Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: Drivers, facilitators, manifestations, and outcomes across the world

Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: Drivers, facilitators, manifestations, and outcomes across the world
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DOI:
10.1016/j.bbi.2020.07.033
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发表时间:
2020-10-01
影响因子:
15.1
通讯作者:
Adiukwu, Frances
Adiukwu, Frances
中科院分区:
医学1区
文献类型:
--
作者:
Ransing, Ramdas;Ramalho, Rodrigo;Adiukwu, Frances

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作为社会少数群体的一部分(例如西方国家的移民,有色人种或亚洲血统)本身并不是感染2019冠状病毒病(COVID-19)的风险因素。然而,世界各地的某些人群正成为COVID-19相关污名化(COS)和歧视的目标,这构成了越来越多的担忧(Bagcchi,2020)。迫切需要更好地理解它,因为它可能对获得测试和医疗保健以及维持治疗依从性构成障碍(Stangl等人,2019年)。COS很可能是多种社会生态驱动因素(例如,恐惧,错误信息)和促进者(例如,种族主义,贫困)(Logie,2020)。在这封信中,我们试图根据来自13个国家的一组精神科医生的实际经验,使用健康耻辱和歧视框架(HSDF)(Stangl等人,2019年)。我们按照过程域(如驱动因素、促进因素)对这些体验进行了分类;图(1)描述了这些过程域以及示例/响应沿着。
Being part of a social minority (e.g. migrants, people of color or Asian descent in Western countries) is not itself a risk factor for contracting Coronavirus disease-2019 (COVID-19). However, certain groups of people across the world are being targeted by COVID-19 related stigma (COS) and discrimination, which constitutes a growing concern (Bagcchi, 2020). There is an urgent need to better understand it, as it may pose a barrier for accessing testing and health care and for maintaining treatment adherence (Stangl et al., 2019). It is very likely that COS is the consequence of multiple socio-ecological drivers (e.g., fear, misinformation) and facilitators (e.g., racism, poverty) (Logie, 2020). In this letter, we attempt to explore COS related factors based on the real-life experiences of a group of psychiatrists from thirteen countries using the health stigma and discrimination framework (HSDF) (Stangl et al., 2019). We categorized these experiences as per the process domains (such as drivers, facilitators); and these process domains along with examples/responses are depicted in Fig. (1).