The experience of SARS-related stigma at Amoy Gardens
Identifieur interne : 000220 ( Psycho/Analysis ); précédent : 000219; suivant : 000221The experience of SARS-related stigma at Amoy Gardens
Auteurs : Sing Lee [Hong Kong] ; Lydia Y. Y. Chan [Hong Kong] ; Annie M. Y. Chau [Hong Kong] ; Kathleen P. S. Kwok [Hong Kong] ; Arthur Kleinman [États-Unis]Source :
- Social science & medicine : (1982) [ 0277-9536 ] ; 2005.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Attitude envers la santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Flambées de maladies, Hong Kong (épidémiologie), Humains, Isolement social, Lieu de travail (psychologie), Logement, Maintenance, Mâle, Prejugé, Refus de traiter, Relations interpersonnelles, Soutien social, Stéréotypage, Sujet âgé, Syndrome respiratoire aigu sévère (épidémiologie), Établissements scolaires.
- MESH :
- psychologie : Lieu de travail.
- épidémiologie : Hong Kong, Syndrome respiratoire aigu sévère.
- Pascal (Inist)
- Accessibilité des services de santé, Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Attitude envers la santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Flambées de maladies, Humains, Isolement social, Logement, Maintenance, Mâle, Prejugé, Refus de traiter, Relations interpersonnelles, Soutien social, Stéréotypage, Sujet âgé, Syndrome respiratoire aigu sévère, Stigmate, Quartier voisinage, Hong Kong, Santé publique, Aspect social, Perception sociale, Résident, Médecine sociale, Amoy Gardens, Maladie stigmatisante, Établissements scolaires.
- Wicri :
- geographic : Hong Kong.
- topic : Santé publique, Médecine sociale.
English descriptors
- KwdEn :
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Cluster Analysis, Disease Outbreaks, Female, Health Services Accessibility, Hong Kong, Hong Kong (epidemiology), Housing, Humans, Interpersonal Relations, Maintenance, Male, Middle Aged, Neighbourhood, Prejudice, Public health, Refusal to Treat, Resident, Schools, Severe Acute Respiratory Syndrome (epidemiology), Severe acute respiratory syndrome, Social Isolation, Social Support, Social aspect, Social perception, Socioeconomic Factors, Stereotyping, Stigma, Surveys and Questionnaires, Workplace (psychology).
- MESH :
- geographic , epidemiology : Hong Kong.
- epidemiology : Severe Acute Respiratory Syndrome.
- psychology : Workplace.
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Cluster Analysis, Disease Outbreaks, Female, Health Services Accessibility, Housing, Humans, Interpersonal Relations, Maintenance, Male, Middle Aged, Prejudice, Refusal to Treat, Schools, Social Isolation, Social Support, Socioeconomic Factors, Stereotyping, Surveys and Questionnaires.
Abstract
Severe Acute Respiratory Syndrome (SARS) possesses characteristics that render it particularly prone to stigmatization. SARS-related stigma, despite its salience for public health and stigma research, has had little examination. This study combines survey and case study methods to examine subjective stigma among residents of Amoy Gardens (AG), the first officially recognized site of community outbreak of SARS in Hong Kong. A total of 903 residents of AG completed a self-report questionnaire derived from two focus groups conducted toward the end of the 3-month outbreak. Case studies of two residents who lived in Block E, the heart of the SARS epidemic at AG, complement the survey data. Findings show that stigma affected most residents and took various forms of being shunned, insulted, marginalized, and rejected in the domains of work, interpersonal relationships, use of services and schooling. Stigma was also associated with psychosomatic distress. Residents' strategies for diminishing stigma varied with gender, age, education, occupation, and proximity to perceived risk factors for SARS such as residential location, previous SARS infection and the presence of ex-SARS household members. Residents attributed stigma to government mismanagement, contagiousness of the mysterious SARS virus, and alarmist media reporting. Stigma clearly decreased, but never completely disappeared, after the outbreak. The findings confirm and add to existing knowledge on the varied origins, correlates, and impacts of stigma. They also highlight the synergistic roles of inconsistent health policy responses and risk miscommunication by the media in rapidly amplifying stigma toward an unfamiliar illness. While recognizing the intrinsically stigmatizing nature of public health measures to control SARS, we recommend that a consistent inter-sectoral approach is needed to minimize stigma and to make an effective health response to future outbreaks.
