Related Stigma Research Articles

Illness and inclusion: Mobility histories of adolescents with leprosy from Anglo‐Scandinavian Norwich (Eastern England)

AbstractLeprosy is one of the most notorious diseases in history, widely associated with social stigma and exclusion. This study builds on previous work to reevaluate the medicohistorical evidence for social stigma in relation to leprosy. This is achieved by isotopic and palaeopathological analyses of adolescent skeletons (10–25 years old) from the Anglo‐Scandinavian (10th–11th centuries AD) parish cemetery of St. John at the Castle Gate in Norwich (Eastern England/East Anglia). Core enamel samples from premolar and molar teeth from 10 young individuals with diagnostic lesions for leprosy were selected for radiogenic strontium (87Sr/86Sr) and oxygen (δ18O) stable isotope analyses. Isotope data did not exclude anyone from the regional range. Palaeopathological data and archaeological contexts suggest that those with visible signs of leprosy were buried with their local community and in a normative manner, thus challenging the notion of social exclusion experienced by people with leprosy throughout the Medieval Period. This study underscores the importance of bioarchaeological data in challenging broad medicohistorical and archaeological narratives.

COVID-19 and its related stigma: A qualitative study among survivors in Kampala, Uganda.

COVID-19-related stigma is gradually becoming a global problem among COVID-19 survivors with deleterious effects on quality of life. However, this social problem has received little attention in research and policy. This study aimed at exploring the COVID-19-related stigma among survivors in Kampala, Uganda. A cross-sectional exploratory research design was used among COVID-19 survivors in Kampala district. Thirty COVID-19 survivors were examined using in-depth interviews. Data obtained were analyzed using thematic approach. The findings of study indicated that COVID-19-related stigma is prevalent. The common form of stigma was social rejection and labeling. Results showed that the survivors of COVID-19 pandemic faced social rejection and community ostracism. Based on the results, reducing stigmatization of the COVID-19 survivors is vital to control the spread of the pandemic. Thus, an all-inclusive effort is needed to address COVID-19-related stigma and its debilitating consequences by health workers and policymakers. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Retention in HIV care and associated factors among youths aged 15\u201324\u2009years in rural southwestern Uganda

BackgroundRetention in HIV care contributes to antiretroviral therapy adherence, which is a key factor for improved treatment outcomes and prevention of drug resistance. However, HIV treatment among the youths is characterized by loss to follow up, poor adherence to ART, risk of treatment failure and high mortality rates compared to young children and adults. There is limited information about factors associated with retention of youths in HIV care in rural settings in Uganda. We aimed to determine retention in HIV care and associated factors among youths aged 15–24 years in rural southwestern Uganda.MethodsA cross-sectional study was conducted among youths aged 15–24 years who were receiving care at the HIV clinic at Kabuyanda HC IV who had been in care for at least 1 year before the study. We used an interviewer-administered questionnaire to collect socio-demographic information. Participant chart abstraction was used to collect information on HIV clinic attendance. We collected information on HIV related stigma using the 40-item Berger Stigma Scale. Chi-square test and multivariable logistic regression analysis were used to determine the factors associated with retention in HIV care with a significance level of < 0.05. Retention in HIV care was, defined as having sought care at least once per quarter in the 12 months prior to the study.ResultsWe enrolled 102 participants with a mean age of 20.95 (SD ± 3.07) years. Two thirds (65.7%) of the youths had been retained in HIV care in the previous 12 months. In adjusted analyses, being male, married and had perinatally acquired HIV were independently associated with retention in HIV care. The association between HIV related stigma and retention in HIV care was not statistically significant.ConclusionRetaining adolescents and young adults in HIV care in rural southwestern Uganda is still much lower than the WHO target of 90%. Being male, having perinatally acquired HIV and married or in a relationship are associated with retention in HIV care. Interventions targeting adolescents and young adults living with HIV are necessary to improve retention in HIV care to the WHO target of 90%.

