• 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.

• Journal of Korean Clinical Nursing Research
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• v.15 no.2
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• pp.127-138
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• 2009

Purpose: The purpose of this study was to explore self-reported perceived stigma, self-efficacy, and quality of life among psychiatric outpatients Methods: In the present study, researchers analyzed the survey responses of 195 patients recruited in the S hospital psychiatry outpatient clinic. The measurement tools used in this study were the "Devaluation & Discrimination" scale to determine perceptions of stigmatization, general and social efficacy scales to measure self-efficacy, and the "General Well-Being Index" to measure quality of life in psychiatric outpatient. Statistical analysis included means with standard deviation, t-test, ANOVA and Pearson correlation coefficients to identify relationships between the variables. Results: There was a significant difference in self-perceived stigma and quality of life in psychiatric outpatients (r=-.233, p=.001) and a negative correlation between self-efficacy and quality of life (r=-.424, p=.000). Correlation analysis results support the hypothesis that higher self-perceived stigma scores were related to reduced quality of life among patients with schizophrenia (r=-.231, p=.021), while there was a positive correlation between self-perceived stigma scores and self-efficacy scores among patients with bipolar disorder (r=.362, p=.013). Conclusion: The findings suggest that nursing imtervention strategies should include education programs to reduce stigmatization and enhance self-efficacy and quality of life among patients with chronic psychiatric illnesses.

• Korean Journal of Social Welfare
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• v.56 no.4
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• pp.173-194
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• 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 muscle and joint health
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• v.19 no.3
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• pp.272-281
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• 2012

Purpose: The purpose of this study was to identify levels of perceived stigma, self-esteem, quality of life and factors influencing on quality of life in people with Hansens' disease. Methods: The subjects were 128 people in Sorokdo National Hospital, two nursing homes, and three settlements. The stigma scale, self-esteem scale, and World Health Organization's quality of life instrument were used. Data were collected through self-reported questionnaires from July to August, 2010 and analyzed by t-test, ANOVA, Ducan's multiple range test, Pearson's correlation coefficients, and stepwise multiple regression by SAS. Results: The level of perceived stigma was 3.93, self-esteem was 26.2, quality of life was 2.78. Self-esteem was positively associated with quality of life. Through the multiple regression, it was found that self-esteem and job were factors influencing of quality of life with 43% of predictability. Conclusion: It was found that self-esteem and job were important for people with Hansen's disease. To improve the quality of life in people with Hansen's disease, it is necessary to develop nursing interventions fostering self-esteem and decreasing perceived stigma.

• 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.

• Journal of Korean Academy of Rural Health Nursing
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• v.10 no.2
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• pp.59-73
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• 2015

Purpose: This study was done to investigate the effect of self-esteem on perceived stigma in high school students toward people with disabilities. Methods: The participants in this study were 140 high school students from Gyeonggi Province. Data were collected during May 2013. Structured questionnaires were used for data collection. Data were analyzed using descriptive by statistics, t-test, ANOVA, Pearson correlation coefficients, and simple regression analysis with the SPSS 19.0 program. Results: The major findings of this study are as follows: There was a significant relationship between stigma toward people with disabilities and self-esteem among the high school students (r=-.205, p=.015). There was also a significant relationship between relationships with friends (r=.291, p<.001), health statement (r=.400, p<.001) and self-esteem among the high school students. Self-esteem explained 3.5% of the variance in high school students' stigma toward people with disabilities (F=6.041, p=.015). Conclusion: Findings of this study suggest a need to develop education to increase self-esteem as a strategy to decrease high school students' stigma toward people with disabilities. Also, findings of this study suggest the need for repeated study on the relationship between self-esteem and stigma toward people with disabilities among adults.

• 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.

• 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.

• Journal of Korean Biological Nursing Science
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• v.22 no.4
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• pp.288-296
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• 2020

Purpose: The purpose of this descriptive study was to identify factors influencing pulmonary tuberculosis patients' self-care behaviors. Methods: The patients were 125 adults over the age of 19 who were diagnosed with pulmonary tuberculosis, receiving care at the National tuberculosis hospital. The survey questions measured family support, multidimensional scale of perceived social support (MSPSS), stigma and self-care behaviors. Results: The average score for self-care behaviors was 3.91, ranging from 2.22 to 5.00. There was a significant positive correlation between self-care behaviors and support system. There was a significant negative correlation between self-care behaviors and stigma. The significant variables influencing self-care behaviors were family support (β = .33, P< .001), smoking (β= -.23, p= .002), age (β= .22, p= .005) and experience of stopping treatment (β= -.17, p= .040). These factors explain 36% of pulmonary tuberculosis patients' self-care behaviors. Conclusion: Family support is very important to improve selfcare for tuberculosis patients. However, those in their fifties, men, and those who do not have a job and have underlying diseases have low family support, so they need active support at the national level. The study results suggest that a educational and nursing programs must be designed to reduce stigma and promote support system in order to enhance self-care behaviors.

• Korean Journal of Social Welfare Studies
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• v.42 no.2
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• pp.381-417
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• 2011

The primary goal of this study is to examine the factors that affect how satisfied sexual minorities are with their lives. This study focuses on how sexual minorities perceive social stigma, the social influences involved in its perception, and the effects this perception has. Using stress-coping theory, this study looks at how social stigma, as a perceived stress, affects social support and self-esteem, how the stigma influences the degree to which individuals "come out" in an effort to cope, and the resultant effects of this coping mechanism on life satisfaction. The data used if from a sample of 478 individuals who self identify as gay, lesbian or bisexual. It was collected through an online survey. Using SEM, the quality was evaluated by analyzing the measurement model, and the relationship of the variables included in the theoretical model was verified by analyzing the structural model. The results of this study show that social stigma directly affects the life satisfaction of Korean sexual minorities. It significantly influences the social support they receive(from family and sexual minority peers), and their self-esteem. The degree to which the individual "comes out" is shown to affect life satisfaction as well. In contrast, the mediating effect of heterosexual support is shown to be insignificant. Based on the analyses, practical strategies regarding social stigma, social support, self-esteem, and "coming out" are suggested for sexual minorities. The social stigma should be reduced and society-scaled campaigns promoted in order to improve their level of life satisfaction. In addition, institutional protection should be developed and specialized educational courses on human rights provided which will empower these minorities with self-help mechanisms. Furthermore, issues such as establishing support system and providing a social welfare system for the sexual minority community are discussed.