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已发表论文
中国成年女性单纯性尿路感染患者耻感相关因素：一项横断面研究
Authors Wei Y , Liu H, Jiang P, Wang S, Zhao Y, Li Z, Fan S, Zhang N, Wu Y, Feng N, Liu F
Received 11 October 2024
Accepted for publication 23 August 2025
Published 6 October 2025 Volume 2025:18 Pages 3249—3262
DOI https://doi.org/10.2147/RMHP.S496035
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Jongwha Chang
Yaodi Wei,1,* Hongyuan Liu,1,* Peng Jiang,2 Shiyu Wang,1 Yu Zhao,1 Zhi Li,1 Siyu Fan,1 Na Zhang,1 Yufan Wu,3 Ninghan Feng,2 Fengping Liu1
1Wuxi School of Medicine, Jiangnan University, Wuxi, People’s Republic of China; 2Department of Urology, Affiliated Wuxi No. 2 Hospital, Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 3Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, JiangSu Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yufan Wu, Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, People’s Republic of China, Email docwuyufan@njum.edu.cn Fengping Liu, Wuxi School of Medicine, Jiangnan University, Wuxi, People’s Republic of China, Email liulaoshiyc@jiangnan.edu.cn
Background: Due to the specific nature of uncomplicated urinary tract infections (uUTIs), female patients are often labelled with stigma. The presence of stigma has a serious impact on their mental health, social functioning and healthcare-seeking behavior, which in turn affects disease recovery.
Purpose: To identify the sense of stigma and its associated influencing factors in female patients with uUTIs.
Patients and Methods: A cross-sectional study was conducted between December 2022 and December 2023, during which samples were collected from 240 adult women with uUTIs from various healthcare facilities in Wuxi, China. General information questionnaires, the Chinese Version of the Social Impact Scale (range 24 to 96), the Multidimensional Perceived Social Support Scale, the Self-Rated Anxiety Scale and the Self-Rated Depression Scale were used. SPSS 27.0 was used to create the database and statistical analysis was performed after data entry by two people.
Results: A total of 240 validated questionnaires were collected in this study, and the patients’ stigma score was 2.71 ± 0.37 (at a moderate level of stigma). Internalized stigma was the highest and social isolation the lowest of the four dimensions of stigma. Multiple linear regression analyses showed that the level of stigma was higher in patients with symptoms of urinary frequency, urgency, and hematuria uUTIs. uUTIs with longer duration of symptoms, more frequent episodes, less knowledge about the disease, higher anxiety and depression, and lower levels of perceived social support for the disease had higher levels of stigma.
Conclusion: Studies have shown that female patients with uUTIs have a moderate level of stigma. Nursing administrators should pay attention to the sense of shame in this population and enhance health promotion to reduce their sense of stigma.
Keywords: urinary tract infections, uncomplicated, women, stigma, influencing factors
1Wuxi School of Medicine, Jiangnan University, Wuxi, People’s Republic of China; 2Department of Urology, Affiliated Wuxi No. 2 Hospital, Jiangnan University, Wuxi, Jiangsu, People’s Republic of China; 3Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, JiangSu Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yufan Wu, Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, People’s Republic of China, Email docwuyufan@njum.edu.cn Fengping Liu, Wuxi School of Medicine, Jiangnan University, Wuxi, People’s Republic of China, Email liulaoshiyc@jiangnan.edu.cn
Background: Due to the specific nature of uncomplicated urinary tract infections (uUTIs), female patients are often labelled with stigma. The presence of stigma has a serious impact on their mental health, social functioning and healthcare-seeking behavior, which in turn affects disease recovery.
Purpose: To identify the sense of stigma and its associated influencing factors in female patients with uUTIs.
Patients and Methods: A cross-sectional study was conducted between December 2022 and December 2023, during which samples were collected from 240 adult women with uUTIs from various healthcare facilities in Wuxi, China. General information questionnaires, the Chinese Version of the Social Impact Scale (range 24 to 96), the Multidimensional Perceived Social Support Scale, the Self-Rated Anxiety Scale and the Self-Rated Depression Scale were used. SPSS 27.0 was used to create the database and statistical analysis was performed after data entry by two people.
Results: A total of 240 validated questionnaires were collected in this study, and the patients’ stigma score was 2.71 ± 0.37 (at a moderate level of stigma). Internalized stigma was the highest and social isolation the lowest of the four dimensions of stigma. Multiple linear regression analyses showed that the level of stigma was higher in patients with symptoms of urinary frequency, urgency, and hematuria uUTIs. uUTIs with longer duration of symptoms, more frequent episodes, less knowledge about the disease, higher anxiety and depression, and lower levels of perceived social support for the disease had higher levels of stigma.
Conclusion: Studies have shown that female patients with uUTIs have a moderate level of stigma. Nursing administrators should pay attention to the sense of shame in this population and enhance health promotion to reduce their sense of stigma.
Keywords: urinary tract infections, uncomplicated, women, stigma, influencing factors