A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study.
A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study.
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DOI：
10.1111/jvh.13213
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发表时间：
2020-02
影响因子：
2.5
通讯作者：
Tucker JD
中科院分区：
文献类型：
--
作者：
Shen K;Yang NS;Huang W;Fitzpatrick TS;Tang W;Zhao Y;Wang Y;Li L;Tucker JD
对B型肝炎病毒（HBV）感染者的歧视是我国HBV预防、诊断和治疗的障碍。我们的研究探讨了一种创新的干预措施，以减少中国男男性行为者（MSM）对HBV的污名化。我们从2018年5月进行的一项随机对照试验中提取了数据，其中干预措施包括众包图像和视频，以促进病毒性肝炎检测和减少HBV污名。在基线和入组后四周使用20项量表评估HBV污名。参与者根据他们暴露于干预措施分为三组：完全暴露，部分暴露和无暴露。线性回归用于确定基线耻辱和参与者特征之间的关联。对470例MSM的调查资料进行分析。参与者的平均年龄为25岁，56%的受教育程度低于大学学士学位。完全暴露于干预措施与显著的耻辱感减少相关（调整后的β =-3.49; 95%CI =-6.11至0.87; p = 0.01），而部分暴露导致耻辱感减少，这在统计学上并不显著。基线时的平均耻辱评分为50.6（SD ± 14.7），与HBV携带者的身体接触最突出。更大的HBV耻辱感与最近没有看医生有关（调整后的β = 4.35，95% CI = 0.19至8.52; p = 0.04）。总之，众包可以减少中国男男性行为者的乙肝污名化，并可能有助于中低收入国家弱势人群的反污名化运动。
Stigma against people with hepatitis B virus (HBV) is a barrier to prevention, diagnosis, and treatment of HBV in China. Our study examined an innovative intervention to reduce HBV stigma among men who have sex with men (MSM) in China. We extracted data from a randomized controlled trial conducted in May 2018, where the intervention consisted of crowdsourced images and videos to promote viral hepatitis testing and reduce HBV stigma. HBV stigma was assessed using a 20-item scale at baseline and four weeks post-enrollment. Participants were divided into three groups based on their exposure to intervention: full exposure, partial exposure, and no exposure. Linear regression was used to determine associations between baseline stigma and participant characteristics. Data from 470 MSM were analyzed. Mean participant age was 25 years old and 56% had less education than a college bachelor’s degree. Full exposure to intervention was associated with significant stigma reduction (adjusted beta = −3.49; 95% CI = −6.11 to −0.87; p = 0.01), while partial exposure led to stigma reduction that was not statistically significant. The mean stigma score was 50.6 (SD ± 14.7) at baseline, and stigma was most prominent regarding physical contact with HBV carriers. Greater HBV stigma was associated with not having a recent doctor’s visit (adjusted beta = 4.35, 95% CI = 0.19 to 8.52; p = 0.04). In conclusion, crowdsourcing can decrease HBV stigma among MSM in China, and may be useful in anti-stigma campaigns for vulnerable populations in low- and middle-income countries.
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