时间的推移.
- 分析结核病耻辱领域,包括经验,内化和披露.
主要方法:
- 在南非18个初级卫生机构进行集群随机试验.
- 在基线,6个月和18个月进行了测量5个结核病污名域的问卷.
- 来自2,469名药物敏感结核病成年人的耻辱数据的分分析.
主要成果:
- 基线经验或内化结核病耻辱是低的 (≤3%).
- 在家庭之外披露结核病状况在基线时很常见 (42.3%).
- 在整个治疗过程中,耻辱的患病率保持在低水平;在干预和标准护理组的6个月内,披露率增加.
结论:
- 结核病的耻辱感,不包括披露,在研究人群中很低.
- 报警的智能药盒干预措施并没有导致结核病污名的增加.
- 披露结核病状况是治疗期间耻辱的一个重要方面.
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