中国四省慢性乙型肝炎患者的歧视经历

StephenW

PLoS One. 2018 Apr 12;13(4):e0195455. doi: 10.1371/journal.pone.0195455. eCollection 2018.
The experience of discrimination of individuals living with chronic hepatitis B in four provinces of China.
Han B1, Yuan Q2, Shi Y1, Wei L3, Hou J4, Shang J5, Han Y6, Jin C7, Chan PL8, Zhuang H9, Li J9, Cui F1.
Author information

1
    Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China.
2
    National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China.
3
    Hepatology Unit, Peking University People's Hospital, Beijing, China.
4
    Hepatology Unit, Nanfang Hospital, Guangzhou, China.
5
    Hepatology Unit, Henan Provincial People's Hospital, Zhengzhou, China.
6
    Hepatology Unit, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
7
    Central sterile supply Department, 302 Military Hospital of China, Beijing, China.
8
    World Health Organization China, Beijing, China.
9
    Department of Microbiology and Center of Infectious Diseases, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China.

Abstract
OBJECTIVES:

To assess chronic hepatitis B (CHB) patients' knowledge about hepatitis B and their experience of discrimination with regard to study, work, and daily life.
METHODS:

We administered a questionnaire to 797 CHB patients in four provinces of China and used one-way analysis of variance (ANOVA) and a generalized linear model (GLM) to identify factors associated with discrimination.
RESULTS:

CHB patients had low levels of knowledge about hepatitis B. Patients under 40 years of age with a junior college education or above knew more about hepatitis B than CHB patients over 40 years of age who had only a high school education. Three-fourths of patients had experienced discrimination because of their hepatitis B infection, with no differences in the proportion experiencing discrimination by sex or age. People with more education reported less discrimination. Patients in Beijing and Henan province perceived less discrimination than those in Shaanxi and Guangdong provinces. Discrimination was significantly associated with negative emotions. CHB patients had little awareness of China's anti-discrimination laws and policies. Among patients who had experienced discrimination, fewer than 10% knew organizations or institutions that could offer help. Over 60% of CHB patients who experienced discrimination chose not to respond.
CONCLUSION:

CHB patients in China commonly experienced discrimination, which was associated with significant, negative emotional stress. To mitigate the damaging effects of discrimination, our study suggests raising general population knowledge about hepatitis B, raising awareness of the availability of legal protection and organizations that can fight discrimination, and providing psychological support for CHB patients.

PMID:
    29649232
DOI:
    10.1371/journal.pone.0195455

StephenW

PLoS One。 2018年4月12日; 13（4）：e0195455。 doi：10.1371 / journal.pone.0195455。 eCollection 2018年。
中国四省慢性乙型肝炎患者的歧视经历。
韩B1，元Q2，史Y1，魏L3，侯J4，尚J5，韩Y6，金C7，陈PL8，庄H9，李J9，崔F1。
作者信息

1
    北京大学公共卫生学院实验科学与技术系，北京，中国。
2
    全国免疫规划，中国疾病预防控制中心，中国北京。
3
    北京大学人民医院肝病科，北京，中国。
4
    中国广州南方医院肝病科。
五
    河南省人民医院肝病科，郑州，中国。
6
    第四军医大学西京医院肝病科，西安，中国。
7
    中国北京302军医院中央消毒供应处。
8
    世界卫生组织中国，北京，中国。
9
    北京大学医学部基础医学院微生物学与传染病研究中心，北京，中国。

抽象
目的：

评估慢性乙型肝炎（CHB）患者对乙型肝炎的知识以及他们在学习，工作和日常生活方面的歧视经历。
方法：

我们对中国四个省份的797名CHB患者进行问卷调查，并使用单因素方差分析（ANOVA）和广义线性模型（GLM）来确定与歧视有关的因素。
结果：

慢性乙型肝炎患者对乙型肝炎的认识水平较低。40岁以下，大专以上学历的患者比40岁以上只接受过高中教育的慢性乙型肝炎患者更了解乙型肝炎。四分之三的患者由于乙型肝炎感染而遭受歧视，经历性别或年龄歧视的比例没有差异。受过较多教育的人报告的歧视较少。北京和河南省的患者比陕西和广东省的患者受到的歧视更少。歧视与负面情绪显着相关。慢性乙型肝炎患者对中国的反歧视法律政策意识不强。在遭受歧视的患者中，只有不到10％的人知道可以提供帮助的组织或机构。超过60％的经历歧视的CHB患者选择不回应。
结论：

中国的慢性乙型肝炎患者通常经历歧视，这与显着的消极情绪压力有关。为了减轻歧视造成的破坏性影响，我们的研究提出提高普通人群对乙型肝炎的知识，提高法律保护和组织对歧视的认识，并为CHB患者提供心理支持。

结论：
    29649232
DOI：
    10.1371 / journal.pone.0195455

StephenW

http://journals.plos.org/plosone ... &type=printable

newchinabok

写这篇文章的人说不定就是歧视者。呵呵，歧视是人之常情，换位思考，可以理解。自己本身也需自觉不影响他人，该回避就回避。一句话，hbv改变人生。

kite2002005

长期服药，副作用太大，真想停了，死了算了