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Reframing applied disease stigma reaearch : A multilevel analysis of diabetes stigma in Ghana

Identifieur interne : 000086 ( PascalFrancis/Corpus ); précédent : 000085; suivant : 000087

Reframing applied disease stigma reaearch : A multilevel analysis of diabetes stigma in Ghana

Auteurs : Ama De-Graft Aikins

Source :

RBID : Pascal:07-0408638

Descripteurs français

English descriptors

Abstract

Research suggests that rural and urban Ghanaians living with uncontrolled diabetes-typified by extreme weight loss-experience HIV/AIDS-related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protracted illness to witchcraft or sorcery. Thus the stigma experienced by people with uncontrolled diabetes is not specific to the disease category 'diabetes' and distant others affected by it. Second, extreme biophysical disruption, which precipitates misperceptions, stigma and/or discrimination, is both cause and consequence of financial destitution and psychosocial neglect. Both forms of handicap have deeper pre-stigma roots in poverty and the socio-psychological and cultural impact of long-term illness. Thus the actuality or threat of diabetes stigma has to be understood in terms of diabetes handicap, which in turn has to be understood as a product of shared responses to long-term illness in communities constantly negotiating financial, health and psychological insecurities. The scope for multifaceted/multilevel intervention is considered taking into account the biophysical and psychological impact of illness and the socio-psychological and structural realities of diabetes care in Ghana.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 1052-9284
A03   1    @0 J. community appl. soc. psychol.
A05       @2 16
A06       @2 6
A08 01  1  ENG  @1 Reframing applied disease stigma reaearch : A multilevel analysis of diabetes stigma in Ghana
A09 01  1  ENG  @1 Understanding and challenging stigma
A11 01  1    @1 DE-GRAFT AIKINS (Ama)
A12 01  1    @1 CAMPBELL (Catherine) @9 ed.
A12 02  1    @1 DEACON (Harriet) @9 ed.
A14 01      @1 Department of Social and Developmental Psychology, Faculty of Social and Political Sciences, University of Cambridge, Free School Lane @2 Cambridge CB2 3RQ @3 GBR @Z 1 aut.
A15 01      @1 Institute of Social Psychology, London School of Economics, Houghton Street @2 London, WC2A 2AE @3 GBR @Z 1 aut.
A15 02      @1 Human Sciences Research Council @2 Cape Town @3 ZAF @Z 2 aut.
A20       @1 426-441
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 21703 @5 354000139157400020
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 29 ref.
A47 01  1    @0 07-0408638
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of community & applied social psychology
A66 01      @0 GBR
C01 01    ENG  @0 Research suggests that rural and urban Ghanaians living with uncontrolled diabetes-typified by extreme weight loss-experience HIV/AIDS-related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protracted illness to witchcraft or sorcery. Thus the stigma experienced by people with uncontrolled diabetes is not specific to the disease category 'diabetes' and distant others affected by it. Second, extreme biophysical disruption, which precipitates misperceptions, stigma and/or discrimination, is both cause and consequence of financial destitution and psychosocial neglect. Both forms of handicap have deeper pre-stigma roots in poverty and the socio-psychological and cultural impact of long-term illness. Thus the actuality or threat of diabetes stigma has to be understood in terms of diabetes handicap, which in turn has to be understood as a product of shared responses to long-term illness in communities constantly negotiating financial, health and psychological insecurities. The scope for multifaceted/multilevel intervention is considered taking into account the biophysical and psychological impact of illness and the socio-psychological and structural realities of diabetes care in Ghana.
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C02 02  X    @0 002B21E01A
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C03 01  X  ENG  @0 Stigma @5 01
C03 01  X  SPA  @0 Estigma @5 01
C03 02  X  FRE  @0 Diabète @2 NM @5 02
C03 02  X  ENG  @0 Diabetes mellitus @2 NM @5 02
C03 02  X  SPA  @0 Diabetes @2 NM @5 02
C03 03  X  FRE  @0 Milieu rural @5 03
C03 03  X  ENG  @0 Rural environment @5 03
C03 03  X  SPA  @0 Medio rural @5 03
C03 04  X  FRE  @0 Identité sociale @5 04
C03 04  X  ENG  @0 Social identity @5 04
C03 04  X  SPA  @0 Identidad social @5 04
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C03 05  X  SPA  @0 Contexto @5 05
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C03 06  X  ENG  @0 Cultural environment @5 06
C03 06  X  SPA  @0 Contexto cultural @5 06
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C03 07  X  ENG  @0 Ghana @2 NG @5 07
C03 07  X  SPA  @0 Ghana @2 NG @5 07
C03 08  X  FRE  @0 Changement social @5 08
C03 08  X  ENG  @0 Social change @5 08
C03 08  X  SPA  @0 Cambio social @5 08
C03 09  X  FRE  @0 Représentation sociale @5 09
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C03 10  X  ENG  @0 Human @5 18
C03 10  X  SPA  @0 Hombre @5 18
C07 01  X  FRE  @0 Afrique @2 NG
C07 01  X  ENG  @0 Africa @2 NG
C07 01  X  SPA  @0 Africa @2 NG
C07 02  X  FRE  @0 Endocrinopathie @5 37
C07 02  X  ENG  @0 Endocrinopathy @5 37
C07 02  X  SPA  @0 Endocrinopatía @5 37
C07 03  X  FRE  @0 Affect affectivité @5 38
C07 03  X  ENG  @0 Affect affectivity @5 38
C07 03  X  SPA  @0 Afecto afectividad @5 38
C07 04  X  FRE  @0 Environnement social @5 39
C07 04  X  ENG  @0 Social environment @5 39
C07 04  X  SPA  @0 Contexto social @5 39
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C07 05  X  ENG  @0 Social belonging @5 40
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C07 06  X  ENG  @0 Social group @5 41
C07 06  X  SPA  @0 Grupo social @5 41
C07 07  X  FRE  @0 Cognition sociale @5 42
C07 07  X  ENG  @0 Social cognition @5 42
C07 07  X  SPA  @0 Cognición social @5 42
N21       @1 267