HIV-Related Stigma and Psychological Adjustment Among Perinatally HIV-Infected Youth in Cape Town, South Africa.

The effect of chronic HIV-infection on psychological adjustment, including the impact of HIV-related stigma in perinatally HIV-infected (PHIV+) youth across Africa is largely unknown. This study examined psychological adjustment and HIV-related stigma using the Strengths and Difficulties Questionnaire (SDQ) and a 10-item stigma questionnaire in a cohort of PHIV+ youth in Cape Town, South Africa. The relationships between SDQ scores, elevated viral load, and suboptimal antiretroviral therapy (ART) adherence were also explored. Among 473 PHIV+ youth (aged 9-14years, on ART > 6months at enrollment), higher perceived HIV-related stigma was associated with higher scores across all adolescent and caregiver-reported SDQ difficulty subscales. Higher socioeconomic status (SES) was associated with lower scores on adolescent self- and caregiver-reported hyperactivity subscales. Higher adolescent-reported prosocial scores were associated with lower odds of self-reported suboptimal ART adherence, and higher caregiver-reported conduct scores were associated with higher odds of elevated viral load. No associations were observed between perceived HIV-related stigma and treatment outcomes. These findings highlight the potentially detrimental impact of perceived stigma on psychological adjustment in PHIV+ youth. The use of psychosocial metrics and interventions aimed at reducing illness related stigma in PHIV+ youth is also considered.

Stigmatizing and de-Stigmatizing Properties of Web Apps for Sexual Health-Related Conditions: A Scoping Review

Objective: To review the literature that has examined stigma in relation to the design, impact, and ways web apps can alleviate or aggravate sexual health-related stigma. Methods: Six databases were searched and 17 studies met the inclusion criteria. Results: While two studies were randomized controlled trials, most studies were descriptive or qualitative. Stigma may be alleviated in web apps through sharing stigma-related experiences, receiving emotional support, and providing anonymous virtual connections Yet, stigma may be aggravated by implied disclosure, inappropriate content, and stigma by association. Conlcusions: While web apps were able to address stigma to some extent, some strategies employed inadvertently aggravated stigma.

‘By the time I am eating, I am crying. Crying and eating’: An autoethnography of male binge-eating disorder

This is a lived experience analysis of male binge-eating disorder. The researcher and researched are one and the same, using autoethnography. BED insights are seldom found due to the related shame and stigma, hence this paper’s contribution to understanding.

Hepatitis B virus related stigma among Chinese living in mainland China: a scoping review

ABSTRACT Stigma related to hepatitis B virus (HBV) has a detrimental impact on health outcomes of people living with HBV. A scoping review of published peer-reviewed articles focused on the Chinese population in mainland China published between 2010 and 2019 was undertaken. This review consists of five stages: identifying the research question, identifying relevant literature, study selection, charting the data, and collating, summarizing and reporting the results. Articles in Chinese were identified from the collection of Core Journals in the database of CNKI (China Academic Journals Full-text Database). Publications in English were identified in Global Health, Scopus, PsycINFO, Proquest and Web of Science. Forty-five peer-reviewed articles were selected for inclusion. Most studies under review focused on negative individual attitude and discrimination against people living with HBV (PLHBV) in employment, education, community and healthcare settings. There is limited information on lived experiences of those living with HBV and how they manage this stigma. The reviewed studies provide evidence for the existence of different forms of HBV-related stigma in a variety of settings. Knowledge about HBV and the level of education of research participants were the most frequently identified factors related to this stigma. These findings are useful to support HBV responses in China and countries with migration from China.

COVID-19 related stigma and health-protective behaviours among adolescents in the Netherlands: An explorative study.

