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社区成员对新冠疫情相关社会耻辱感及缓解策略的看法:印度中央邦的一项定性研究

The perspectives of community members on COVID-19-related social stigma and mitigation strategies: A qualitative study in Madhya Pradesh, India.

作者信息

Diwan Vishal, Sharma Moina, Sahoo Krushna Chandra, Negi Sapna, Kalyanasundaram Madhanraj, Tiwari Rajnarayan Ramshankar

机构信息

ICMR- National Institute for Research in Environmental Health, Bhopal, Madhya Pradesh, India.

ICMR- Regional Medical Research Centre, Bhubaneswar, Odisha, India.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):7406-7411. doi: 10.4103/jfmpc.jfmpc_526_22. Epub 2022 Dec 16.

Abstract

AIM

Stigma is a well-documented impediment to health-seeking behaviors and treatment adherence. An explicit societal understanding is essential to halt the stigmatization. Studies documented COVID-19-associated stigma among healthcare personnel. However, there is little evidence regarding community perceptions and experiences of the stigma associated with COVID-2019. We described how various communities perceive and experience the stigma associated with the COVID-19 pandemic.

METHOD

We conducted a phenomenological study in three districts of Madhya Pradesh, with both urban and rural areas. We conducted 36 in-depth phone interviews. All the interviews were recorded, transcribed, and translated into English and analyzed using thematic analysis.

RESULTS

Two major themes were derived: 1) experiences of coronavirus disease 2019 recovered individuals and community members on discrimination and stigma, and 2) efforts to reduce coronavirus disease 2019-associated discrimination and stigma. Social support is critical in mitigating the adverse effects of stigma and thereby aiding in preventing disease spread. They express gratitude to the local government for moral support. Although activities involving information, education, and communication may be beneficial in reducing the stigma associated with COVID 2019, the mass media have a critical role.

CONCLUSIONS

The multidisciplinary teams comprising medical, social, and behavioral scientists and communication and media experts should be formed to reduce the risk of ambiguous messages and misinformation related to COVID-19 at primary care at the community level. Furthermore, it is vital for anti-stigma orientation among community members via mass media.

摘要

目的

耻辱感是寻求医疗行为和坚持治疗的一个有充分记录的障碍。社会的明确理解对于制止污名化至关重要。有研究记录了医护人员中与2019冠状病毒病相关的耻辱感。然而,关于社区对2019冠状病毒病相关耻辱感的认知和经历的证据很少。我们描述了不同社区如何看待和体验与2019冠状病毒病大流行相关的耻辱感。

方法

我们在中央邦的三个地区(包括城市和农村地区)进行了一项现象学研究。我们进行了36次深入的电话访谈。所有访谈都进行了录音、转录,并翻译成英文,然后使用主题分析法进行分析。

结果

得出了两个主要主题:1)2019冠状病毒病康复者和社区成员在歧视和耻辱方面的经历,以及2)减少2019冠状病毒病相关歧视和耻辱的努力。社会支持对于减轻耻辱感的不利影响从而有助于预防疾病传播至关重要。他们感谢地方政府给予的精神支持。虽然涉及信息、教育和宣传的活动可能有助于减少与2019冠状病毒病相关的耻辱感,但大众媒体起着关键作用。

结论

应组建由医学、社会和行为科学家以及传播和媒体专家组成的多学科团队,以降低社区基层医疗中与2019冠状病毒病相关的模糊信息和错误信息的风险。此外,通过大众媒体对社区成员进行反耻辱感导向至关重要。

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本文引用的文献

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Stigma and Discrimination During COVID-19 Pandemic.新冠肺炎大流行期间的污名化和歧视。
Front Public Health. 2021 Jan 12;8:577018. doi: 10.3389/fpubh.2020.577018. eCollection 2020.
10

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