在埃塞俄比亚东部的性病患者中延迟寻求医疗保健的决定因素:一个病例控制研究
Dereje Bifa1, Delelegn Yilma1, Tsegaye Banti1
1Department of Public Health, Ambo University, Ambo, Ethiopia.
Frontiers in public health
|November 10, 2025
概括
延迟寻求性传播感染 (STIs) 的医疗保健受到婚姻状况,知识和对耻辱感的恐惧等因素的影响. 在埃塞俄比亚,社区医疗保险入学也是一个关键决定因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会和行为科学 社会和行为科学
背景情况:
- 延迟寻求医疗保健是控制性传播感染 (STIs) 的重要障碍.
- 这种延迟延长了传染性,增加了性传播疾病的发病率,尽管许多性传播疾病是可以治愈的.
- 社会和行为因素往往阻止个人及时寻求性传播感染的医疗护理.
研究的目的:
- 确定在被诊断患有性传播感染的患者中延迟寻求医疗保健的决定因素.
- 这项研究集中在埃塞俄比亚哈拉里地区的政府医院的患者身上.
主要方法:
- 基于设施的,无匹配的病例控制研究进行了197个病例和197个控制.
- 数据是通过面对面采访收集的,采用结构化问卷.
- 多变量逻辑回归分析确定了延迟寻求医疗保健的决定因素 (p<0.05).
主要成果:
- 延迟寻求医疗保健的决定因素包括小家庭规模,未婚婚姻状况,知识不足和对社会耻辱的恐惧.
- 单一的性伴侣和没有参加社区医疗保险 (CBHI) 也是重要因素.
- 具体来说,单身状态 (AOR=2.6) 和对耻辱的恐惧 (AOR=4.75) 增加了延迟,而家庭规模小 (AOR=0.2) 和单身伴侣 (AOR=0.31) 减少了延迟.
结论:
- 诸如婚姻状况,知识水平,对耻辱感的恐惧,性伴侣数量和CBHI入学率等因素会影响延迟寻求性传播疾病医疗服务.
- 建议推广健康教育,为性病患者注册CBHI,以改善及时获得护理.
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