关键词: Confidentiality Discrimination Ethics Monkeypox Moral issues Stigma

Mesh : Humans Social Stigma Disease Outbreaks / ethics Mpox (monkeypox) / epidemiology Confidentiality / ethics Privacy Morals

来  源:   DOI:10.1186/s12910-024-01078-0   PDF(Pubmed)

Abstract:
BACKGROUND: Historically, epidemics have been accompanied by the concurrent emergence of stigma, prejudice, and xenophobia. This scoping review aimed to describe and map published research targeting ethical values concerning monkeypox (mpox). In addition, it aimed to understand the research gaps related to mpox associated stigma.
METHODS: We comprehensively searched databases (PubMed Central, PubMed Medline, Scopus, Web of Science, Ovid, and Google Scholar) to identify published literature concerning mpox ethical issues and stigma from May 6, 2022, to February 15, 2023. The key search terms used were \"monkeypox\", \"ethics\", \"morals\", \"social stigma\", \"privacy\", \"confidentiality\", \"secrecy\", \"privilege\", \"egoism\", and \"metaethics\". This scoping review followed the framework proposed by Arksey and O\'Malley in 2005 and was further improved by the recommendations of Levac et al. in 2010.
RESULTS: The search strategies employed in the scoping review yielded a total of 454 articles. We analyzed the sources, types, and topics of the retrieved articles/studies. The authors were able to identify 32 studies that met inclusion criteria. Six of the 32 included studies were primary research. The study revealed that the ongoing mpox outbreak is contending with a notable surge in misinformation and societal stigma. It highlights the adverse impacts of stigma and ethical concerns associated with mpox, which can negatively affect people with the disease.
CONCLUSIONS: The study\'s findings underscore the imperative need to enhance public awareness; involve civil society; and promote collaboration among policymakers, medical communities, and social media platforms. These collective endeavors are crucial for mitigating stigma, averting human-to-human transmission, tackling racism, and dispelling misconceptions associated with the outbreak.
摘要:
背景:历史上,流行病伴随着耻辱的同时出现,偏见,和仇外心理。此范围审查旨在描述和绘制针对有关猴痘(mpox)的道德价值观的已发表研究。此外,它旨在了解与水痘相关的污名相关的研究空白。
方法:我们全面搜索了数据库(PubMedCentral,PubMedMedline,Scopus,WebofScience,奥维德,和GoogleScholar),以确定从2022年5月6日至2023年2月15日发表的有关天花道德问题和污名的文献。使用的关键搜索词是“猴痘”,“道德”,“道德”,“社会耻辱”,\"隐私\",\"保密性\",\"保密\",\"特权\",“利己主义”,和“元伦理”。这项范围审查遵循了Arksey和O\'Malley在2005年提出的框架,并通过Levac等人的建议得到了进一步的改进。2010年。
结果:范围审查中采用的搜索策略共产生454篇文章。我们分析了来源,类型,以及检索到的文章/研究的主题。作者能够确定32项符合纳入标准的研究。32项纳入的研究中有6项是主要研究。研究表明,持续的水痘爆发正在与错误信息和社会耻辱的显着激增作斗争。它强调了与天花相关的污名和道德问题的不利影响,这会对患有这种疾病的人产生负面影响。
结论:这项研究的发现强调了提高公众意识的迫切需要;让民间社会参与进来;促进决策者之间的合作,医学界,和社交媒体平台。这些集体努力对于减轻污名至关重要,避免人与人之间的传播,解决种族主义问题,消除与疫情相关的误解。
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