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寻常人和医学生对银屑病患者的污名化态度。

Stigmatizing attitudes toward persons with psoriasis among laypersons and medical students.

机构信息

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

J Am Acad Dermatol. 2019 Jun;80(6):1556-1563. doi: 10.1016/j.jaad.2018.08.014. Epub 2018 Aug 29.

Abstract

BACKGROUND

Perceived stigma among patients with psoriasis contributes to poor quality of life.

OBJECTIVE

To determine the prevalence and predictors of stigmatizing attitudes toward persons with psoriasis among laypersons and medical trainees.

METHODS

Laypersons were recruited from Amazon.com's Mechanical Turk (MTurk) (n = 198). Additionally, 187 medical students were recruited via e-mail. Participants completed an online survey in which they viewed images of persons with visible psoriasis. Participants reported their desire to socially avoid the persons in the images, their emotional responses to the persons in the images, and their endorsement of psoriasis-related stereotypes and myths.

RESULTS

MTurk participants endorsed social avoidance items such as not wanting to shake hands with (39.4%) or have the persons in the images in their home (32.3%). Participants stereotyped persons with psoriasis as contagious (27.3%) and endorsed the myth that psoriasis is not a serious disease (26.8%). Linear regression analyses showed that having heard of or knowing someone with psoriasis predicted fewer stigmatizing attitudes (P < .05). The medical students reported less stigmatizing attitudes than the MTurk participants (P < .01).

LIMITATIONS

Self-report, single-institution study.

CONCLUSION

Stigmatizing views of persons with psoriasis are prevalent among people in the United States. Educational campaigns for the public and medical trainees may reduce stigma toward persons with psoriasis.

摘要

背景

银屑病患者的感知耻辱感会导致生活质量下降。

目的

确定普通人群和医学受训者对银屑病患者的歧视态度的流行率和预测因素。

方法

通过亚马逊的 Mechanical Turk(MTurk)招募普通人群(n=198)。此外,通过电子邮件招募了 187 名医学生。参与者完成了一项在线调查,他们在调查中查看了有明显银屑病的人的图像。参与者报告了他们对图像中的人进行社交回避的愿望,他们对图像中的人的情绪反应,以及他们对银屑病相关的刻板印象和误解的认可。

结果

MTurk 参与者表示希望避免与(39.4%)或与图像中的人(32.3%)握手,不愿让图像中的人进入自己的家。参与者将银屑病患者视为具有传染性(27.3%),并认可银屑病不是一种严重疾病的误解(26.8%)。线性回归分析表明,听说过或认识有银屑病的人会预测较少的歧视态度(P<.05)。医学生的歧视态度比 MTurk 参与者少(P<.01)。

局限性

自我报告,单机构研究。

结论

在美国,人们对银屑病患者存在歧视性看法。针对公众和医学受训者的教育活动可能会减少对银屑病患者的歧视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eaa/6688164/5aaddb06a4d0/nihms-1044913-f0001.jpg

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