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库杜姆巴什里成员中与结核病和艾滋病毒/艾滋病相关的社会耻辱感:一项横断面研究。

Social stigma associated with TB and HIV/AIDS among Kudumbashree members: A crosssectional study.

作者信息

George Leyanna Susan, Rakesh P S, Vijayakumar K, Kunoor Akhilesh, Kumar Anil

机构信息

Department of Community Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

Department of Pulmonary, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):4062-4066. doi: 10.4103/jfmpc.jfmpc_437_20. eCollection 2020 Aug.

Abstract

INTRODUCTION

TB and HIV/AIDS are the two major public health problems. Stigma and discrimination has an enormous impact on the sufferers. The impact is felt at home, in workplace, and at the institutions. The objective of the current study was to measure the stigma and discrimination associated with TB and HIV/AIDS and to determine the underlying factors related to it among women self-help group members in Kochi city Kerala.

METHODS

A cross-sectional study was carried out among the women self-help group members in Kochi city. A total of 135 participants were included in the study. The study tool was a pretested self-administered questionnaire which captured information regarding the sociodemographic profile and stigma towards TB and HIV/AIDS.

RESULT

All the respondents were women with mean age group 47.1(SD- 10.7). Majority (60%) belonged to APL category and were Hindus (52.1%). All the members have heard about HIV/AIDS and TB. The respondents reported that they would not send their children for playing with infected people (TB-49.3%; HIV-37.1%), would stay away from infected people (TB-84.3%; HIV-67.1%), and had discomfort while approaching those are infected (TB-62.1%; HIV-59.3%). Stigma toward TB and HIV was found not to have any association with any of the socio demographic factors. Correlation was observed between stigma scores of TB and HIV/AIDS ( = 0.853; = <0.001).

CONCLUSION

Stigma toward TB and HIV still exists as a major issue even among women self-help group members in Kochi. It was observed that those who had stigma toward TB also had stigma toward HIV/AIDS. Therefore is need to create holistic awareness about these diseases among women self-help groups.

摘要

引言

结核病和艾滋病毒/艾滋病是两大主要公共卫生问题。耻辱感和歧视对患者产生了巨大影响。这种影响在家庭、工作场所和机构中都能感受到。本研究的目的是衡量与结核病和艾滋病毒/艾滋病相关的耻辱感和歧视,并确定喀拉拉邦高知市妇女自助团体成员中与之相关的潜在因素。

方法

在高知市的妇女自助团体成员中开展了一项横断面研究。共有135名参与者纳入研究。研究工具是一份经过预测试的自填式问卷,该问卷收集了社会人口学特征以及对结核病和艾滋病毒/艾滋病的耻辱感方面的信息。

结果

所有受访者均为女性,平均年龄组为47.1岁(标准差 - 10.7)。大多数(60%)属于非贫困人口类别,且为印度教徒(52.1%)。所有成员都听说过艾滋病毒/艾滋病和结核病。受访者表示,他们不会让自己的孩子与感染者一起玩耍(结核病 - 49.3%;艾滋病毒 - 37.1%),会远离感染者(结核病 - 84.3%;艾滋病毒 - 67.1%),并且在接近感染者时会感到不适(结核病 - 62.1%;艾滋病毒 - 59.3%)。发现对结核病和艾滋病毒的耻辱感与任何社会人口学因素均无关联。观察到结核病和艾滋病毒/艾滋病的耻辱感得分之间存在相关性( = 0.853; = <0.001)。

结论

即使在高知市的妇女自助团体成员中,对结核病和艾滋病毒的耻辱感仍是一个主要问题。据观察,那些对结核病有耻辱感的人对艾滋病毒/艾滋病也有耻辱感。因此,需要在妇女自助团体中全面提高对这些疾病的认识。

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