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印度尼西亚 HPV 相关疾病的经济和人文负担:定性分析。

Economic and humanistic burden of HPV-related disease in Indonesia: A qualitative analysis.

机构信息

Center for Observational and Real-World Evidence (CORE), Merck & Co., Inc., Rahway, NJ, USA.

Unit of PharmacoTherapy, Epidemiology & Economics (PTE2), Department of Pharmacy, University of Groningen, Groningen, Netherlands.

出版信息

Glob Public Health. 2023 Jan;18(1):2237096. doi: 10.1080/17441692.2023.2237096.

Abstract

The burden of human papillomavirus (HPV) and HPV-related cancers and genital warts is increasing in developing countries, including Indonesia. The objective of this study was to qualitatively explore the humanistic and economic burden of these HPV-related diseases in patients in Indonesia. In 2021, in-depth interviews and focus groups were conducted with patients ( = 18) with HPV-related diseases and healthcare professionals (HCPs;  = 10) specialised in treating these patients. Interviews explored the physical, mental, social, and economic burden of HPV-related diseases. Patients emphasised the psychological and social burden of HPV-related diseases, which negatively impacted their mental state and close relationships. Treatment for HPV-related diseases was also associated with a substantial cost, which health insurance only partially alleviated. HCPs understood the physical negative impact of HPV-related diseases, but some understated patients' social, psychological, and financial burden. This research underscores the substantial economic and humanistic burden of HPV-related diseases that could be prevented by vaccination. In addition, it highlights the need for novel interventions to reduce negative psychosocial consequences of HPV-related diseases in Indonesia. Increased HCP education of the broader humanistic impacts of HPV-related diseases may improve patient support and increase awareness for preventive strategy.

摘要

在包括印度尼西亚在内的发展中国家,人乳头瘤病毒(HPV)及相关癌症和生殖器疣的负担正在增加。本研究的目的是定性探讨印度尼西亚 HPV 相关疾病患者的人文和经济负担。2021 年,对 18 名 HPV 相关疾病患者(患者组)和 10 名专门治疗此类患者的医疗保健专业人员(医护组)进行了深入访谈和焦点小组讨论。访谈探讨了 HPV 相关疾病的身体、心理、社会和经济负担。患者强调了 HPV 相关疾病的心理和社会负担,这对他们的精神状态和亲密关系产生了负面影响。HPV 相关疾病的治疗也会带来巨大的费用,而健康保险只能部分缓解这些费用。医护人员了解 HPV 相关疾病对身体的负面影响,但有些医护人员低估了患者的社会、心理和经济负担。这项研究强调了 HPV 相关疾病给患者带来的巨大经济和人文负担,这些负担本可以通过疫苗接种来预防。此外,它还强调了在印度尼西亚需要采取新的干预措施来减轻 HPV 相关疾病的负面心理社会后果。增加医护人员对 HPV 相关疾病更广泛的人文影响的教育,可能会改善对患者的支持,并提高对预防策略的认识。

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