Format Inist (serveur)

NO : PASCAL 07-0408638 INIST
ET : Reframing applied disease stigma reaearch : A multilevel analysis of diabetes stigma in Ghana
AU : DE-GRAFT AIKINS (Ama); CAMPBELL (Catherine); DEACON (Harriet)
AF : Department of Social and Developmental Psychology, Faculty of Social and Political Sciences, University of Cambridge, Free School Lane/Cambridge CB2 3RQ/Royaume-Uni (1 aut.); Institute of Social Psychology, London School of Economics, Houghton Street/London, WC2A 2AE/Royaume-Uni (1 aut.); Human Sciences Research Council/Cape Town/Afrique du Sud (2 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of community & applied social psychology; ISSN 1052-9284; Royaume-Uni; Da. 2006; Vol. 16; No. 6; Pp. 426-441; Bibl. 29 ref.
LA : Anglais
EA : Research suggests that rural and urban Ghanaians living with uncontrolled diabetes-typified by extreme weight loss-experience HIV/AIDS-related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protracted illness to witchcraft or sorcery. Thus the stigma experienced by people with uncontrolled diabetes is not specific to the disease category 'diabetes' and distant others affected by it. Second, extreme biophysical disruption, which precipitates misperceptions, stigma and/or discrimination, is both cause and consequence of financial destitution and psychosocial neglect. Both forms of handicap have deeper pre-stigma roots in poverty and the socio-psychological and cultural impact of long-term illness. Thus the actuality or threat of diabetes stigma has to be understood in terms of diabetes handicap, which in turn has to be understood as a product of shared responses to long-term illness in communities constantly negotiating financial, health and psychological insecurities. The scope for multifaceted/multilevel intervention is considered taking into account the biophysical and psychological impact of illness and the socio-psychological and structural realities of diabetes care in Ghana.
CC : 002A26M06; 002B21E01A
FD : Stigmate; Diabète; Milieu rural; Identité sociale; Contexte; Milieu culturel; Ghana; Changement social; Représentation sociale; Homme
FG : Afrique; Endocrinopathie; Affect affectivité; Environnement social; Appartenance sociale; Groupe social; Cognition sociale
ED : Stigma; Diabetes mellitus; Rural environment; Social identity; Context; Cultural environment; Ghana; Social change; Social representation; Human
EG : Africa; Endocrinopathy; Affect affectivity; Social environment; Social belonging; Social group; Social cognition
SD : Estigma; Diabetes; Medio rural; Identidad social; Contexto; Contexto cultural; Ghana; Cambio social; Representación social; Hombre
LO : INIST-21703.354000139157400020
ID : 07-0408638

