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对新冠疫情幸存者的污名化和歧视倾向:来自加纳一项全国性基于人群调查的证据。

Stigma and discrimination tendencies towards COVID-19 survivors: Evidence from a nationwide population-based survey in Ghana.

作者信息

Osei Eric, Amu Hubert, Appiah Prince Kubi, Amponsah Solomon Boamah, Danso Evans, Oppong Samuel, Lotse Comfort Worna, Owusu Bright Emmanuel, Agongo Simon Azure, Yakubu Eliasu, Kye-Duodu Gideon

机构信息

Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

Department of Public Health, Yonsei University of Graduate School, Seoul, Republic of Korea.

出版信息

PLOS Glob Public Health. 2022 Jun 22;2(6):e0000307. doi: 10.1371/journal.pgph.0000307. eCollection 2022.

Abstract

Historically, infectious diseases have generated fears among populations. Unhealthy handling of these fears result in the stigma and discrimination of infected patients. Globally, measures taken so far by governments to curb the spread of the novel coronavirus disease-2019 (COVID-19) pandemic, although helpful, have created fears in people. Consequently, there are reported Ghanaian media cases of stigmatisation against persons who were infected and recovered from COVID-19. However, these reports remain unsubstantiated. This study, therefore, sought to examine stigma and discriminatory tendencies towards COVID-19 survivors among the adult population in Ghana. This was a population-based cross-sectional study among 3,259 adults. A multi-stage sampling technique was used to recruit study participants. Descriptive and inferential statistics comprising frequency, percentage, chi-square, and multivariable logistic regression were employed in analysing the data. Knowledge on COVID-19 was poor among 33.6% of the participants. Forty-three per cent had a good attitude towards COVID-19. Nearly half (45.9%) exhibited stigma and discriminatory tendencies towards COVID-19 survivors. Participants who had poor COVID-19 related knowledge (aOR = 1.91, 95%CI = 1.59-2.29, p<0.001) and poor attitude towards COVID-19 (aOR = 5.83, 95% CI = 4.85-6.98, p<0.001) were more likely to exhibit stigma and discriminatory tendencies towards COVID-19 survivors. Our study found relatively high proportions of poor knowledge and negative attitudes towards COVID-19. Stigma and discriminatory tendencies were consequently high. Our findings call for increased public education on COVID-19 by the Ghana Health Service and the Information Services Department, to increase the level of knowledge on the pandemic while reducing stigma and discrimination associated with it.

摘要

从历史上看,传染病一直让民众心生恐惧。对这些恐惧的不当处理导致了对感染患者的污名化和歧视。在全球范围内,各国政府为遏制2019年新型冠状病毒病(COVID-19)大流行所采取的措施虽然有帮助,但也在人们心中引发了恐惧。因此,据加纳媒体报道,存在针对感染COVID-19并康复者的污名化现象。然而,这些报道尚未得到证实。因此,本研究旨在调查加纳成年人群中对COVID-19幸存者的污名化和歧视倾向。这是一项基于人群的横断面研究,涉及3259名成年人。采用多阶段抽样技术招募研究参与者。数据分析采用了包括频率、百分比、卡方检验和多变量逻辑回归在内的描述性和推断性统计方法。33.6%的参与者对COVID-19的了解较差。43%的人对COVID-19持良好态度。近一半(45.9%)的人对COVID-19幸存者表现出污名化和歧视倾向。与COVID-19相关知识较差的参与者(调整后比值比[aOR]=1.91,95%置信区间[CI]=1.59-2.29,p<0.001)以及对COVID-19态度较差的参与者(aOR=5.83,95%CI=4.85-6.98,p<0.001)更有可能对COVID-19幸存者表现出污名化和歧视倾向。我们的研究发现,对COVID-19知识了解不足和态度消极的比例相对较高。因此,污名化和歧视倾向也很高。我们的研究结果呼吁加纳卫生服务局和信息服务部加强对COVID-19的公众教育,以提高对该大流行的了解程度,同时减少与之相关的污名化和歧视。

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