The perspectives of community members on COVID-19-related social stigma and mitigation strategies: A qualitative study in Madhya Pradesh, India.

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2022-11-01 DOI:10.4103/jfmpc.jfmpc_526_22
Vishal Diwan, Moina Sharma, Krushna Chandra Sahoo, Sapna Negi, Madhanraj Kalyanasundaram, Rajnarayan Ramshankar Tiwari
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Abstract

Aim: Stigma is a well-documented impediment to health-seeking behaviors and treatment adherence. An explicit societal understanding is essential to halt the stigmatization. Studies documented COVID-19-associated stigma among healthcare personnel. However, there is little evidence regarding community perceptions and experiences of the stigma associated with COVID-2019. We described how various communities perceive and experience the stigma associated with the COVID-19 pandemic.

Method: We conducted a phenomenological study in three districts of Madhya Pradesh, with both urban and rural areas. We conducted 36 in-depth phone interviews. All the interviews were recorded, transcribed, and translated into English and analyzed using thematic analysis.

Results: Two major themes were derived: 1) experiences of coronavirus disease 2019 recovered individuals and community members on discrimination and stigma, and 2) efforts to reduce coronavirus disease 2019-associated discrimination and stigma. Social support is critical in mitigating the adverse effects of stigma and thereby aiding in preventing disease spread. They express gratitude to the local government for moral support. Although activities involving information, education, and communication may be beneficial in reducing the stigma associated with COVID 2019, the mass media have a critical role.

Conclusions: The multidisciplinary teams comprising medical, social, and behavioral scientists and communication and media experts should be formed to reduce the risk of ambiguous messages and misinformation related to COVID-19 at primary care at the community level. Furthermore, it is vital for anti-stigma orientation among community members via mass media.

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社区成员对covid -19相关社会耻辱和缓解战略的看法:印度中央邦的一项定性研究
目的:耻辱是对寻求健康行为和治疗依从性的一个有充分证据的障碍。明确的社会理解对于停止污名化至关重要。研究记录了医护人员中与covid -19相关的耻辱感。然而,几乎没有证据表明社区对与2019冠状病毒病相关的耻辱的看法和经历。我们描述了不同社区如何看待和经历与COVID-19大流行相关的耻辱。方法:我们在中央邦的三个地区进行了现象学研究,包括城市和农村地区。我们进行了36次深度电话采访。所有访谈都被记录、转录、翻译成英文,并使用专题分析进行分析。结果:得出两个主要主题:1)2019冠状病毒病康复个体和社区成员对歧视和耻辱的经历;2)努力减少2019冠状病毒病相关的歧视和耻辱。社会支持对于减轻耻辱的不利影响,从而有助于预防疾病传播至关重要。他们对当地政府的精神支持表示感谢。尽管涉及信息、教育和沟通的活动可能有助于减少与2019冠状病毒病相关的污名,但大众媒体也发挥着关键作用。结论:应组建由医学、社会和行为科学家以及传播和媒体专家组成的多学科团队,以减少社区一级初级保健中与COVID-19相关的模糊信息和错误信息的风险。此外,透过大众传媒,对社区成员的反污名导向亦至关重要。
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审稿时长
40 weeks
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