Stigma towards a Neglected Tropical Disease: Felt and enacted Stigma Scores among Podoconiosis Patients in Northern Ethiopia
Identifieur interne : 003132 ( Main/Exploration ); précédent : 003131; suivant : 003133Stigma towards a Neglected Tropical Disease: Felt and enacted Stigma Scores among Podoconiosis Patients in Northern Ethiopia
Auteurs : Kebede Deribe [Royaume-Uni, Éthiopie] ; Sara Tomczyk [Belgique] ; Elizabeth Mousley [Royaume-Uni] ; Abreham Tamiru [Éthiopie] ; Gail Davey [Royaume-Uni]Source :
- BMC Public Health [ 1471-2458 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Indice de gravité médicale, Jeune adulte, Maladies négligées (psychologie), Mâle, Prejugé (psychologie), Stéréotypage, Sujet âgé, Sujet âgé de 80 ans ou plus, Éléphantiasis (psychologie), Éthiopie (épidémiologie), Études transversales.
- MESH :
- psychologie : Maladies négligées, Prejugé, Éléphantiasis.
- épidémiologie : Éthiopie.
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Indice de gravité médicale, Jeune adulte, Mâle, Stéréotypage, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Elephantiasis (psychology), Ethiopia (epidemiology), Female, Humans, Male, Middle Aged, Neglected Diseases (psychology), Prejudice (psychology), Severity of Illness Index, Socioeconomic Factors, Stereotyping, Surveys and Questionnaires, Young Adult.
- MESH :
- geographic , epidemiology : Ethiopia.
- psychology : Elephantiasis, Neglected Diseases, Prejudice.
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Severity of Illness Index, Socioeconomic Factors, Stereotyping, Surveys and Questionnaires, Young Adult.
Abstract
Podoconiosis, or non-filarial elephantiasis, is a neglected tropical disease (NTD) characterised by swelling of the lower legs. When left untreated, this disfiguring condition has a significant social impact. This study aimed to describe the stigma experience among podoconiosis patients in Dembecha, Northern Ethiopia and assess potential associations between stigma and sociodemographic determinants.
The study was conducted in May 2012 in Northern Ethiopia. A questionnaire-based cross-sectional study design was used and stigma was assessed using a validated podoconiosis stigma scale including 'felt’ and 'enacted’ stigma domains. Enacted stigma includes the experience of discrimination such as abuse, loss of employment or prejudicial attitudes, while felt stigma is the perceived fear of enacted stigma. A multivariable linear regression model was used to explore determinants that may be associated with stigma.
A total of 346 clinically confirmed podoconiosis patients participated in the study. The total mean score of all stigma scale items was 30.7 (Range = 0 to 96). There was a higher mean score of scale items in domains of felt stigma (21.7; Range = 0 to 45) as compared to enacted stigma (9.0; Range = 0 to 51). The total mean score of all stigma scale items appeared to increase with disease stage. A final adjusted linear regression model found an association between stigma and factors including monthly income, duration lived in the current residence, and disease stage, after controlling for confounders.
Podoconiosis is a stigmatized disease with a clear social impact. This paper documented the burden of podoconiosis-related stigma and identified associated factors. Programs aimed at preventing and treating podoconiosis should incorporate interventions to mitigate both felt and enacted stigma. Interventions targeting patients should prioritize those with advanced disease.