Links to Exploration step

Pascal:07-0408638

Le document en format XML

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<NO>PASCAL 07-0408638 INIST</NO>
<ET>Reframing applied disease stigma reaearch : A multilevel analysis of diabetes stigma in Ghana</ET>
<AU>DE-GRAFT AIKINS (Ama); CAMPBELL (Catherine); DEACON (Harriet)</AU>
<AF>Department of Social and Developmental Psychology, Faculty of Social and Political Sciences, University of Cambridge, Free School Lane/Cambridge CB2 3RQ/Royaume-Uni (1 aut.); Institute of Social Psychology, London School of Economics, Houghton Street/London, WC2A 2AE/Royaume-Uni (1 aut.); Human Sciences Research Council/Cape Town/Afrique du Sud (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of community & applied social psychology; ISSN 1052-9284; Royaume-Uni; Da. 2006; Vol. 16; No. 6; Pp. 426-441; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Research suggests that rural and urban Ghanaians living with uncontrolled diabetes-typified by extreme weight loss-experience HIV/AIDS-related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key findings emerge. First, the content of stigma constitutes social representations of HIV/AIDS, and to internalized and projected collective attributions of protracted illness to witchcraft or sorcery. Thus the stigma experienced by people with uncontrolled diabetes is not specific to the disease category 'diabetes' and distant others affected by it. Second, extreme biophysical disruption, which precipitates misperceptions, stigma and/or discrimination, is both cause and consequence of financial destitution and psychosocial neglect. Both forms of handicap have deeper pre-stigma roots in poverty and the socio-psychological and cultural impact of long-term illness. Thus the actuality or threat of diabetes stigma has to be understood in terms of diabetes handicap, which in turn has to be understood as a product of shared responses to long-term illness in communities constantly negotiating financial, health and psychological insecurities. The scope for multifaceted/multilevel intervention is considered taking into account the biophysical and psychological impact of illness and the socio-psychological and structural realities of diabetes care in Ghana.</EA>
<CC>002A26M06; 002B21E01A</CC>
<FD>Stigmate; Diabète; Milieu rural; Identité sociale; Contexte; Milieu culturel; Ghana; Changement social; Représentation sociale; Homme</FD>
<FG>Afrique; Endocrinopathie; Affect affectivité; Environnement social; Appartenance sociale; Groupe social; Cognition sociale</FG>
<ED>Stigma; Diabetes mellitus; Rural environment; Social identity; Context; Cultural environment; Ghana; Social change; Social representation; Human</ED>
<EG>Africa; Endocrinopathy; Affect affectivity; Social environment; Social belonging; Social group; Social cognition</EG>
<SD>Estigma; Diabetes; Medio rural; Identidad social; Contexto; Contexto cultural; Ghana; Cambio social; Representación social; Hombre</SD>
<LO>INIST-21703.354000139157400020</LO>
<ID>07-0408638</ID>
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