• Research in Community and Public Health Nursing
• /
• v.33 no.4
• /
• pp.446-455
• /
• 2022

Purpose: This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes. Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression. Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%. Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

• Korean Journal of Social Welfare
• /
• v.35
• /
• pp.231-261
• /
• 1998

This study was designed to find out a degree of social stigman on people with mental disorder. Many comparisons were made. The first was a comparison with the stigma on the physically disabled. And the differences between general public, the mentally ill, their families, and professionals were explored. Among general public attitudes, the sociodemographic and regional differences were also explored. The subject was 600 people, including 300 general public, 100 mentally ill, 100 families, 100 professionals. They were evenly distributed to 3 regions - big city, urban area, and rural area. The data were collected by a survey questionnaire consisting of the Attitude toward People with Mental Illness Scale, and the Attitude toward People with Physical Disabilities Scale. The analysis showed that the public attitude toward the mentally ill was quite acceptable. Social stigma was low in areas like accepting his/her human right. But the public also showed low acceptance on areas in allowing social functioning roles, and social integration. High stigma on the hospitalized mentally ill was expressed to those hospitalized patients regarding divorce against their will. However, volunteer experiences with this population seemed influential in high acceptance and low stigma. In comparison with the stigma on people with physical disabilities, the results showed. different levels in different areas. In regional comparison, the results showed that big city is the lowest among three. And the results of urban and rural area revealed different levels in different areas. In regard to self-stigma, while the subjects expressed low in general, they revealed high on areas like relating with others. Based on the findings, the study would conclude that mental health policy should be community-based, social integration oriented policy instead of in-patient oriented policy. Moreover, the professionals should intervene on the elements affecting both negative and positive attitudes.

• Journal of Digital Convergence
• /
• v.18 no.1
• /
• pp.343-355
• /
• 2020

The purpose of this study was to analyze the relationship between game addiction and social stigma of adolescents outside school. After examining the previous research focusing on the Public stigma & Self-stigma theory, We intended to examine how game addiction and social stigma affect each other over time, and the time causal relationship between the both. Using youth outside school panel 3rd, 4th, 5th data, This study analyzed the relationship between game addiction and social stigma of adolescents with school interruption longitudinally. The research method was analyzed by autoregressive cross-lagged model using two variables such as game addiction and social stigma using Amos25 program. The results showed that game addiction did not significantly affect social stigma at the next time, but social stigma had a significant effect on game addiction at the next time. Game addiction and social stigma have a strong auto-regressive effect, and the degree remains constant over time. Accordingly, this study suggested social co-prosperity, support from the local community, multidisciplinary viewpoints and cooperation between the public and private sectors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.29 no.3
• /
• pp.122-128
• /
• 2018

Objectives: This study evaluated the psychometric properties of the Korean version of the attention-deficit/hyperactivity disorder (ADHD) Stigma Questionnaire (ASQ) and the effect of the source of information about mental health on ADHD stigma. Methods: The Korean translation of the ASQ was prepared, and 673 participants, 20-64 years of age, completed the questionnaire using an online panel survey in South Korea. The participants also completed questionnaires detailing sociodemographic variables and the source of their mental health knowledge. Cronbach's alpha coefficient was used to explore the internal consistency of the ASQ. Factor analysis using Varimax rotation was conducted to investigate the structure of the ASQ. Results: The 26-item ASQ demonstrated excellent internal consistency (Cronbach's alpha=0.940). Factor analysis supported a three-factor structure, including Concerns with Public Attitudes, Negative Self-Image, and Disclosure Concerns. There were no significant differences in the total ASQ scores according to sociodemographic characteristics. Participants who reported the internet as their major source of information about mental health showed higher ASQ scores compared to those who used other sources for mental health information. Conclusion: The Korean translation of the ASQ has acceptable psychometric properties among Korean adults. Inaccurate information from the internet could increase the stigma toward ADHD.

