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

摘要： 目的 描述慢性乙型肝炎患者的病耻感现状；探讨影响慢性乙型肝炎患者病耻感的相关因素。方法 采用描述性研究设计，便利抽样的方法，问卷调查广州某三甲医院普通外科住院的34名慢性乙型肝炎患者的病耻感。结果4个维度的平均得分从高到低分别为：内在羞耻、社会排斥、经济歧视、社会隔离；不同婚姻状况、受教育程度及家庭人月均收入水平的慢性乙肝患者的病耻感的差异具有统计学意义（P<0.05）；单身者（含未婚/丧偶/离异）病耻感较已婚者明显，文化程度越低越明显；家庭人均月收入水平越低病耻感越明显。而不同的性别、年龄、民族、宗教信仰及职业的慢性乙型肝炎患者的病耻感的差异不具有统计学意义（P>0.05）。结论 慢性乙型肝炎患者的病耻感处于较高水平，且以内在羞耻感最为突出。单身（含未婚、离异和丧偶）的慢性乙肝患者，其病耻感水平明显高于已婚者；患者的受教育水平越低，其病耻感越高；人均月收入越低，其病耻感越高。

关键词: 病耻感 , 慢性乙型肝炎