"他们称我们为阿马法拉 (上者) ":南非结核病,酒精和毒品的交叉耻辱
Tara Carney1,2,3, Noluthando Mpisane1, Jessica F Magidson4
1Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Francie Van Zijl Drive, Parow, 7505, Cape Town, South Africa.
Stigma and health
|February 16, 2026
概括
结核病 (TB) 和酒精或毒品 (AOD) 使用的个人面临着复杂的耻辱,阻碍了医疗保健的获取. 解决这些交叉的耻辱是改善结核病服务的关键.
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:
- 污名显著阻碍结核病 (TB) 的诊断和治疗.
- 结核病患者同时使用酒精或药物 (AODs) 可能面临复杂的,交叉的耻辱感.
- 这种耻辱可能会被艾滋病毒和边缘化的社会地位等共同疾病所加剧,但仍未得到充分研究.
研究的目的:
- 检查结核病患者或处于结核病风险的人群中对AOD使用相关耻辱的看法和经验.
- 了解跨界污名化如何影响南非农村环境中的医疗保健利用情况.
主要方法:
- 来自两项涉及重点小组的研究数据的定性分析.
- 研究1:五个重点小组 (n=34).
- 研究2:十个重点小组 (n=84).
主要成果:
- 使用AOD的参与者经历了来自各种来源的交叉耻辱,包括家庭,朋友,医疗保健提供者和社区.
- 与AOD使用和结核病相关的耻辱对那些使用非法药物的人来说特别严重.
- 在女性参与者中,AOD使用耻辱的负面影响更为明显,影响健康和福祉.
结论:
- 与AOD使用和结核病相关的交叉污名存在于受影响个体的多个层面.
- 这些联合的耻辱行为作为一个重要的障碍,在农村环境中利用医疗保健.
- 未来的结核病干预措施必须解决跨部门的AOD使用和结核病污名,以改善服务采用.
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