Url:
Affiliations:
- Hong Kong, États-Unis
- Massachusetts
- Cambridge (Massachusetts), Sha Tin
- Université Harvard, Université chinoise de Hong Kong
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type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Attitude to Health</term><term>Cluster Analysis</term><term>Disease Outbreaks</term><term>Female</term><term>Health Services Accessibility</term><term>Hong Kong</term><term>Hong Kong (epidemiology)</term><term>Housing</term><term>Humans</term><term>Interpersonal Relations</term><term>Maintenance</term><term>Male</term><term>Middle Aged</term><term>Neighbourhood</term><term>Prejudice</term><term>Public health</term><term>Refusal to Treat</term><term>Resident</term><term>Schools</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe acute respiratory syndrome</term><term>Social Isolation</term><term>Social Support</term><term>Social aspect</term><term>Social perception</term><term>Socioeconomic Factors</term><term>Stereotyping</term><term>Stigma</term><term>Surveys and Questionnaires</term><term>Workplace (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adaptation psychologique</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Attitude envers la santé</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Flambées de maladies</term><term>Hong Kong (épidémiologie)</term><term>Humains</term><term>Isolement social</term><term>Lieu de travail (psychologie)</term><term>Logement</term><term>Maintenance</term><term>Mâle</term><term>Prejugé</term><term>Refus de traiter</term><term>Relations interpersonnelles</term><term>Soutien social</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Établissements scolaires</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Hong Kong</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lieu de travail</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Workplace</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Hong Kong</term><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Attitude to Health</term><term>Cluster Analysis</term><term>Disease Outbreaks</term><term>Female</term><term>Health Services Accessibility</term><term>Housing</term><term>Humans</term><term>Interpersonal Relations</term><term>Maintenance</term><term>Male</term><term>Middle Aged</term><term>Prejudice</term><term>Refusal to Treat</term><term>Schools</term><term>Social Isolation</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Stereotyping</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adaptation psychologique</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Attitude envers la santé</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Isolement social</term><term>Logement</term><term>Maintenance</term><term>Mâle</term><term>Prejugé</term><term>Refus de traiter</term><term>Relations interpersonnelles</term><term>Soutien social</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Syndrome respiratoire aigu sévère</term><term>Stigmate</term><term>Quartier voisinage</term><term>Hong Kong</term><term>Santé publique</term><term>Aspect social</term><term>Perception sociale</term><term>Résident</term><term>Médecine sociale</term><term>Amoy Gardens</term><term>Maladie stigmatisante</term><term>Établissements scolaires</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Hong Kong</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Médecine sociale</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Severe Acute Respiratory Syndrome (SARS) possesses characteristics that render it particularly prone to stigmatization. SARS-related stigma, despite its salience for public health and stigma research, has had little examination. This study combines survey and case study methods to examine subjective stigma among residents of Amoy Gardens (AG), the first officially recognized site of community outbreak of SARS in Hong Kong. A total of 903 residents of AG completed a self-report questionnaire derived from two focus groups conducted toward the end of the 3-month outbreak. Case studies of two residents who lived in Block E, the heart of the SARS epidemic at AG, complement the survey data. Findings show that stigma affected most residents and took various forms of being shunned, insulted, marginalized, and rejected in the domains of work, interpersonal relationships, use of services and schooling. Stigma was also associated with psychosomatic distress. Residents' strategies for diminishing stigma varied with gender, age, education, occupation, and proximity to perceived risk factors for SARS such as residential location, previous SARS infection and the presence of ex-SARS household members. Residents attributed stigma to government mismanagement, contagiousness of the mysterious SARS virus, and alarmist media reporting. Stigma clearly decreased, but never completely disappeared, after the outbreak. The findings confirm and add to existing knowledge on the varied origins, correlates, and impacts of stigma. They also highlight the synergistic roles of inconsistent health policy responses and risk miscommunication by the media in rapidly amplifying stigma toward an unfamiliar illness. While recognizing the intrinsically stigmatizing nature of public health measures to control SARS, we recommend that a consistent inter-sectoral approach is needed to minimize stigma and to make an effective health response to future outbreaks.</div></front></TEI><affiliations><list><country><li>Hong Kong</li><li>États-Unis</li></country><region><li>Massachusetts</li></region><settlement><li>Cambridge (Massachusetts)</li><li>Sha Tin</li></settlement><orgName><li>Université Harvard</li><li>Université chinoise de Hong Kong</li></orgName></list><tree><country name="Hong Kong"><noRegion><name sortKey="Lee, Sing" sort="Lee, Sing" uniqKey="Lee S" first="Sing" last="Lee">Sing Lee</name></noRegion><name sortKey="Chan, Lydia Y Y" sort="Chan, Lydia Y Y" uniqKey="Chan L" first="Lydia Y. Y." last="Chan">Lydia Y. Y. Chan</name><name sortKey="Chau, Annie M Y" sort="Chau, Annie M Y" uniqKey="Chau A" first="Annie M. Y." last="Chau">Annie M. Y. Chau</name><name sortKey="Kwok, Kathleen P S" sort="Kwok, Kathleen P S" uniqKey="Kwok K" first="Kathleen P. S." last="Kwok">Kathleen P. S. Kwok</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Kleinman, Arthur" sort="Kleinman, Arthur" uniqKey="Kleinman A" first="Arthur" last="Kleinman">Arthur Kleinman</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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