Influence of dialysis-related stigma on health-related indicators in Japanese patients undergoing hemodialysis.

IF 1.5 4区医学 Q3 HEMATOLOGY

Therapeutic Apheresis and Dialysis Pub Date : 2023-10-01 Epub Date: 2023-04-13 DOI:10.1111/1744-9987.13992

Hidehiro Sugisawa, Yumiko Shimizu, Tamaki Kumagai, Kanji Shishido, Yutaka Koda, Toshio Shinoda

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引用次数: 1

Abstract

Introduction: Focusing on impacts to health-related indicators in older Japanese patients, this study analyzed both the direct influence of dialysis-related stigma and influences of its intersectionality with other stigmatized characteristics.

Methods: Data were collected through a cross-sectional survey of 7461 outpatients in dialysis facilities. Other stigmatized characteristics include lower income, lower education, disabled activities of daily living, and diabetic end-stage renal disease (ESRD) as a cause for starting dialysis treatment.

Results: The average rate of an "agree" response on dialysis-related stigma items was 18.2%. Dialysis-related stigma significantly influenced all three health-related indicators, including suspected depression, informal networks, and compliance with dietary therapy. In addition, each interaction between dialysis-related stigma and educational attainment, gender, and diabetic ESRD significantly influence one health-related indicator.

Conclusion: These results suggest that dialysis-related stigma has both a significant direct and synergic influence with other stigmatized characteristics on health-related indicators.

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透析相关污名对接受血液透析的日本患者健康相关指标的影响。

引言：本研究以日本老年患者对健康相关指标的影响为重点，分析了透析相关污名化的直接影响及其与其他污名化特征的交叉性的影响。方法：通过对7461名透析门诊患者的横断面调查收集数据。其他被污名化的特征包括收入低、教育程度低、日常生活活动残疾，以及糖尿病终末期肾病（ESRD）是开始透析治疗的原因。结果：对透析相关污名项目的平均“同意”率为18.2%。透析相关污名化显著影响所有三个健康相关指标，包括疑似抑郁症、非正式网络和饮食治疗依从性。此外，透析相关污名与教育程度、性别和糖尿病终末期肾病之间的每一种相互作用都会显著影响一个健康相关指标。结论：这些结果表明，透析相关污名化与其他污名化特征对健康相关指标具有显著的直接和协同影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutic Apheresis and Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

10.50%

发文量

166

审稿时长

6-12 weeks

期刊介绍： Therapeutic Apheresis and Dialysis is the official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis and the Japanese Society for Dialysis Therapy. The Journal publishes original articles, editorial comments, review articles, case reports, meeting abstracts and Communications information on apheresis and dialysis technologies and treatments.