• Korean Journal of Social Welfare
• /
• v.56 no.4
• /
• pp.173-194
• /
• 2004

According to modified labeling theory, because persons with mental illness internalize the stigma of the public, they anticipate discrimination or rejection by others. Such reactions may have negative effects on both psychological and social functioning. We propose that perceived stigma are central to understanding the poor adjustment of mental patients. This study was conducted by the survey with 377 mental patients in order to discover the pathways by which perceived stigma affected life satisfaction and self-esteem. The major findings of the study were : 1) Perceived stigma has a direct effect on life satisfaction as well as indirect effect through patients' experience of discrimination. 2) Perceived stigma has no direct effect but indirectly affected self-esteem through patients' experience of discrimination and internal attribution of discriminatory situations. Based on these findings, consumer-initiated anti-stigma campaign were discussed.

• Journal of Korean Academy of Nursing
• /
• v.52 no.6
• /
• pp.582-597
• /
• 2022

Purpose: This study aimed to translate the Infertility Stigma Scale (ISS) into Korean and to evaluate its reliability and validity in the Korean context. Methods: Data were collected from 350 women who underwent in vitro fertilization (IVF). Data were analyzed using SPSS WIN 25.0 and AMOS 22.0. Content validity was analyzed using the item-level content validity index (I-CVI) and scale-level content validity index/averaging (S-CVI/Ave). The preliminary survey was conducted on 20 women who had experienced IVF at least once to check the level of understanding of the tool and the time required to fill out the questionnaire. Exploratory and confirmatory factor analyses were used to test construct validity. Additionally, hypothesis-testing construct validity were tested. Cronbach's α was used to assess the reliability. Results: The Korean-ISS (K-ISS) consists of 25 items, excluding two items from the original ISS questionnaire. Exploratory factor analysis identified four factors, which explained 75.6% of the total variance. The four distinct factors were infertility stigma with self-devaluation (56.8%), public stigma (8.1%), social withdrawal (6.5%), and family stigma (4.2%). In the confirmatory factor analysis, the 25 items in the four-factor structure were validated (χ² /df ≤ 3, RMSEA ≤ 10). The hypothesis-testing construct validity of K-ISS against FPI (r = .58~.71, p < .001) and FQI (r = - .49~- .65, p < .001) was tested and found to be significant. The internal consistency reliability of the K-ISS, assessed using Cronbach's α, was .97. Conclusion: The K-ISS has satisfactory construct validity and reliability; therefore, it can help minimize the negative impact of stigma by measuring the stigma associated with women experiencing infertility.

• Informatization Policy
• /
• v.31 no.3
• /
• pp.72-87
• /
• 2024

The recent COVID-19 pandemic has witnessed the rapid growth of the fitness app market, with weight management apps occupying a substantial market segment. In connection, a growing body of research has been conducted to examine design elements aimed at fostering user motivation and long-term engagement, without considering user characteristics, which are critical to understanding user responses to weight-loss apps. Therefore, to fill this research gap, this research focuses on the weight stigma of users and strives to examine what affects such user characteristics have on the weight-loss apps. The main findings of this study is that higher help-seeking intention and willingness to use weight management apps among those who show high weight stigma consciousness than those with low consciousness. This study further shows the interaction effects between weight stigma consciousness AI types of service. This research provides new insights on how to design elements of weight-loss apps targeting both non-stigmatized and stigmatized users. It shows that in designing public applications, feeling-based AI that considers the psychological needs of users may be more effective for individuals with weight stigma.

