• Journal of Preventive Medicine and Public Health
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• v.57 no.5
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• pp.435-442
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• 2024

Objectives: The aim of this study was to investigate the significance of associations between knowledge, professional ethics, institutional support, perceptions regarding HIV/AIDS, and HIV/AIDS-related stigma among health workers in West Sumatra, Indonesia. Methods: We conducted a cross-sectional study involving health workers at public hospitals and health centers in West Sumatra in June 2022. The Health Care Provider HIV/AIDS Stigma Scale was employed to assess the stigma associated with HIV/AIDS. To estimate and evaluate the model's ability to explain the proposed constructs, we utilized the standardized partial least squares structural equation model (PLS-SEM). Results: In total, 283 individuals participated in this study (average age, 39 years). The majority were female (91.2%), nearly half were nurses (49.5%), and 59.4% had been working for more than 10 years. The study revealed that HIV/AIDS-related stigma persisted among health workers. The PLS-SEM results indicated that all latent variables had variance inflation factors below 5, confirming that they could be retained in the model. Knowledge and professional ethics significantly contributed to human immunodeficiency virus (HIV)-related stigma, with an effect size (f²) of 0.15 or greater. In contrast, perceived and institutional support had a smaller impact on HIV-related stigma, with an effect size (f²) of at least 0.02. The R² value for health worker stigma was 0.408, suggesting that knowledge, professional ethics, institutional support, and perceived support collectively explain 40.8% of the variance in stigma. Conclusions: Improving health workers' understanding of HIV, fostering professional ethics, and strengthening institutional support are essential for reducing HIV-related stigma in this population.

• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.391-402
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• 2016

The purpose of the present study was to investigate the mediating role of expectation about counseling among self-stigma, public stigma and attitude toward seeking counseling. The participants of this study were 327 university students and this research investigated some results by using SPSS 17.0. The major results were as follows: this study reported the negative effects of public stigma and self-stigma on the attitude toward seeking counseling. Self-stigma showed a significant negative correlation with regard to expectation for the counseling, on the other hand, expectations about the social stigma and counseling did not show a significant correlation statistically. And this study verified the expectation about counseling partially mediated the relationship between self-stigma and attitude toward seeking counseling. The findings of this study provided meaning in that particular search was made for variables that mediate the relationship between self-stigma and attitude toward seeking counseling. This study suggested that the stigma of individual acts effects on using real counseling services than emotional issues with each individual. Finally, this paper suggested the needs of development about the counseling and the education program as a special intervention.

• The Journal of the Korea Contents Association
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• v.17 no.11
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• pp.29-38
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• 2017

The purpose of this study is to find out factors affecting intentions to seek help for suicidal ideation in Korean Army and to provide a basis for approaches to facilitate formal or informal help seeking for suicidal ideation. A total of 471 Korean soldiers participated in the current study. First, the question of whether suicidal ideation have a significant influence on general help seeking, and whether public stigma and self stigma mediate the relationship between suicidal ideation and general help seeking were examined. According to the results, public stigma and self stigma partially mediated the relationship between suicidal ideation and general help seeking, indicating that suicidal ideation not only has an indirect effect on general help seeking through public stigma and self stigma, but also has a direct influence on general help seeking.

• Tuberculosis and Respiratory Diseases
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• v.86 no.3
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• pp.216-225
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• 2023

Background: Tuberculosis (TB)-related stigma has been well-documented. Since the emergence of the coronavirus disease 2019 (COVID-19), different organizations have been alerted to the fact that stigma could arise again. Due to stigma's negative effects, this qualitative study aimed to explore the stigma felt by patients by evaluating the following: COVID-19 stigma and its temporal progression through the pandemic; stigma perceived by different patients with TB before and during COVID-19 pandemic; and difference perceived by individuals who contracted both diseases. Methods: A semi-structured interview was developed according to the available literature on the theme. It was performed individually in 2022 upon receiving signed informed consent. Participants were recruited with a purposive sampling approach by searching medical records. Those who currently or previously had pulmonary TB and/or COVID-19 were included. Data were subjected to thematic analysis. Results: Nine patients were interviewed, including six (66.7%) females. The median age of patients was 51±14.7 years. Four participants (44.4%) had completed high school and four (44.4%) were never smokers. Three had both TB and COVID-19. Four only had TB and two only had COVID-19. Interviews identified eight main themes: knowledge and beliefs, with several misconceptions identified; attitudes towards the disease, varying from social support to exclusion; knowledge and education, assumed as of extreme importance; internalized stigma, with self-rejection; experienced stigma, with discrimination episodes; anticipated stigma, modifying actions for avoiding stigma; perceived stigma, with judgment by others prevailed; and temporal evolution of stigma. Conclusion: Individuals expressed strong stigma for both diseases. De-stigmatization of respiratory infectious diseases is crucial for limiting stigma's negative impact.

• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.162-173
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• 2013

This study was to examine the effect of trust, stigma, optimistic bias on risk perception of nuclear power plants. For this study, we carried out a survey targeting residents, total of 383, living in Seoul. The findings showed that trust of general public on nuclear power plants influenced negatively on stigma. Second, trust of general public on nuclear power plants influenced not significantly on optimistic bias. Third, stigma of general public on nuclear power plants influenced positively on risk perception. Fourth, optimistic bias of general public on nuclear power plants influenced negatively on risk perception.

• Korean Security Journal
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• no.57
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• pp.57-84
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• 2018

This study assumes that the perception of the ex-prisoner's against stigma will affect trust in interpersonal relationship. Prior studies have suggested that there is a stigma at the base of the awareness where people avoid and discriminate against ex-prisoner's. This in turn affects ex-prisoner's' recividicism, but there is no study about ex-prisoner's perception of stigma in Korea. Although stigma can be explained in numerous ways, this study is based on the opinion of Phillips(2016), which divides the subscale of stigma as perceived public stigma, perceived personnel stigma, and self stigma. He insisted that ex-prisoner's believe perceived public stigma higher than self-stigma. these results are consistent with this study. However, it is important to note that although ex-prisoner's are more aware of public stigma than self-stigma, they are actually more influenced by self stigma in pereonal relationships. This means that ex-prisoner's are more susceptible to internal psychological awareness than external social recognition. Therefore, the development and intervention of the program to overcome the internal self-stigma of the released prisoner is required. In this study, first, stigma, especially self-stigma turned out to have influence on the interpersonal trust. Therefore, as self-stigma level increased, the interpersonal trust decreased in most cases. Second, it was shown that stigma has the greatest influence on children out of family members, co-workers out of social relationship, self trust out of general relationship in. This confirms that stigma is a factor that greatly influences relationship between important people for ex-prisoner's. Third, since self-sigma negatively reestablish self-identity, make individuals recognize themselves as deviators and show bad lifestyle, which lead them to become habitual offender, ex-prisoner's need to make efforts to overcome self-stigma, and development and intervention of program that can make ex-prisoner's have positive self identity is requested. Fourth, although participants in the study were only male, it seems that there is difference in recognition of stigma by gender, and influence of stigma not only on interpersonal relationships, but also on social reintegration and recidivism imply that these might be good future research topics.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.14
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• pp.6141-6147
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• 2015

Background: Cancer is a leading cause of death worldwide. A large proportion of cancer deaths are preventable through early detection but there are a range of social, emotional, cultural and financial dimensions that hinder the effectiveness of cancer prevention and treatment efforts. Cancer stigma is one such barrier and is increasingly recognized as an important factor influencing health awareness and promotion, and hence, disease prevention and control. The impact and extent of stigma on the cancer early detection and care continuum is poorly understood in India. Objectives: To evaluate cancer awareness and stigma from multiple stakeholder perspectives in North India, including men and women from the general population, health care professionals and educators, and cancer survivors. Materials and Methods: A qualitative study was conducted with in-depth interviews (IDIs) and focus group discussions (FGDs) among 39 individuals over a period of 3 months in 2014. Three groups of participants were chosen purposively - 1) men and women who attended cancer screening camps held by the Indian Cancer Society, Delhi; 2) health care providers and 3) cancer survivors. Results: Most participants were unaware of what cancers are in general, their causes and ways of prevention. Attitudes of families towards cancer patients were observed to be positive and caring. Nevertheless, stigma and its impact emerged as a cross cutting theme across all groups. Cost of treatment, lack of awarenes and beliefs in alternate medicines were identified as some of the major barriers to seeking care. Conclusions: This study suggests a need for spreading awareness, knowledge about cancers and assessing associated impact among the people. Also Future research is recommended to help eradicate stigma from the society and reduce cancer-related stigma in the Indian context.

• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.226-235
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• 2012

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'. Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

• Journal of muscle and joint health
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• v.14 no.1
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• pp.52-60
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• 2007

Purpose: Perceived stigma may disrupt the ability of people with physical disability to successfully adapt to their situation. The purpose of the study was to examine the relationship between perceived stigma and self-esteem among adults with physically disabled. Method: The sample was drawn from August to October of 2006 at the rehabilitation centers and public health centers in Seoul and Gyeonggi-do, Korea. The data were collected from 314 persons with physical difficulty. Self-esteem was measured using the Rosenberg Self-Esteem Scale. Perceived stigma was measured using the Perceived Stigma Scale for the person with physical disability developed by Lee. Result: There were significant differences of perceived stigma of the person with physical disability according to marital status and economic status. There was a statistically significant negative correlation between perceived stigma and self-esteem of the person with physical disability. Conclusion: The Findings of this study suggest that using nursing intervention to decrease the perceived stigma may promote self-esteem among persons with physical disability.

• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.86-94
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• 2021

Purpose: This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants' education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.