The Impact of Stigma in Healthcare on People Living with Chronic Illnesses

Earnshaw, Valerie A.; Quinn, Diane M.

doi:10.1177/1359105311414952

Cited by 274 publications

(263 citation statements)

References 34 publications

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“…3 This is mainly due to the fact that this disease forces them to undergo changes in their life habits that are required to maintain good metabolic control, such as adherence to drug therapy, diet and physical activity. 4 Diabetes can lead to a loss of personal income and productivity, due to the restrictions to the amount and type of work performed by patients.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

et al. 2017

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Objective: To evaluate the knowledge and attitude of patients with diabetes mellitus in Primary Health Care and associated factors. Methods: Cross-sectional, quantitative and analytical study with 353 patients with type 2 diabetes mellitus in Family Health Strategy units. The Knowledge and Psychological Attitudes Questionnaires were used for data collection, as well as a script with sociodemographic, economic and clinical data. Results: The majority of the population was female (73.1%), aged more than 50 years (81.5%), diagnosed for more than five years (54.9%) and with a per capita income of up to half a minimum wage (59.3%). The scores of knowledge and attitude were low. Age (p = 0.001) and level of education (p = 0.002) were variables associated with knowledge about diabetes mellitus. Conclusion: Users had a low level of knowledge about diabetes, indicating an unsatisfactory result in self-care and mainly a negative attitude towards coping with this disease. Sociodemográficos, Económicos y Clínicos. Resultados: La población fue constituida por su sexo femenino (73,1%), con superioridad a 50 años (81,5%), con tempo de diagnóstico superior a 5 años (54,9%) y com renda per Capita de hasta medio salario mínimo (59,3%). Los escores de conocimiento y la atitud foram baixos. A edad (p = 0,001) y escolaridad (p = 0,002) foram variáveis asociadas al conocimiento sobre la diabetes mellitus. Conclusión: Los pacientes presentan bajos conocimientos sobre la diabetes, indicando resultado insatisfactorio no autocuidado y en su mayoría, atitud negativa no enfrentamiento de la enfermedad.

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Section: Introductionmentioning

confidence: 99%

Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

et al. 2017

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“…Given the poor prognosis, PAH and CTEPH have significant physical, mental and social consequences for the patients, leading to reduced health-related quality of life [4,5]. The patients must avoid harmful situations, take medication and have regular contact with the healthcare organisation [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore it is of great importance to focus, as early as possible, on appropriate treatments to achieve symptom relief and improve quality of life for these vulnerable patients. To further support the patients, it is important to highlight psychosocial issues 4 .…”

Section: Introductionmentioning

confidence: 99%

Support Experienced by Patients Living with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension

Ivarsson

Ekmehag

Sjöberg

2016

Heart, Lung and Circulation

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“…15,26 Perceived HIV-related stigma in health care can result in testing and treatment delays, avoidance of health services, and poorer quality care as a result of nondisclosure to health care providers. [30][31][32][33][34][35] In addition, perceived HIV-related stigma in health care settings can have detrimental psychological consequences, in part because perceived stigma, regardless of setting, negatively impacts psychological well-being, 14,36,37 but also because health care providers are what Goffman termed 'the wise'. 2 They are expected to have knowledge about HIV and to not discriminate against PLWH.…”

mentioning

confidence: 99%

Patient and Provider Perspectives on HIV and HIV-Related Stigma in Dutch Health Care Settings

Stutterheim

Sicking²,

Brands³

et al. 2014

AIDS Patient Care and STDs

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Ensuring that people living with HIV (PLWH) feel accepted in health care settings is imperative. This mixed methods study explored the perspectives of PLWH and health professionals on their interactions. A total of 262 predominantly gay men of Dutch origin participated in a survey study of possible negative interactions with health professionals, and semi-structured interviews were subsequently conducted with 22 PLWH and 14 health professionals. Again, most PLWH were gay men of Dutch origin. All health professionals were Dutch. PLWH reported negative experiences with health professionals including awkward interactions, irrelevant questions, rude treatment, blame, pity, excessive or differential precautions, care refusal, unnecessary referrals, delayed treatment, poor support, and confidentiality breaches. They also reported positive experiences including equal treatment, being valued as a partner in one's health, social support provision, and confidentiality assurances. Health professionals reported having little experience with PLWH and only basic knowledge of HIV. They contended that PLWH are treated equally and that HIV is no longer stigmatized, but also reported fear of occupational infection, resulting in differential precautions. Additionally, they conveyed labeling PLWH's files to warn others, and curiosity regarding how patients acquired HIV. The findings suggest that there is a gap in perception between PLWH and health professionals regarding the extent to which negative interactions occur, and that these interactions should be improved. Implications for stigma reduction and care optimization are discussed.

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The Impact of Stigma in Healthcare on People Living with Chronic Illnesses

Cited by 274 publications

References 34 publications

Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

Knowledge and attitude of patients with diabetes mellitus in Primary Health Care

Support Experienced by Patients Living with Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension

Patient and Provider Perspectives on HIV and HIV-Related Stigma in Dutch Health Care Settings

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