医疗保健中的污名对慢性病患者的影响。
The impact of stigma in healthcare on people living with chronic illnesses.
机构信息
Yale University, New Haven, CT 06510, USA.
出版信息
J Health Psychol. 2012 Mar;17(2):157-68. doi: 10.1177/1359105311414952. Epub 2011 Jul 28.
Abstract
Approximately half of adults are living with a chronic illness, many of whom may feel stigmatized by their chronic illness in different contexts. We explored the impact of internalized, experienced, and anticipated stigma within healthcare settings on the quality of life of 184 participants living with chronic illnesses (e.g. diabetes, inflammatory bowel disease, asthma). Results of a path analysis demonstrate that participants who internalized stigma and experienced stigma from healthcare workers anticipated greater stigma from healthcare workers. Participants who anticipated greater stigma from healthcare workers, in turn, accessed healthcare less and experienced a decreased quality of life.
摘要
大约有一半的成年人患有慢性疾病，其中许多人可能会在不同的环境中因为自己的慢性疾病而感到被歧视。我们探讨了在医疗保健环境中内化的、经历过的和预期的污名对 184 名患有慢性疾病（如糖尿病、炎症性肠病、哮喘）的参与者的生活质量的影响。路径分析的结果表明，内化了污名和经历过医护人员污名的参与者预计会从医护人员那里感受到更大的污名。反过来，那些预计会从医护人员那里感受到更大污名的参与者，他们接受医疗保健的程度较低，生活质量也下降了。
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