The experience of SARS-related stigma at Amoy Gardens.
Identifieur interne : 002432 ( PubMed/Checkpoint ); précédent : 002431; suivant : 002433The experience of SARS-related stigma at Amoy Gardens.
Auteurs : Sing Lee [Hong Kong] ; Lydia Y Y. Chan ; Annie M Y. Chau ; Kathleen P S. Kwok ; Arthur KleinmanSource :
- 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.
- 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, Établissements scolaires.
- Wicri :
- geographic : Hong Kong.
English descriptors
- KwdEn :
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Cluster Analysis, Disease Outbreaks, Female, Health Services Accessibility, Hong Kong (epidemiology), Housing, Humans, Interpersonal Relations, Maintenance, Male, Middle Aged, Prejudice, Refusal to Treat, Schools, Severe Acute Respiratory Syndrome (epidemiology), Social Isolation, Social Support, Socioeconomic Factors, Stereotyping, 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.
DOI: 10.1016/j.socscimed.2005.04.010
PubMed: 15913861
Affiliations:
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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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15913861</PMID><DateCompleted><Year>2006</Year><Month>01</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0277-9536</ISSN><JournalIssue CitedMedium="Print"><Volume>61</Volume><Issue>9</Issue><PubDate><Year>2005</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Social science & medicine (1982)</Title><ISOAbbreviation>Soc Sci Med</ISOAbbreviation></Journal><ArticleTitle>The experience of SARS-related stigma at Amoy Gardens.</ArticleTitle><Pagination><MedlinePgn>2038-46</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Sing</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong. singlee@cuhk.edu.hk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Lydia Y Y</ForeName><Initials>LY</Initials></Author><Author ValidYN="Y"><LastName>Chau</LastName><ForeName>Annie M Y</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Kwok</LastName><ForeName>Kathleen P S</ForeName><Initials>KP</Initials></Author><Author 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PubStatus="medline"><Year>2006</Year><Month>1</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>5</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15913861</ArticleId><ArticleId IdType="pii">S0277-9536(05)00176-0</ArticleId><ArticleId IdType="doi">10.1016/j.socscimed.2005.04.010</ArticleId><ArticleId IdType="pmc">PMC7116975</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Emerg Infect Dis. 2004 Feb;10(2):207-9</Citation><ArticleIdList><ArticleId IdType="pubmed">15030684</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Br J Psychiatry. 2001 Mar;178:207-15</Citation><ArticleIdList><ArticleId IdType="pubmed">11230030</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>J Health Soc Behav. 1998 Dec;39(4):335-47</Citation><ArticleIdList><ArticleId IdType="pubmed">9919855</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Risk Anal. 2002 Apr;22(2):347-58</Citation><ArticleIdList><ArticleId IdType="pubmed">12022681</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Soc Sci Med. 1997 Sep;45(6):903-14</Citation><ArticleIdList><ArticleId IdType="pubmed">9255923</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>BMJ. 2003 Dec 6;327(7427):1342-4</Citation><ArticleIdList><ArticleId IdType="pubmed">14656848</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Hong Kong</li></country><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><noCountry><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="Kleinman, Arthur" sort="Kleinman, Arthur" uniqKey="Kleinman A" first="Arthur" last="Kleinman">Arthur Kleinman</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></noCountry><country name="Hong Kong"><noRegion><name sortKey="Lee, Sing" sort="Lee, Sing" uniqKey="Lee S" first="Sing" last="Lee">Sing Lee</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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