The COVID-19 pandemic has forced many governments to impose social distancing measures upon its citizens, including in the Netherlands. Motivating adolescents to adhere to measures such as social distancing can be challenging, since adolescents are relatively more affected by them, while experiencing virtually no personal health benefit. In addition, the COVID-19 pandemic seems to impact the social environment of adolescents in schools, as some media sources have reported bullying and stigmatisation of students with an Asian appearance. This study aims to explore the experiences of adolescents regarding their Health-Protective Behaviour (HPB), as well as the prevalence and expression of stigma towards ethnic minorities within the context of the first wave of COVID-19 pandemic. We performed a cross-sectional mixed-methods study, including two independent online questionnaires. An adapted version of the “HPB” questionnaire (n = 528) and the “Measure of Disease-Related Stigma (MDRS)” questionnaire (n = 380), were administered to Dutch adolescents of 10–16 years old, attending primary or secondary school. Furthermore, 15 interviews were held with eight male and seven female adolescents. All data collection took place between March 17 and April 20, 2020. Results show that adolescents perceive COVID-19 as a threat to other peoples’ health, rather than their own, and report adherence to public health measures in the interest of older and more vulnerable members of their community. We found no convincing evidence for widespread misinformation or stigmatising of certain ethnic groups among adolescents related to COVID-19 during this study. Participants acknowledged such behaviour happened in the early stages of the pandemic, before this study was initiated. Adolescents are a vital group for public health researchers to engage with during a pandemic, even when reaching them can be challenging.

Eliminating onchocerciasis within the Meme River Basin of Cameroon: A social-ecological approach to understanding everyday realities and health systems.

BackgroundOnchocerciasis affects some of the world’s most marginalized people, perpetuating poverty and inequalities. Mass Drug Administration (MDA) with Ivermectin has taken place within the Meme River basin region in Cameroon for over 15 years. Despite this, onchocerciasis is still prevalent in the region due to existing and emerging contextual challenges. Using a social-ecological approach we explore the everyday realities of communities, highlighting the challenges and potential solutions that could support Neglected Tropical Disease (NTD) programmes when transitioning from control to elimination of onchocerciasis in this highly endemic area and other similar communities.Methodology/Principal findingIn-depth interviews (71) with community members and Community Drug Distributors (CDDs) were conducted to understand current knowledge, attitudes, and behaviours in relation to transmission, prevention and treatment of onchocerciasis. Through application of the social-ecological model, four key themes were identified: 1. Contextual factors on health promotion interventions (Onchocerciasis history and understanding of the disease, prevention and mitigation strategies and MDA experience); 2. Social determinants (poverty and livelihoods, economic and social impacts on CDD volunteers and stigma); 3. Environmental determinants (exposure, housing, occupation and poverty); and 4. health seeking pathways and decision making for treatment (access, cost and preferable treatment routes).We discuss these core and cross cutting themes (gender differences and community participation/ownership) in relation to intersectoral collaboration, gender equity and health systems support, making recommendations for NTD programmes within the context of integrated and interdisciplinary approaches. These include the need for; intersectional and gender analysis at the local level, addressing environmental dimensions of onchocerciasis through integrated and regular health promotion, vector control strategies and access to safe water sources; reflection and action that embeds responses to social and economic barriers to MDA; integrated case detection and management that is responsive to onchocerciasis symptoms and related stigma and a fair and just support network for CDDs.Conclusion/SignificanceNTD programmes need to respond to diverse community circumstances and behaviours. Communities are not a homogeneous risk group and treating them in this way will delay elimination. A deeper understanding of individual needs and their capacity to seek prevention and treatment must be considered if onchocerciasis is to be eliminated and the remaining impacts managed.

Heterosexual Cisgender Men Partnered with Transgender Women Exhibit Higher HIV/STI Sexual Risk than Their Gay, Bisexual, and Queer Counterparts: Findings from a U.S.-Based Convenience Sample Recruited Online.

