A cross-sectional survey to assess the risk factors associated with stigmatizing attitudes towards patients with podoconiosis among rural youth in southern Ethiopia.

A cross-sectional survey to assess the risk factors associated with stigmatizing attitudes towards patients with podoconiosis among rural youth in southern Ethiopia.
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一项横断面调查,旨在评估与埃塞俄比亚南部农村青年对足病患者的污名化态度相关的风险因素。

DOI:
10.1093/trstmh/traa091
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发表时间:
2020-12-16
影响因子:
2.2
通讯作者:
Tadele G
Tadele G
中科院分区:
医学4区
文献类型:
--
作者:
Engdawork K;Davey G;Ayode D;McBride CM;Tadele G

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许多健康状况与耻辱有关,这是由于人们对其原因和患者经历的身体变化的看法。其中包括几种被忽视的热带病(NTDS)。足病是一种由遗传因素和环境因素共同作用引起的淋巴水肿,被归类为NTD。这是埃塞俄比亚的一个主要公共卫生问题,与强烈的耻辱有关。尽管如此,人们对导致对这种疾病患者的污名化态度的因素知之甚少。在埃塞俄比亚南部进行了一项横断面调查,以分析农村青年对足癣患者的态度及其相关风险因素,目的是为减少污名的战略提供信息。这项调查包括336名随机挑选的年轻人。在177名(52.7%)对足癣患者持有更多污名化态度的青年中,105名(59.3%)为女性,171名(96.6%)没有受影响的朋友。对基因环境影响的准确了解和对足癣感染原因的排斥与较少的污名化态度有关。提高对基因-环境相互作用的理解,消除对感染原因的信念,可能会减少对足癣的负面态度。受影响的青年可能发挥重要作用,作为变革的推动者,传播非污名化的信息。
Many health conditions are associated with stigma due to beliefs about their causes and the physical changes experienced by patients. Among such conditions are several neglected tropical diseases (NTDs). Podoconiosis, classified as an NTD, is a form of lymphoedema caused by the co-influence of genetic and environmental factors. It is a major public health problem in Ethiopia and is associated with intense stigma. Despite this, little is known about the factors contributing to stigmatizing attitudes against patients with the disease. A cross-sectional survey was conducted in southern Ethiopia to analyse the attitudes of rural youth and associated risk factors for stigmatizing attitudes towards patients with podoconiosis, with the aim of informing stigma reduction strategies. The survey included 336 randomly selected youth. Of the 177 (52.7%) youth who held more stigmatizing attitudes toward patients with podoconiosis, 105 (59.3%) were females and 171 (96.6%) did not have affected friends. Accurate knowledge about gene–environment influences and rejection of infectious causes of podoconiosis were associated with less stigmatizing attitudes. Improving understanding of the gene–environment interaction and dispelling beliefs about infectious causes may reduce negative attitudes about podoconiosis. Affected youth may play an important role as agents of change to spread non-stigmatizing messages.
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影响因子: 3.8
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期刊: The American journal of tropical medicine and hygiene
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