The effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae: A cross-sectional study

Abstract

Objective To explore the effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae. Design A cross-sectional survey study. Setting The study was conducted in two community centres in Tianjin, China. Subjects Community-dwelling Chinese patients with stroke sequelae. Measures Chinese version of Stigma Scale for Chronic Illness, Chinese version of Impact on Participation and Autonomy, Modified Barthel index, Self-Rating Depression Scale, Social Support Rating Scale, Medical Coping Modes Questionnaire, background and disease-related questions. Pearson’s correlation coefficients were computed between stigma and social participation. The impact of stigma on social participation was estimated by hierarchical multiple regression analysis after controlling for demographic, physical and psychosocial characteristics. Results In total, 136 patients with stroke sequelae were included in this study, with a mean age of 67.8 years. The Chinese version of the Stigma Scale for Chronic Illness had a mean score of 48.4 (SD 16.9), and the Chinese version of the Impact on Participation and Autonomy was 67.1 (SD 21.1). Significant correlations were found between stigma and social participation. Pearson’s correlation coefficient ranged from 0.354 to 0.605 ( P < 0.01). Enacted stigma provided a significant explanation for the variance of social participation by 1.1% ( P < 0.05). Felt stigma provided a significant explanation for the variance of social participation by 2.9% ( P < 0.001). Conclusion Felt stigma and enacted stigma have independent associations with social participation. Patients with stroke sequelae who reported higher stigma experienced a lower level of social participation.

Older people’s perceptions and experiences of older people with the Sit-to-stand activity: An ethnographic pre-feasibility study

“…In fact, “ageism” reveals the stigma and negative attitudes associated with advanced age that are linked to mental and physical health consequences, including less desire to live a healthy lifestyle 40 - 41 . This is corroborated by the literature on the stereotype threat, suggesting that stigmatized individuals avoid the negative experience of such threat by disengaging from important activities 42 . The issue of ageism is so rampant that the UN Decade of Healthy Ageing presents an agenda with calls to action, where the first action is to change how people think, feel and act toward age and ageing 13 .…”

Association between Stigma and Pain in Patients with Temporomandibular Disorders

“…Although our study showed the scores of JFLS-8 were significantly higher in patients with stigma than those without stigma, we found there was only a weak association between stigma and jaw functional limitation. is finding was the same in epilepsy [34] but contrary to stroke [35]. Zoppi et al [34] found that stigma was poorly related to clinical aspects of epilepsy, while Lu et al [35] suggested that severe stroke patients experienced more discrimination externally, raising both enacted stigma and felt stigma.…”

“…is finding was the same in epilepsy [34] but contrary to stroke [35]. Zoppi et al [34] found that stigma was poorly related to clinical aspects of epilepsy, while Lu et al [35] suggested that severe stroke patients experienced more discrimination externally, raising both enacted stigma and felt stigma. e effect of dysfunction on stigma varies in different diseases.…”

Percepciones y experiencias de los adultos mayores con respecto a la actividad Sit-to-stand: Un estudio etnográfico de viabilidad previa

“…De hecho, la "discriminación etaria" revela el estigma y las actitudes negativas asociados con la edad avanzada vinculados con consecuencias para la salud mental y física, incluso un menor deseo de llevar un estilo de vida saludable (40)(41) . La literatura corrobora lo anterior en el estereotipo de las amenazas, sugiriendo que las personas estigmatizadas evitan la experiencia negativa de dichas amenazas alejándose de actividades importantes (42) . El problema de la discriminación etaria es tan endémico que la Década de Envejecimiento Saludable de la ONU presenta una agenda con convocatorias para la acción, donde la primera es modificar la mentalidad, los sentimientos y las acciones de las personas con respecto a la edad y al envejecimiento (13) .…”