Study on the relationship of stigma and social support of tuberculosis patients

doi:10.3969/j.issn.1000-6621.2020.09.023

Abstract

Abstract:

Two hundred and one tuberculosis patients visiting Chengdu Public Health Clinical Center from July to December 2019 were enrolled as study objects. Stigma scale and perceived social support scale were used for investigation. The total scores of stigma and social support were 10 (7,12) and 62 (54,71) respectively in 201 tuberculosis patients. There was a negative correlation between stigma and social support (r=-0.461,P<0.001). After the patients were diagnosed with tuberculosis, they all had different degrees of stigma. Occupation, duration of illness and the number of complications were the main factors affecting the stigma of tuberculosis patients, and education level affected the understanding of social support.

Key words: Tuberculosis, Behavior and behavior mechanisms, Affective symptoms, Stigma, Perceived social support, Questionnaires, Factor analysis, statistical

LIU Xiao-li, LEI Li-mei, GUO Zhou-li, HUANG Yin, XU Jing, ZHAO Xia, WANG Yan, FU Li. Study on the relationship of stigma and social support of tuberculosis patients[J]. Chinese Journal of Antituberculosis, 2020, 42(9): 1002-1008. doi: 10.3969/j.issn.1000-6621.2020.09.023

Figures/Tables 5

自变量	β值	s $x ˉ$ 值	标准化β值	t值	P值
常量	8.516	3.097	-	2.750	0.007
性别	-0.553	0.632	-0.061	-0.875	0.383
年龄	0.036	0.025	0.154	1.451	0.149
学历	-0.290	0.398	-0.071	-0.729	0.467
婚姻
未婚	-	-	-	-	-
已婚	-0.723	0.852	-0.077	-0.848	0.398
离异/丧偶	-1.408	1.654	-0.062	-0.852	0.396
职业
在校学生	-	-	-	-	-
离退休	4.068	1.818	0.282	2.238	0.026
事业单位/企业	3.362	1.467	0.304	2.291	0.023
农民	3.993	1.430	0.428	2.792	0.006
其他^a	3.888	1.302	0.385	2.986	0.003
家庭人口数	-0.733	0.464	-0.111	-1.581	0.116
个人月收入	-0.102	0.478	-0.019	-0.214	0.831
患病时间	1.473	0.621	0.199	2.373	0.019
治疗情况	-0.973	0.804	-0.105	-1.210	0.228
耐药情况	-0.324	0.862	-0.028	-0.376	0.707
并发症个数	-1.068	0.499	-0.159	-2.142	0.033

自变量	β值	s $x ˉ$ 值	标准化β值	t值	P值
常量	61.680	9.044	-	6.820	0.000
性别	1.398	1.845	0.053	0.758	0.450
年龄	-0.099	0.073	-0.144	-1.364	0.174
学历	2.352	1.163	0.195	2.022	0.045
婚姻
未婚	-	-	-	-	-
已婚	0.854	2.489	0.031	0.343	0.732
离异/丧偶	-4.756	4.829	-0.072	-0.985	0.326
职业
在校学生	-	-	-	-	-
离退休	-1.436	5.307	-0.034	-0.271	0.787
事业单位/企业	-0.959	4.285	-0.030	-0.224	0.823
农民	-4.365	4.176	-0.159	-1.045	0.297
其他^a	-6.482	3.801	-0.219	-1.705	0.090
家庭人口数	2.370	1.354	0.123	1.750	0.082
个人月收入	1.462	1.396	0.093	1.047	0.297
患病时间	-0.314	1.813	-0.014	-0.173	0.863
耐药情况	-2.362	2.518	-0.070	-0.938	0.349
治疗情况	-1.831	2.348	-0.067	-0.780	0.437
并发症个数	0.453	1.457	0.023	0.311	0.756

