关键词: 病耻感 , 慢性乙型肝炎

Abstract: Objective To describe the status of stigma in patients with chronic hepatitis B， and discuss the influencing factors of stigma in patients with chronic hepatitis B. Methods By a descriptive research design，convenient sampling，stigma questionnaire survey were performed in 34 patients with chronic hepatitis B in a three- level hospital of Guangzhou. Results The four dimensions of the highest average score were intrinsic shame and the lowest was social isolation ，followed by the rest of social rejection and economic discrimination. The differences between marital status ，education level and family average monthly income levels in chronic hepatitis B patients with the stigma of were statistically significant. The stigma in single patients（including unmarried/widowed/divorced）were higherscores than in the married，the lower level of education and lower monthly income of family were more obvious. The differences between gender，age，nationality，religion and occupation hadnot statistical significance. Conclusion In the present study，stigma of patients with chronic hepatitis B in a higher level，and within the shame feeling was the most prominent. The single（containing unmarried，divorced and widowed） in patients with chronic hepatitis B，the stigma was significantly higher than that of the married；patients with education level was low，the higher the stigma；average monthly income is low，the stigma higher.

Key words: investigation, chronic hepatitis B, stigma