• Safety and Health at Work
• /
• v.10 no.3
• /
• pp.260-264
• /
• 2019

Background: Professional dance is a physically demanding career path with a high injury prevalence, yet an ingrained culture of hiding or pushing through injuries. Developing better knowledge surrounding the cultural beliefs and behaviors related to injury reporting is critical to understand their incidence and burden. Therefore, the aim of this study was to investigate injury fear and injury reporting behaviors in professional dancers in Australia. Methods: This study utilized data collected in a cross-sectional survey of professional dancers in Australia. Descriptive analysis of injury fear and reporting stigma are presented with comparisons between subgroups (full-time versus part-time dancers; men versus women) conducted using two-sided Fisher's exact tests. Results: A total of 146 professional dancers were included. Over half (63%) of the respondents reported that they fear sustaining a dance-related injury, that they believe there is still a stigma surrounding injuries in dance (62%), and that this stigma has led to a delay in reporting or seeking care for an injury (51%). A lower proportion of part-time than full-time dancers reported that they would usually tell someone within their dance employment about an injury (35.1% vs. 59.6%, p = 0.006). Conclusion: Professional dancers are at risk of losing contracts or roles if they are injured, and therefore, it is common to dance through their occurrence. Many dancers, particularly those dancing part-time, are unwilling to tell their employers about their injuries. Action is required to improve this culture regarding injury reporting and help seeking for more effective injury understanding, prevention, and management in dance.

• Journal of Preventive Medicine and Public Health
• /
• v.55 no.4
• /
• pp.342-350
• /
• 2022

Objectives: Human immunodeficiency virus (HIV) prevention among youth seems under-prioritised compared to other key populations. HIV knowledge and stigma are important parts of HIV prevention. To inform HIV prevention among youths, this study quantitatively analysed the associations between open communication regarding sexuality and sexual health, comprehensive HIV knowledge, and non-stigmatising attitudes in Indonesia. Methods: This study used data from the Indonesian Demographic and Health Survey (IDHS) 2017. The analysis included unmarried men and women aged 15-25 years old. Comprehensive HIV knowledge and a stigmatising attitude were defined according to the IDHS 2017. Open communication about sexuality and sexual health was defined as the number of people with whom participants could openly discuss these topics in their direct network of friends, family, and service providers, with a scale ranging from 0 to a maximum of 7. Primary analysis used binomial logistic regression with weighting adjustments. Results: The final analysis included 22 864 respondents. Twenty-two percent of youth had no one in their direct network with whom to openly discuss sexual matters, only 14.1% had comprehensive HIV knowledge, and 85.9% showed stigmatising attitudes. Youth mostly discussed sex with their friends (55.2%), and were less likely to discuss it with family members, showing a predominant pattern of peer-to-peer communication. Multivariate analysis showed that having a larger network for communication about sexuality and sexual health was associated with more HIV knowledge and less stigmatising attitudes. Conclusions: Having more opportunities for open sex communication in one's direct social network is associated with more HIV knowledge and less stigmatising attitudes.

• Journal of the Korean Society of School Health
• /
• v.30 no.3
• /
• pp.211-223
• /
• 2017

Purpose: The purpose of this study is to clarify the social stigma phenomenon in teachers' perceptions and attitudes toward students who are classified as mental health support needs students in middle and high schools. Methods: Qualitative research was conducted through in-depth interviews and observations of 17 teachers and 2 consultants from 2 middle and high schools in Green City, which were evaluated as successful among the six pilot project schools designated by the Ministry of Education in 2013. The study's analysis is based on Hatch's hermeneutical method. Common categories were developed from the interviews and observations. Then, inferences were made per category and given importance to draw conclusions and lessons. Results: Teachers had a strong stigma in their perceptions of and attitudes to special needs students. Their perception was that those students are bound to go wrong due to family problems, even some having difficulty breathing, and that it's beyond their limit to help them. In addition, their attitudes included stereotypes, favoritism, punishment, and referral to experts. As a result, teachers did not expect those students would be cured or change and showed passive attitudes while shifting the responsibility to families and experts. Conclusion: This study is meaningful in that it showed the limitations of the role of teachers regarding mental health support needs students from the perspective of the teachers themselves. Today, when students' mental health problems are emerging as a serious issue, it is necessary to provide support to improve teacher's awareness and capabilities regarding adolescent mental health problems. In addition, we suggest the current selective policy that sorts out special needs students and provides care for them to evolve into a universal policy that improves public awareness and focus on prevention.