“Premature” Girls with “Illegitimate” Diseases: A Qualitative Exploration of the Stigma of Gynecological Diseases for Unmarried Young Women in China

Dong, Yujie

doi:10.1080/10810730.2023.2185322

Cited by 4 publications

(4 citation statements)

References 57 publications

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“…16 Especially in Chinese gynecological cancer patients, due to the lack of female characteristics after operation, family roles and feudal thoughts, the stigma of them was at a medium high level. 18 Most studies focus on the effect of neighborhood-, weight-, and HIV-related stigma on poor sleep quality. [19][20][21] Few studies indicated that cancer stigma was positively associated with sleep disorders, while negatively associated with sleep quality.…”

Section: Self-stigma and Sleep Disordersmentioning

confidence: 99%

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Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Gu,

Wang,

Yang

et al. 2024

NSS

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Background: Gynecological cancer generally refers to malignant tumors in gynecology, commonly including cervical cancer, endometrial cancer, and ovarian cancer. Patients with gynecological cancer often suffer from sleep disorders after clinical treatment. Except for serious sleep disorders, female characteristics, family roles, and feudal beliefs make their self-stigma at a medium to high level, leading to huge pressure. This study aims to identify potential categories of sleep disorders, and analyze the relationship between self-stigma, perceived stress, and sleep disorders. Methods: A cross-sectional study was conducted in 2021-2022. Two hundred and two patients' data were collected from ShengJing Hospital Affiliated to China Medical University in Liaoning, Shenyang by using paper questionnaires for face-to-face surveys. The survey tools included the Pittsburgh Sleep Quality Index (PSQI), the Perceived Stress Scale (PSS), and the Social Impact Scale (SIS). Potential profile analysis (LPA), multiple logistic regression analysis, and structural equation modeling (SEM) were performed by Mplus 8.3, SPSS 26.0, and Amos 24.0 statistical tools, respectively. Results: Three latent patterns of sleep disorders were found: "Good Sleep group (42.5%)", "Sleep Deficiency group (32.4%)", and "Sleep Disturbance group (25.1%)". Patients with high perceived stress were more likely to report a moderate (OR=1.142, 95% CI: 1.061-1.230) or high (OR=1.455, 95% CI: 1.291-1.640) level of sleep disorders. Self-stigma did not have a direct effect on sleep disorders (0.055, P>0.05), but it could have indirect effect on sleep disorders through perceived stress (0.172, P<0.01). Conclusion:The perceptions of sleep disorders among gynecological cancer patients varies and exhibits individual differences. Gynecological cancer patients who feels alienated or discriminated may cause high pressure. This internal pressure can exacerbate sleep disorders.

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Section: Self-stigma and Sleep Disordersmentioning

confidence: 99%

“… 22 In the study of gynecologic oncology patients, the influence of stigma on sleep disorders was only verified in breast cancer patients. 18 In view of the strong cultural beliefs around cancer, it was necessary to identify and understand the relationship between self-stigma and sleep disorders in Chinese gynecological cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Gu,

Wang,

Yang

et al. 2024

NSS

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“…Conversations about SRH topics remain taboo, hindering access to essential services, such as screening and prevention of sexually transmitted infections (STIs) [3,7]. This reluctance to seek care poses significant health risks, including pelvic inflammatory disease, ectopic pregnancy, and infertility [8]. Despite efforts to challenge traditional beliefs and decouple female sexuality from marriage [8,9], many women remain reticent to openly discuss SRH or seek related care, such as cervical cancer screening and prevention [6].…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…This reluctance to seek care poses significant health risks, including pelvic inflammatory disease, ectopic pregnancy, and infertility [8]. Despite efforts to challenge traditional beliefs and decouple female sexuality from marriage [8,9], many women remain reticent to openly discuss SRH or seek related care, such as cervical cancer screening and prevention [6]. The consequences of this stigma can be dire.…”

Section: Introduction Backgroundmentioning

confidence: 99%

Educating and Coping: Women’s Co-Designed Strategies for Cultivating Supportive Online Spaces for Sexual and Reproductive Health (Preprint)

Ryu,

Pratt

2024

Preprint

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BACKGROUND Online communities that many women use for support and safety on stigmatized sexual and reproductive health issues often expose them to microaggressions, discouraging necessary medical care. The discouragement from online communities and reluctance to seek care due to stigma poses significant health risks for unmarried women, such as cervical cancer, pelvic inflammatory disease, ectopic pregnancy, and infertility. OBJECTIVE In this study, we aimed to cultivate a resilient and safe space for support on the culturally taboo topic of sexual and reproductive health by counteracting and reducing online microaggressions. We sought to make these last-resort safe spaces truly supportive by reducing the negative effects of microaggressions on the targets and allies’ health and well-being and educating rather than solely punishing perpetrators. METHODS We conducted co-design sessions with 14 unmarried Korean women. In the first co-design session, we first introduced the term microaggression and collaborated with participants to create base design components aimed at countering and preventing them. In the second co-design session, participants went through three stages: initially viewing post-comment samples, then designing with provided base design templates inspired by their suggestions, and finally, designing for a scenario where they themselves would be seeking support. We used inductive and deductive methods to analyze the co-design session transcripts. RESULTS Our analysis revealed six goals that focus on coping and educational, rather than punitive approaches for counteracting microaggressions. Goals 2, 3, and 6 focus on coping with microaggressions. Goal 2 (positive support) and Goal 6 (holistic understanding) help targets use reflective coping by providing objective standards and a full picture to reassess situations, while Goal 3 (emotion management) encourages less emotional responses to make claims appear less subjective and support suppressive coping. Goals 1, 4, and 5 focus on educational approaches. Goals 1 (shared knowledge) and 5 (respectful education) highlight educational approaches, aiming to inform all users about microaggressions and their impacts, while emphasizing respectful education to perpetrators regarding the negative effects of their actions. Additionally, Goal 4 (expert guidance) involves forum-approved experts leading discussions to provide accurate information and critical reactions. Resulting designs reflected the participants’ culture by discouraging approaches that would either burden their social support network or fuel perceptions that women are too emotional. CONCLUSIONS Our work advocates for prioritizing educational and explanatory approaches over punitive detection and deletion measures to create supportive online spaces for stigmatized sexual and reproductive health. This shift not only aids targets and allies in coping with microaggressions but also encourages perpetrators to reflect on the impact of their actions. Our work provides a first step toward counteracting microaggressions and ultimately encouraging women to seek needed sexual and reproductive health care.

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Counteracting sexual and reproductive health misperceptions: Investigating the roles of stigma, misinformation exposure, and information overload

Dong,

Zhang,

Lam

et al. 2024

Patient Education and Counseling

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“Premature” Girls with “Illegitimate” Diseases: A Qualitative Exploration of the Stigma of Gynecological Diseases for Unmarried Young Women in China

Cited by 4 publications

References 57 publications

Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Study on the Profiles of Sleep Disorders, Associated Factors, and Pathways Among Gynecological Cancer Patients – A Latent Profile Analysis

Educating and Coping: Women’s Co-Designed Strategies for Cultivating Supportive Online Spaces for Sexual and Reproductive Health (Preprint)

Counteracting sexual and reproductive health misperceptions: Investigating the roles of stigma, misinformation exposure, and information overload

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