Social stigmatization and hepatitis C virus infection
Social stigmatization and hepatitis C virus infection
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DOI：
10.1097/00004836-200603000-00009
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发表时间：
2006-03-01
影响因子：
2.9
通讯作者：
Fried, MW
中科院分区：
文献类型：
--
作者：
Zacks, S;Beavers, K;Fried, MW
目标：我们的目的是通过评估丙型肝炎病毒（HCV）对社会交往、排斥感、内在羞耻感、经济不安全感和行为的影响来评估污名化。背景：HCV患者患有缓慢进展的疾病。虽然许多研究已经改善了慢性丙型肝炎的长期预后，生活质量可能会受到影响的感知社会stigmatization.Study：在一项横断面研究中，没有肝硬化或重大合并症的丙型肝炎患者从北卡罗来纳州病毒性肝炎诊所的大学招募。受试者完成了一份问卷调查，由受过训练的采访者，评估性行为，个人卫生习惯，社会功能和互动的变化。此外，受试者完成了经验证的标准化问卷、健康状况问卷和SCL-90-R。计算了污名化和社会交往改变的发生率。教育和行为变化之间的相关性进行了评估。控制年龄，性别和教育进行了一系列的多变量分析，以评估HCV收购风险和stigmatization.Results之间的关联：一百七十五217个潜在的主题（81%）参加了调查。平均年龄为45.2 +/- 7.7岁。55%是男性，53%是单身。29%的人受过大学教育。HCV感染的危险因素包括输血（21%）和注射吸毒（29%）。而32%的感染方式不明。在日常活动中，47%的人不太可能共用水杯，14%的人不太可能准备食物，三分之一的人不太可能共用毛巾。35%的受访者表示他们的性行为发生了变化。接吻和性交的频率分别减少了20%和27%。近一半的单身受试者报告增加了避孕套的使用，而已婚夫妇中只有20%。大多数受试者认为财务不安全。内在的羞耻感和社会排斥只有39%的人报告健康受损。教育水平并没有影响行为changes.Conclusion：大多数HCV受试者改变共同的行为和报告的财务不安全。内化的羞耻和社会排斥，无论HCV的获得方法或社会经济地位如何。这些研究结果表明，所有HCV患者都应在诊断时接受咨询并鼓励参加教育计划，以减少不必要的行为变化和污名化观念，从而提高生活质量。
Goal: Our aim was to assess stigmatization by evaluating the impact of hepatitis C virus (HCV) on social interactions, feelings of rejection, internalized shame, and financial insecurity, and behaviorBackground: HCV patients suffer from slowly progressive disease. Although much research has improved the long-term prognosis of chronic HCV, quality of life may be affected by perceived social stigmatization.Study: In a cross-sectional study, HCV patients without cirrhosis or significant comorbidities were recruited from the University of North Carolina viral hepatitis clinic. Subjects completed a questionnaire administered by a trained interviewer that assessed changes in sexual behavior, personal hygiene habits, social function, and interactions. Additionally, subjects completed validated, standardized questionnaires, the Health Status Questionnaire, and the SCL-90-R. Frequencies were calculated for the prevalence of stigmatization and altered social interaction. Correlations between education and behavior changes were assessed. A series of multivariate analyses controlling for age, sex, and education were performed to assess the association between HCV acquisition risk and stigmatization.Results: One hundred seventy-five of 217 potential subjects (81%) participated in the survey. The average age was 45.2 +/- 7.7 years. Fifty-five percent were men and 53% were single. Twenty-nine percent had some college education. Risk factors for HCV acquisition included transfusion (21%) and injection drug use (29%). whereas 32% had an unknown mode of infection. Among common activities, 47% were less likely to share drinking glasses, 14% were less likely to prepare food, and one-third of subjects were less likely to share a towel. Thirty-five percent of respondents reported changes in their sexual practices. Decreased frequency of kissing and sexual intercourse was reported in 20% and 27% of individuals, respectively. Almost half of the single subjects reported increased use of condoms compared with only 20% among married couples. The majority of subjects perceived financial insecurity. internalized shame, and social rejection. Only 39% reported health impairment. Education level did not influence behavior change.Conclusion: The majority of HCV subjects alter common behaviors and report financial insecurity. internalized shame, and social rejection, regardless of the method of HCV acquisition or socioeconomic status. These findings indicate that all HCV individuals be counseled and encouraged to participate in educational programs at the time of diagnosis to reduce unnecessary behavioral changes and stigmatization perceptions to improve quality of life.