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非洲的耻辱感与传染病:审视影响及减少耻辱感的策略

Stigma and infectious diseases in Africa: examining impact and strategies for reduction.

作者信息

Omosigho Pius Omoruyi, John Okesanya Olalekan, Musa Mohamed Babiker, Aboelhassan Youssry Mohamed Elsawy Ibrahim, Olabode Olaleke Noah, Bouaddi Oumnia, Mengesha Dawit Tesfagiorgis, Micheal Abioye Sunday, Modber Mohamed Abdul Kareem Adam, Sow Alhaji Umar, Kheir Sara Gabrallah M, Shomuyiwa Deborah Oluwaseun, Adebimpe Oso Tolutope, Manirambona Emery, Lucero-Prisno Don Eliseo

机构信息

Department of Medical Laboratory Science, Edo State University Uzairue, Benin.

Department of Medical Laboratory Science, Neuropsychiatric Hospital, Aro, Abeokuta.

出版信息

Ann Med Surg (Lond). 2023 Nov 1;85(12):6078-6082. doi: 10.1097/MS9.0000000000001470. eCollection 2023 Dec.

Abstract

Stigma poses a significant barrier to accessing care, managing, and preventing infectious diseases in Africa. The authors conducted an extensive search across Scopus, PubMed, ScienceDirect, and Google Scholar to identify relevant English-language articles, with no constraints on publication dates, using the keywords "Stigma," and "Infectious Disease," in conjunction with "Africa." This article explores the multifaceted nature of stigma associated with infectious diseases, highlighting its impact on healthcare access and public health outcomes. It delves into the current situation of infectious disease-related stigma in Africa, emphasizing the various diseases and contexts affected. The article identifies drivers of stigma, including negative attitudes, misinformation, and institutional practices, and discusses their role in perpetuating discrimination. Importantly, it provides recommendations for addressing infectious disease stigma in Africa through comprehensive strategies encompassing health education, contact-based interventions, professionalized counselling and peer support services, and community engagement. The article calls for collaboration among governments, healthcare organizations, NGOs, and community leaders to implement holistic strategies that prioritize inclusivity and stigma reduction. Ultimately, it underscores the urgent need to combat stigma to improve healthcare access and outcomes for individuals affected by infectious diseases in Africa.

摘要

耻辱感是非洲在获得医疗服务、管理和预防传染病方面的重大障碍。作者在Scopus、PubMed、ScienceDirect和谷歌学术上进行了广泛搜索,以识别相关的英文文章,对出版日期没有限制,使用关键词“耻辱感”、“传染病”以及“非洲”。本文探讨了与传染病相关的耻辱感的多面性,强调了其对获得医疗服务和公共卫生结果的影响。它深入研究了非洲与传染病相关的耻辱感的现状,强调了受影响的各种疾病和背景。文章确定了耻辱感的驱动因素,包括消极态度、错误信息和机构做法,并讨论了它们在使歧视长期存在方面的作用。重要的是,它通过包括健康教育、基于接触的干预措施、专业化咨询和同伴支持服务以及社区参与在内的综合战略,为解决非洲的传染病耻辱感提供了建议。文章呼吁政府、医疗组织、非政府组织和社区领袖之间开展合作,以实施优先考虑包容性和减少耻辱感的整体战略。最终,它强调了消除耻辱感以改善非洲受传染病影响个人的医疗服务可及性和结果的迫切需要。

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