Gerontology Program, J. F. Oberlin University Graduate School of International Studies, Tokyo, Japan.
The Jikei University School of Nursing, Tokyo, Japan.
Ther Apher Dial. 2023 Oct;27(5):855-865. doi: 10.1111/1744-9987.13992. Epub 2023 Apr 13.
Focusing on impacts to health-related indicators in older Japanese patients, this study analyzed both the direct influence of dialysis-related stigma and influences of its intersectionality with other stigmatized characteristics.
Data were collected through a cross-sectional survey of 7461 outpatients in dialysis facilities. Other stigmatized characteristics include lower income, lower education, disabled activities of daily living, and diabetic end-stage renal disease (ESRD) as a cause for starting dialysis treatment.
The average rate of an "agree" response on dialysis-related stigma items was 18.2%. Dialysis-related stigma significantly influenced all three health-related indicators, including suspected depression, informal networks, and compliance with dietary therapy. In addition, each interaction between dialysis-related stigma and educational attainment, gender, and diabetic ESRD significantly influence one health-related indicator.
These results suggest that dialysis-related stigma has both a significant direct and synergic influence with other stigmatized characteristics on health-related indicators.
本研究关注老年日本患者的健康相关指标所受影响，分析了与透析相关的污名对健康的直接影响，以及其与其他污名化特征的交叉影响。
通过对透析设施的 7461 名门诊患者进行横断面调查收集数据。其他污名化特征包括收入较低、教育程度较低、日常生活活动能力受损，以及糖尿病终末期肾病（ESRD）作为开始透析治疗的原因。
在透析相关污名项目上表示“同意”的平均比例为 18.2%。透析相关污名对所有三个健康相关指标（包括疑似抑郁、非正式社交网络和饮食治疗依从性）都有显著影响。此外，透析相关污名与教育程度、性别和糖尿病 ESRD 之间的每个相互作用都显著影响一个健康相关指标。
这些结果表明，透析相关污名对健康相关指标的影响既具有显著的直接影响，又具有与其他污名化特征的协同影响。
