结核病患者病耻感现状及相关因素研究  

Status of Tuberculosis-related Stigma and Associated Factors

作　　者：王云霞[1] 杨志鹏 朱艺 龚言红[2] 刘振扬[1] 张娟娟[1] 郭艳芳[1] 袁青[1] WANG Yunxia;YANG Zhipeng;ZHU Yi;GONG Yanhong;LIU Zhenyang;ZHANG Juanjuan;GUO Yanfang;YUAN Qing(Bao'an District Hospital for Chronic Disease Prevention and Cure,Shenzhen,Guangdong,518101,China;不详)

机构地区：[1]深圳市宝安区慢性病防治院结核病防治科,广东深圳518101 [2]华中科技大学同济医学院公共卫生学院,湖北武汉430030

出　　处：《中国社会医学杂志》2022年第2期161-164,共4页Chinese Journal of Social Medicine

基　　金：国家科技重大专项(2018ZX10715004);宝安区科技创新局医疗卫生基础研究项目(2019DJ464)。

摘　　要：目的结核病相关病耻感对结核病的防控构成重大挑战。研究旨在分析深圳市宝安区结核病患者病耻感现状并探索其相关因素,从而为优化干预策略提供参考依据。方法2020年5月-2021年1月,在深圳市宝安区结核病定点医疗机构招募908名结核病患者,通过现场调查的方式收集患者的人口学特征、病耻感评分、抑郁状况、结核病知识以及治疗负担,并采用多重线性回归分析确定与结核病患者病耻感相关的因素。结果结核病患者的病耻感评分为(8.56±4.62)。多元线性回归分析显示,女性患者(β=0.09,P=0.011)、单身患者(β=0.08,P=0.039)、治疗负担较重的患者(β=0.20,P<0.001)其病耻感明显高于男性、已婚和治疗负担较轻的患者。结论深圳市宝安区结核病患者存在一定程度的病耻感,未来应重点关注女性、单身、治疗负担较重的结核病患者,以改善患者的心理健康。Objective Tuberculosis-related stigma poses a significant challenge to the prevention and control of tuberculosis(TB).This study aimed to evaluate the status of TB-related stigma and its associated factors,then provided a reference basis for optimizing intervention strategies.Methods From May 2020 to January 2021,908 TB patients were recruited at TB designated medical institutions in Baoan District,Shenzhen,and surveyed using a structured anonymous questionnaire including demographic characteristics,stigma status,depression status,TB knowledge,and treatment burden.A generalised linear regression model was used to identify the factors associated with TB-related stigma.Results The average score on the TB-related Stigma Scale was 8.56±4.62.Generalised linear regression analysis revealed that female patients(β=0.09,P=0.011),single patients(β=0.08,P=0.039),and patients with higher treatment burden(β=0.20,P<0.001)had significantly higher stigma than male patients,married patients,and patients with a lower treatment burden.Conclusion TB patients in Baoan District of Shenzhen have a widespread sense of disease stigma.Interventions should focus on TB patients who are female,single,and having a high treatment burden to improve their mental health.

关 键 词：结核病 病耻感 情感症状 危险因素 

分 类 号：R52[医药卫生—内科学] R395.6[医药卫生—临床医学]