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印度北部一家专门的新冠肺炎医院收治的新冠肺炎患者的感知耻辱感:一项横断面研究。

Perceived stigma among the patients of coronavirus disease-19 admitted at a dedicated COVID-19 hospital in Northern India: A cross-sectional study.

作者信息

Yadav Arun Kumar, Mangal Vishal, Devarakonda Ravi, Srivastava Kalpana

机构信息

Department of Community Medicine, AFMC, Pune, Maharashtra, India.

Department of Internal Medicine, AFMC, Pune, Maharashtra, India.

出版信息

Ind Psychiatry J. 2021 Jan-Jun;30(1):118-122. doi: 10.4103/ipj.ipj_13_21. Epub 2021 Jun 17.

Abstract

BACKGROUND

Coronavirus disease-related stigma started early in the pandemic with multiple media reports highlighting the discriminatory practices toward the health-care workers, patients, and survivors.

MATERIALS AND METHODS

A cross-sectional study was conducted in a designated COVID -19 hospital in Delhi from 22 October 20 to 21 November 20. All patients admitted to the hospital for more than 72 h were eligible for participation in the study. Anyone without a mobile phone and not able to read was excluded from the study. The data were collected using a pretested, prevalidated questionnaire.

RESULTS

One hundred and twenty-two (92.4%) patients answered the questionnaire. All patients were male. A total of 54 (44.26%: 95% confidence interval [CI] 35.3-53.5) COVID-19 patients blamed themselves for getting the infection, compared to 68 (55.74% 95% CI: 46.5-64.7) patients who believed that acquiring the disease was not their fault. There was a statistically significant association between feeling ashamed and blaming themselves for COVID-19 ( = 0.046). A total of 19 (15.6%) have reported that they have been told that getting COVID-19 is your fault.

CONCLUSION

The stigma related to COVID - 19 needs to be tackled with multipronged strategy. In India, it is not a routine to assess mental health; however, the current pandemic has brought forward the importance of stigma and other related issues during the pandemic.

摘要

背景

在疫情早期,与冠状病毒病相关的污名化现象就已出现,多家媒体报道突出了针对医护人员、患者及康复者的歧视行为。

材料与方法

于20年10月22日至20年11月21日在德里一家指定的新冠肺炎医院开展了一项横断面研究。所有住院超过72小时的患者均符合参与本研究的条件。任何没有手机且无法阅读的人被排除在研究之外。数据通过一份经过预测试、预验证的问卷收集。

结果

122名(92.4%)患者回答了问卷。所有患者均为男性。共有54名(44.26%:95%置信区间[CI] 35.3 - 53.5)新冠肺炎患者将感染归咎于自己,相比之下,68名(55.74% 95% CI:46.5 - 64.7)患者认为感染该病并非自身过错。因新冠肺炎感到羞耻与自责之间存在统计学显著关联( = 0.046)。共有19名(15.6%)患者报告称他们被告知感染新冠肺炎是自己的错。

结论

与新冠肺炎相关的污名化问题需要通过多管齐下的策略来解决。在印度,评估心理健康并非常规做法;然而,当前的疫情凸显了疫情期间污名化及其他相关问题的重要性。

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The "Untold" Side of COVID-19: Social Stigma and Its Consequences in India.新冠疫情的“未知”一面:印度的社会污名化及其后果
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Stigma during the COVID-19 pandemic.新冠疫情期间的污名化现象。
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