Characterizing hepatitis B stigma in Chinese immigrants
Characterizing hepatitis B stigma in Chinese immigrants
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DOI：
10.1111/j.1365-2893.2011.01462.x
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发表时间：
2012-02-01
影响因子：
2.5
通讯作者：
Wong, S. S.
中科院分区：
文献类型：
--
作者：
Cotler, S. J.;Cotler, S.;Wong, S. S.
． 与健康有关的耻辱是造成压力、疏离和歧视的原因，可能成为预防和护理艾滋病毒等传染病的障碍。乙型肝炎病毒（HBV）相关的耻辱感在亚洲移民中很常见，但尚未得到正式评估。本研究的目的是开发和验证第一个HBV病耻感仪器，并开始评估中国移民的HBV病耻感。HBV病耻感量表是基于HIV病耻感量表构建的，分为五个领域。编写了一份书面调查，包括人口统计数据、HBV知识问题和耻辱感项目。该调查以英语和中文进行试点测试，然后定稿。数据来自唐人街市区内科诊所的201名患者。柱头项目在总体上和在单个域内都显示出高度的信度（a = 0.85）。耻辱感在对传染的恐惧中是最大的。知识问题显示对HBV传播方式的理解存在相应的缺陷。污名得分与HBV熟悉度之间的负相关关系为结构效度提供了证据。在多变量分析中，家庭成员感染HBV和较高的HBV知识亚群得分与较低的耻辱感程度相关。结论：乙型肝炎病耻感量表具有良好的信度和结构效度。对污名得分较低的HBV熟悉程度和知识之间的关系为制定减少HBV污名的干预措施提供了基础。
. Health-related stigma is a cause of stress, alienation and discrimination that can serve as a barrier to prevention and care for infectious diseases such as HIV. Hepatitis B virus (HBV)-related stigma is common in Asian immigrants, but has not been formally evaluated. The aim of this study was to develop and validate the first HBV stigma instrument and to begin to evaluate HBV stigma in Chinese immigrants. The HBV stigma instrument was developed based on constructs from validated HIV stigma scales and organized into five domains. A written survey was compiled to include demographic data, HBV knowledge questions and stigma items. The survey was pilot tested in English and Chinese and then finalized. Data were obtained from 201 patients seen in an urban Chinatown Internal Medicine practice. The stigma items showed a high degree of reliability when assessed in aggregate (a = 0.85) as well as within individual domains. Stigma was greatest in the Fear of Contagion domain. Knowledge questions showed a corresponding deficit in understanding of modes of HBV transmission. An inverse relationship between stigma scores and familiarity with HBV provided evidence of construct validity. In multivariable analysis, having a family member with HBV and higher HBV knowledge subset scores were associated with lower degrees of stigma. In conclusion, the hepatitis B stigma instrument showed reliability and construct validity. The relationship identified between familiarity and knowledge regarding HBV with lower stigma scores provides the basis for the development of interventions to reduce HBV stigma.