COVID-19: Facts, Cultural Considerations, and Risk of Stigmatization

COVID-19: Facts, Cultural Considerations, and Risk of Stigmatization
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DOI:
10.1177/1043659620917724
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发表时间:
2020-04-21
影响因子:
2.1
通讯作者:
Bruns, Thomas R.
Bruns, Thomas R.
中科院分区:
医学4区
文献类型:
--
作者:
Bruns, Debra Pettit;Kraguljac, Nina Vanessa;Bruns, Thomas R.

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有关COVID-19的数据支持有针对性的社交距离可能是降低发病率和死亡率的有效方法,但可能会无意中增加受影响人群的耻辱感。作为医疗保健提供者,我们必须了解COVID-19的事实、文化影响以及受COVID-2019影响的人群可能遭受的污名化。重要的是要考虑与隔离和社会隔离工作以及旅行限制造成的工作日损失相关的真实的经济影响,这些限制可能对获得护理和支付护理费用的能力产生负面影响。努力开展有关疾病的一般教育,向公众提供隔离和公共卫生信息的理由,可以减少污名化,成功地进行积极筛查、早期识别、病人隔离、接触者追踪、隔离和感染控制方法的国家还应解决人群中污名化的风险和可能发生的负面影响。COVID-19病例将继续上升,病毒将可持续用于未来感染。及时和适当的公共卫生干预措施,应对文化影响和污名化风险沿着对受影响的个人和密切接触者进行适当的筛查、治疗和随访,可以减少感染、严重疾病和死亡人数。
Data on COVID-19 supports targeted social distancing could be an effective way to reduce morbidity and mortality, but could inadvertently increase stigma for affected populations. As health care providers we must be aware of the facts of COVID-19, cultural implications, and potential for stigmatization of populations affected by COVID-2019. It is important to consider the real economic impact related to lost workdays due to quarantine and social isolation efforts as well as travel restrictions that may negatively impact access to care and ability to pay for care. Efforts geared towards general education about the disease and the rationale for quarantine and public health information provided to the general public can reduce stigmatization.Countries who are successful at aggressive screening, early identification, patient isolation, contact tracing, quarantine, and infection control methods should also address the risk of stigmatization among populations and the negative effects which could occur. The cases of COVID-19 will continue to rise and the virus will be sustainable for future infections. Timely and appropriate public health interventions addressing cultural impact and risk for stigmatization along with proper screening, treatment, and follow up for affected individuals and close contacts can reduce the number of infections, serious illness, and deaths.