衡量与乙型肝炎相关的耻辱感:基于问卷的研究的系统审查
Jaconiah Shelumiel T Manalaysay1,2, Diego Nathaniel D Mina2, Brian Arth M Urbano2
1Department of Sociology and Behavioral Sciences, College of Liberal Arts, De La Salle University Manila.
Acta medica Philippina
|November 3, 2025
概括
耻辱感阻碍了乙型肝炎的管理,特别是在菲律宾. 本次审查强调需要更好的工具来测量乙型肝炎 (HBV) 污名,为开发一个文化相关的工具提供信息.
科学领域:
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
- 社会学 社会学 社会学
背景情况:
- 社会耻辱显著阻碍了公共卫生工作,特别是对于诸如乙型肝炎 (HBV) 等流行疾病.
- 与HBV相关的耻辱感限制了患者获得护理和治疗坚持,恶化了疾病负担.
- 在用于衡量与HBV相关的耻辱感的工具的系统评估中存在一个关键的差距.
研究的目的:
- 系统地审查现有的衡量乙型肝炎相关耻辱感的仪器.
- 评估这些测量工具的方法,可靠性和有效性.
- 为菲律宾环境量身定制的精细耻辱测量工具的开发提供信息.
主要方法:
- 在六个数据库 (PubMed,Cochrane,Open Grey,DissOnline,PHRR,HERDIN) 进行了系统的文献搜索,遵循PRISMA指南.
- 包括使用HBV污名和歧视测量问卷的定量和混合方法研究.
- 1992年至2023年间发表的研究根据预定义的资格标准进行了相关性选.
主要成果:
- 该审查分析了17篇文章,确定了15种独特的HBV污名测量仪器.
- 大多数研究采用横截面设计,集中在亚洲,对所测量的耻辱感类型缺乏具体性.
- 虽然利克特尺度是常见的,但很少有仪器提供截止值;12篇文章报告了有效性和可靠性测试.
结论:
- 衡量HBV污名的现有仪器往往缺乏通用方法和特异性.
- 迫切需要标准化,可靠和文化敏感的问卷来评估HBV污名.
- 开发这些工具对于有效的公共卫生策略和改善菲律宾HBV患者的治疗结果至关重要.
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