Url:
DOI: 10.1186/1471-2458-13-1178
PubMed: 24330684
PubMed Central: 3878751
Affiliations:
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id="I2">School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>School of Public Health, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author><author><name sortKey="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name><affiliation wicri:level="1"><nlm:aff id="I3">Institute of Tropical Medicine, Antwerp, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Institute of Tropical Medicine, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author><author><name sortKey="Mousley, Elizabeth" sort="Mousley, Elizabeth" uniqKey="Mousley E" first="Elizabeth" last="Mousley">Elizabeth Mousley</name><affiliation wicri:level="1"><nlm:aff id="I1">Brighton and Sussex Medical School, Falmer, Brighton, UK</nlm:aff><country 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et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Maladies négligées (psychologie)</term><term>Mâle</term><term>Prejugé (psychologie)</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Éléphantiasis (psychologie)</term><term>Éthiopie (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladies négligées</term><term>Prejugé</term><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis</term><term>Neglected Diseases</term><term>Prejudice</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éthiopie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Severity of Illness Index</term><term>Socioeconomic Factors</term><term>Stereotyping</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Mâle</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Podoconiosis, or non-filarial elephantiasis, is a neglected tropical disease (NTD) characterised by swelling of the lower legs. When left untreated, this disfiguring condition has a significant social impact. This study aimed to describe the stigma experience among podoconiosis patients in Dembecha, Northern Ethiopia and assess potential associations between stigma and sociodemographic determinants.</p></sec><sec><title>Methods</title><p>The study was conducted in May 2012 in Northern Ethiopia. A questionnaire-based cross-sectional study design was used and stigma was assessed using a validated podoconiosis stigma scale including 'felt’ and 'enacted’ stigma domains. Enacted stigma includes the experience of discrimination such as abuse, loss of employment or prejudicial attitudes, while felt stigma is the perceived fear of enacted stigma. A multivariable linear regression model was used to explore determinants that may be associated with stigma.</p></sec><sec><title>Results</title><p>A total of 346 clinically confirmed podoconiosis patients participated in the study. The total mean score of all stigma scale items was 30.7 (Range = 0 to 96). There was a higher mean score of scale items in domains of felt stigma (21.7; Range = 0 to 45) as compared to enacted stigma (9.0; Range = 0 to 51). The total mean score of all stigma scale items appeared to increase with disease stage. A final adjusted linear regression model found an association between stigma and factors including monthly income, duration lived in the current residence, and disease stage, after controlling for confounders.</p></sec><sec><title>Conclusion</title><p>Podoconiosis is a stigmatized disease with a clear social impact. This paper documented the burden of podoconiosis-related stigma and identified associated factors. Programs aimed at preventing and treating podoconiosis should incorporate interventions to mitigate both felt and enacted stigma. Interventions targeting patients should prioritize those with advanced disease.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Gebrehanna, E" uniqKey="Gebrehanna E">E Gebrehanna</name></author><author><name sortKey="Adeyemo, A" uniqKey="Adeyemo A">A Adeyemo</name></author><author><name sortKey="Rotimi, C" uniqKey="Rotimi C">C Rotimi</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ayele, Ft" uniqKey="Ayele F">FT Ayele</name></author><author><name sortKey="Adeyemo, A" uniqKey="Adeyemo A">A Adeyemo</name></author><author><name sortKey="Finan, C" uniqKey="Finan C">C Finan</name></author><author><name sortKey="Hailu, E" uniqKey="Hailu E">E 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Amberbir</name></author><author><name sortKey="Tamiru, A" uniqKey="Tamiru A">A Tamiru</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yakob, B" uniqKey="Yakob B">B Yakob</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ayode, D" uniqKey="Ayode D">D Ayode</name></author><author><name sortKey="Mcbride, Cm" uniqKey="Mcbride C">CM McBride</name></author><author><name sortKey="De Heer, Hd" uniqKey="De Heer H">HD de Heer</name></author><author><name sortKey="Watanabe, E" uniqKey="Watanabe E">E Watanabe</name></author><author><name sortKey="Gebreyesus, T" uniqKey="Gebreyesus T">T Gebreyesus</name></author><author><name sortKey="Tora, A" uniqKey="Tora A">A Tora</name></author><author><name 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Abouihla</name></author><author><name sortKey="Weiss, M" uniqKey="Weiss M">M Weiss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Infante, C" uniqKey="Infante C">C Infante</name></author><author><name sortKey="Aggleton, P" uniqKey="Aggleton P">P Aggleton</name></author><author><name sortKey="Pridmore, P" uniqKey="Pridmore P">P Pridmore</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Lp" uniqKey="Wong L">LP Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hotez, Pj" uniqKey="Hotez P">PJ Hotez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Michels, Km" uniqKey="Michels K">KM Michels</name></author><author><name sortKey="Hofman, Kj" uniqKey="Hofman K">KJ Hofman</name></author><author><name sortKey="Keusch, Gt" uniqKey="Keusch G">GT Keusch</name></author><author><name sortKey="Hrynkow, Sh" uniqKey="Hrynkow S">SH Hrynkow</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><name sortKey="Mousley, Elizabeth" sort="Mousley, Elizabeth" uniqKey="Mousley E" first="Elizabeth" last="Mousley">Elizabeth Mousley</name></country><country name="Éthiopie"><noRegion><name sortKey="Deribe, Kebede" sort="Deribe, Kebede" uniqKey="Deribe K" first="Kebede" last="Deribe">Kebede Deribe</name></noRegion><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country><country name="Belgique"><noRegion><name sortKey="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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