1Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore, Singapore.
2Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Am J Trop Med Hyg. 2020 Jul;103(1):35-37. doi: 10.4269/ajtmh.20-0449. Epub 2020 May 26.
Globally, more than 4 million people have been infected with COVID-19, and more than 300,000 deaths have been reported across 188 countries. Concealment of one's potential exposure to the virus has negative implications for the spread of COVID-19 across the socio-ecological spectrum, including the futility of contact-tracing efforts, exposure of frontline staff, and the spread of COVID-19 in the community. We draw lessons learned from HIV to discuss stigma and the attribution of blame surrounding the phenomenon of concealment of one's potential exposure to COVID-19 using a socio-ecological perspective. This article also illustrates the psychosocial aspect of the disease, and the negative repercussions of concealment of potential exposure on transmission in the community and to front-liners, healthcare resources, and outbreak containment.
全球已有超过 400 万人感染 COVID-19，188 个国家报告了超过 30 万人死亡。隐瞒潜在的病毒暴露情况会对 COVID-19 在社会生态系统中的传播产生负面影响，包括接触者追踪工作的无效性、一线工作人员的暴露以及 COVID-19 在社区中的传播。我们借鉴了从 HIV 中吸取的经验教训，从社会生态的角度来讨论与隐瞒 COVID-19 潜在暴露情况相关的耻辱和责任归因问题。本文还说明了该疾病的社会心理方面，以及潜在暴露情况的隐瞒对社区内传播以及对一线工作人员、医疗资源和疫情控制的负面影响。
