Evaluating layered stigma from comorbid HIV and epilepsy among Zambian adults.
Evaluating layered stigma from comorbid HIV and epilepsy among Zambian adults.
复制标题
评估赞比亚成年人中艾滋病毒和癫痫共病带来的分层耻辱。
DOI：
10.1016/j.ensci.2017.12.001
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Birbeck,GretchenL
中科院分区：
文献类型：
--
作者：
Elafros,MelissaA;Gardiner,JosephC;Sikazwe,Izukanji;Okulicz,JasonF;Paneth,Nigel;Chomba,Elwyn;Birbeck,GretchenL
Background and purposeStigma hinders care for patients with neurologic illness. Layered stigma due to comorbid disease is common yet poorly characterized due to lack of instruments. Epilepsy and HIV are prototypical stigmatized conditions widespread in sub-Saharan Africa.MethodsWe assessed layered stigma among people with HIV and epilepsy (n = 21), epilepsy only (n = 88), and HIV only (n = 40) in Zambia. Epilepsy-associated stigma was assessed using the Stigma Scale of Epilepsy and Jacoby's Stigma Scale. HIV-related stigma was assessed using the HIV/AIDS Stigma Instrument-People Living with HIV/AIDS and Jacoby's Stigma Scale. Stigma was compared across groups usingχ2tests.Results55% (60/109) with epilepsy reported some epilepsy-associated stigma and 20% (12/61) with HIV reported HIV self-stigmatization. Those with HIV and epilepsy were more likely to associate seizures with fear (OR 6.1 [95% CI: 1.3–27.9]) and epilepsy with dependence (OR 4.6 [1.1–19.6]), controlling for age, gender, marital status, and employment. Those with comorbid disease were more likely to report they were “no longer a person” and felt “blamed” for their HIV. Controlling for age and gender, the difference in depersonalization remained (OR: 6.4 [1.1–36.1]).ConclusionIndividuals carrying the burden of one stigmatized condition may be more vulnerable to stigma from a comorbid disease.
登录
查看更多内容
β-葡萄糖醛酸酶结构基因分配到人类 7 号染色体的 pterâq22 区域
DOI：
--
发表时间：
1978
期刊：
影响因子：
--
作者：
T. Shows;J. A. Brown;L. Haley;M. Byers;R. Eddy;E. S. Cooper;A. Goggin
通讯作者：
A. Goggin
高鸟氨酸血症和脉络膜和视网膜回旋萎缩。
影响因子：
13.7
作者：
J. Mcculloch;S. Arshinoff;E. Marliss;J. Parker
通讯作者：
J. Parker
鸟氨酸转氨酶 (OAT) 位点：脑回萎缩中 RFLP 的分析。
影响因子：
9.8
作者：
Ramesh,V;Benoit,LA;Crawford,P;Harvey,PT;Shows,TB;Shih,VE;Gusella,JF
通讯作者：
Gusella,JF
使用人鸟氨酸转氨酶 cDNA 克隆研究回旋萎缩。
DOI：
10.1089/dna.1.1986.5.493
发表时间：
1986
期刊：
DNA (Mary Ann Liebert, Inc.)
影响因子：
--
作者：
Ramesh,V;Shaffer,MM;Allaire,JM;Shih,VE;Gusella,JF
通讯作者：
Gusella,JF
DOI：
10.1073/pnas.83.5.1203
发表时间：
1986-03-01
影响因子：
11.1
作者：
INANA, G;TOTSUKA, S;KATUNUMA, N
通讯作者：
KATUNUMA, N