结核病患者的自我歧视和社会歧视概述  

Self-discrimination and social discrimination of patients with tuberculosis

作　　者：彭颖[1] 陈彬[1] 王飞[1] 王伟[1] 刘魁[1] 何铁牛[1] 陈晟[2] PENG Ying;CHEN Bin;WANG Fei;WANG Wei;LIU Kui;HE Tie-niu;CHEN Sheng(Department of TB Prevention and Control,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心结核病防制所,杭州浙江310051 [2]温州市疾病预防控制中心办公室,温州浙江325000

出　　处：《现代预防医学》2019年第5期908-910,920,共4页Modern Preventive Medicine

基　　金：国家自然科学基金资助项目(71640019);浙江省医药卫生项目(2016RCA007);浙江省医药卫生项目(2016KYB055)

摘　　要：结核病是我国重点防控的重大传染病之一,自我歧视和社会歧视会降低患者诊疗依从性,影响结核病的防控。本文以"结核病"、"病耻感"以及"歧视"等关键词从Pubmed和万方、CNKI文献数据库中收集了对目前国内外关于结核病的自我歧视和社会歧视的研究文献,对结核歧视的定义、表现形式、影响因素及研究方法进行了分析和归类,发现结核自我歧视和社会歧视以多种形式广泛存在,同时受到多种因素的影响。该文对下一步研究需求进行了展望,为今后结核病自我歧视和社会歧视的研究提供思路和参考。Tuberculosis(TB)is one of the major infectious diseases that need to be prevented and controlled in China.The sense of self-discrimination and social discrimination reduces the treatment compliance of patients which has an adverse impact on TB control.Using the keywords ’Tuberculosis’,’stigma’and ’discrimination’,this study reviewed the domestic and international researches of TB self-discrimination and social discrimination from the database of Pubmed,Wanfang and CNKI.We analyzed and synthesized the definition,patterns,influencing factors and study methods of TB discrimination.The result indicated that TB self-discrimination and social discrimination existed with different patterns and were influenced by multiple factors.The article prospects future research areas on TB discrimination and provides a reference for future studies.

关 键 词：结核病 自我歧视 社会歧视 

分 类 号：R183[医药卫生—流行病学]