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Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam
The aim of this study was to explore the prevalence and relationship of anticipated chronic illness stigma among patients diagnosed with a variety of chronic diseases in three Southeast Asian countries (Cambodia, Myanmar and Vietnam). A cross-sectional survey was conducted in 4,803 adult chronic dis...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nagoya University
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5159468/ https://www.ncbi.nlm.nih.gov/pubmed/28008198 http://dx.doi.org/10.18999/nagjms.78.4.423 |
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author | Peltzer, Karl Pengpid, Supa |
author_facet | Peltzer, Karl Pengpid, Supa |
author_sort | Peltzer, Karl |
collection | PubMed |
description | The aim of this study was to explore the prevalence and relationship of anticipated chronic illness stigma among patients diagnosed with a variety of chronic diseases in three Southeast Asian countries (Cambodia, Myanmar and Vietnam). A cross-sectional survey was conducted in 4,803 adult chronic disease patients (mean age 49.3 years; SD=16.5) recruited systematically from health facilities. Overall, the results indicate that 20.7% of patients reported that for any of the 12 stigma items, they anticipated they were likely or very likely to experience chronic disease stigma. A multivariate analysis of sociodemographics revealed the following were associated with anticipated chronic disease stigma: older versus younger age, OR (odds ratio) = 0.71; 95% Confidence Interval (CI) [0.58, 0.87]; higher versus lower education, OR = 2.23; 95% CI [1.81, 2.75]; origin from Myanmar or Vietnam, being single, divorced or widowed, rural residence, and health status (having three or more chronic conditions versus having one chronic condition), OR = 1.93; 95% CI [1.58, 2.35]; lower versus higher quality of life, OR = 0.73; 95% CI [0.63, 0.85]); health risk behavior (physical inactivity, poor diet, current smoking, and problem drinking) and low versus medium or high medication adherence (OR = 0.69; 95% CI [0.55,0.86]). This study demonstrated the possible consequences of anticipated stigma on the health and behavior of people living with chronic diseases, and several factors for chronic disease stigma were identified that can help guide interventions to reduce chronic illness stigma in this population. |
format | Online Article Text |
id | pubmed-5159468 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Nagoya University |
record_format | MEDLINE/PubMed |
spelling | pubmed-51594682016-12-22 Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam Peltzer, Karl Pengpid, Supa Nagoya J Med Sci Original Paper The aim of this study was to explore the prevalence and relationship of anticipated chronic illness stigma among patients diagnosed with a variety of chronic diseases in three Southeast Asian countries (Cambodia, Myanmar and Vietnam). A cross-sectional survey was conducted in 4,803 adult chronic disease patients (mean age 49.3 years; SD=16.5) recruited systematically from health facilities. Overall, the results indicate that 20.7% of patients reported that for any of the 12 stigma items, they anticipated they were likely or very likely to experience chronic disease stigma. A multivariate analysis of sociodemographics revealed the following were associated with anticipated chronic disease stigma: older versus younger age, OR (odds ratio) = 0.71; 95% Confidence Interval (CI) [0.58, 0.87]; higher versus lower education, OR = 2.23; 95% CI [1.81, 2.75]; origin from Myanmar or Vietnam, being single, divorced or widowed, rural residence, and health status (having three or more chronic conditions versus having one chronic condition), OR = 1.93; 95% CI [1.58, 2.35]; lower versus higher quality of life, OR = 0.73; 95% CI [0.63, 0.85]); health risk behavior (physical inactivity, poor diet, current smoking, and problem drinking) and low versus medium or high medication adherence (OR = 0.69; 95% CI [0.55,0.86]). This study demonstrated the possible consequences of anticipated stigma on the health and behavior of people living with chronic diseases, and several factors for chronic disease stigma were identified that can help guide interventions to reduce chronic illness stigma in this population. Nagoya University 2016-12 /pmc/articles/PMC5159468/ /pubmed/28008198 http://dx.doi.org/10.18999/nagjms.78.4.423 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Paper Peltzer, Karl Pengpid, Supa Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title | Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title_full | Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title_fullStr | Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title_full_unstemmed | Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title_short | Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam |
title_sort | anticipated stigma in chronic illness patients in cambodia, myanmar and vietnam |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5159468/ https://www.ncbi.nlm.nih.gov/pubmed/28008198 http://dx.doi.org/10.18999/nagjms.78.4.423 |
work_keys_str_mv | AT peltzerkarl anticipatedstigmainchronicillnesspatientsincambodiamyanmarandvietnam AT pengpidsupa anticipatedstigmainchronicillnesspatientsincambodiamyanmarandvietnam |