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因素	患者例数	病耻感			领悟社会支持
因素	患者例数	得分[M(Q₁,Q₃)]	统计检验值	P值	得分[M(Q₁,Q₃)]	统计检验值	P值
性别			Z=-0.747	0.455		Z=-1.695	0.090
男	120	10(8,12)			60(53,69)
女	81	9(6,13)			64(54,72)
年龄组(岁)			H=9.231	0.010		H=8.638	0.013
18~	91	9(5,12)			65(56,72)
41~	74	10(9,13)			61(53,60)
≥66~89	36	11(9,15)			58(47,65)
学历			H=12.168	0.007		H=23.525	0.000
小学及以下	63	11(9,14)			59(42,65)
初中	63	9(8,12)			60(54,70)
高中/中专	40	9(4,12)			68(60,72)
大学及以上	35	9(4,12)			67(59,72)
婚姻			H=10.160	0.006		H=18.539	0.000
未婚	53	9(4,11)			67(62,72)
已婚	133	10(9,13)			60(51,69)
离异/丧偶	15	11(7,14)			54(48,63)
职业			H=17.177	0.002		H=23.140	0.000
在校学生	20	5(2,9)			71(63,72)
离退休人员	21	11(9,14)			60(57,67)
事业单位/企业人员	40	9(7,12)			69(59,78)
农民	68	10(8,13)			60(48,69)
其他^a	52	10(7,13)			60(51,65)
家庭人口数			H=3.202	0.202		H=1.788	0.409
1~3	70	11(8,13)			60(50,68)
4~5	102	9(6,13)			63(54,72)
≥6	29	10(8,12)			63(54,73)
个人月收入(元)			H=7.296	0.063		H=18.353	0.000
<1000	93	9(7,11)			63(55,70)
1000~	78	11(7,14)			59(50,68)
4000~	21	10(9,12)			66(60,74)
≥8000	9	9(3,11)			76(69,84)
患病时间(年)			H=4.088	0.129		H=1.710	0.425
<1	143	9(7,12)			63(54,73)
1~	45	9(9,13)			60(54,68)
≥5	13	11(8,17)			69(41,72)
耐药情况			Z=-0.663	0.508		Z=-1.055	0.291
是	36	9(7,12)			61(55,72)
否	165	10(7,13)			62(51,70)
治疗情况			Z=-0.394	0.694		Z=-0.033	0.974
初治	131	10(7,13)			62(52,71)
复治	70	9(7,12)			61(54,72)
并发症个数			H=7.400	0.060		H=1.566	0.667
0	131	10(8,13)			63(54,72)
1	59	9(7,11)			61(52,68)
2	7	11(11,17)			60(50,68)
≥3	4	7(6,7)			61(54,70)

自变量	赋值方法
性别	男=1;女=2
年龄组	18~岁=1;41~岁=2;>65岁=3
学历	小学及以下=1;初中=2;高中/中专=3;大学及以上=4
婚姻	未婚(Z₁=0,Z₂=0);已婚(Z₁=1,Z₂=0);离异/丧偶(Z₁=0,Z₂=1)
职业	在校学生(Z₁=0,Z₂=0,Z₃=0,Z₄=0);离退休人员(Z₁=1,Z₂=0,Z₃=0,Z₄=0);事业单位/企业(Z₁=0,Z₂=1,Z₃=0,Z₄=0);农民(Z₁=0,Z₂=0,Z₃=1,Z₄=0);其他^a(Z₁=0,Z₂=0,Z₃=0,Z₄=1)
家庭人口数	1~3名=1;4~5名=2;≥6名=3
个人月收入	<1000元=1;1000~元=2;>4000~元=3;>8000元=4
患病时间	<1年=1;1~5年=2;>5年=3
治疗情况	初治=1;复治=2
耐药情况	耐药=1;不耐药=2
并发症个数	0个=1;1个=2;2个=3;≥3个=4

项目	负面经历		情感反应		应对方式		病耻感总分
项目	r值	P值	r值	P值	r值	P值	r值	P值
家庭支持	-0.047	0.508	-0.043	0.192	-0.063	0.373	-0.054	0.198
朋友支持	-0.402	0.000	-0.436	0.000	-0.447	0.000	-0.473	0.000
其他支持	-0.382	0.000	-0.389	0.000	-0.417	0.000	-0.436	0.000
领悟社会支持总分	-0.394	0.000	-0.416	0.000	-0.445	0.000	-0.461	0.000