Cisgender men are frequently vectors for HIV transmission among transgender women. Despite this, the correlates of sexual risk among these men remain under-examined. The purpose of the present study was to explore potential differences in relationship characteristics, sexual risk-taking, and risk-reduction strategies among cisgender men partnered with transgender women. The study utilized secondary screening data provided by adult cis men who reported being in a primary relationship with a trans woman (N = 710). Gay men (18%) were comparatively older, and most likely to report both HIV seropositivity and committed pairings. Heterosexual men (14%) were more likely to report exchange sex, briefer relationships, extra-dyadic sex, lesser serostatus awareness or PrEP uptake. Queer men (7%) were youngest, and most likely to access PrEP. Heterosexual cis men with trans women partners may be subject to unique socio-cultural drivers of sexual risk, such as heteronormative pressures and relationship stigma.

Social Exclusion and the Runaway Couples: A Study of Their Hardships

In terms of marriage, an individual becomes excluded or attains a disadvantaged position when she/he deviates from the existing norms of society. In this sense, generally, three types of marriages become contentious: (a) widow remarriage, (b) inter-caste marriages and (c) runaway marriages. These types of marriages are treated as deviance from society’s normative guidelines, and such couples are vulnerable to various levels of exclusion and stigma. Against this backdrop, the present study was undertaken to explore the hardships of nine runaway couples (18 participants). The selection of participants was made through purposive and snowball sampling techniques. The findings revealed that most runaway couples face extreme relationship breakdown, exclusion and stigma, along with a lack of basic amenities, including housing, household amenities, medical care and ownership rights. They mainly reside in the rented buildings and have achieved an outcast’s status even in Muslim-dominated society. Caste, economic background and social status barriers were three significant forces resulting in elopement that reinforce exclusion and violence against runaway couples.

Experiences of stigma and discrimination among people living with dementia and family carers in Brazil: Qualitative study.

This study aimed to understand stigma in relation to people living with dementia in Sao Paulo, Brazil. Critical Narrative Inquiry methodology was used. Semi-structured interviews were conducted between January and March 2020 with six people living with dementia and 15 family carers. Inductive and deductive techniques were used. The latter was informed by Link and Phelan's (2001) sociological theory of stigma. Dementia was commonly viewed by people living with dementia as part of ageing and carers reported low levels awareness about the condition. To avoid negative reactions from people, people living with dementia managed the negative views of dementia by minimising and normalising the condition, by expressing their ability to live an active life, and by emphasising the positive impacts of dementia in their lives. Fear of negative reactions appeared to lead to a selective disclosure of their diagnosis. Among carers, stigmatising attitudes coincided with a strong willingness to provide good care, to protect the person cared for, as well as to understand and validate their caring experiences, rather than to cause harm. In doing so, however, carers ended up depersonalising and infantilising people living with dementia, underestimating their capacities, demanding 'obedience', and restricting their freedom. There is a need to increase awareness about dementia and to provide support and training on person-centred care for carers in Brazil.

COVID-19-related stigma and its sociodemographic correlates: a comparative study

BackgroundCoronavirus disease 2019 (COVID-19) is closely associated with physical and mental health problems; however, little is known about the severity of stigma caused by COVID-19 among its survivors. Thus, the aim of this study was to compare differences in stigma experiences of COVID-19 survivors versus healthy controls after the COVID-19 outbreak peak in China.MethodsThis cross-sectional study comprised 154 COVID-19 survivors and 194 healthy controls recruited through consecutive and convenience sampling methods, respectively. COVID-19 related stigma was measured by the Social Impact Scale (SIS). Stigma differences between the two groups were compared with analysis of covariance (ANCOVA) and a generalized linear model (GLM) was used to identify independent correlates of COVID-19-related stigma in this study.ResultsCompared with healthy controls, COVID-19 survivors reported more overall stigma (F(1,347) = 60.82, p < 0.001), and stigma in domains of social rejection (F(1,347) = 56.54, p < 0.001), financial insecurity (F(1,347) = 19.96, p < 0.001), internalized shame (F(1,347) = 71.40, p < 0.001) and social isolation (F(1,347) = 34.73, p < 0.001). Status as a COVID-19 survivor, having family members infected with COVID-19, being married, economic loss during the COVID-19 pandemic, and depressive symptoms were positively associated with higher overall stigma levels (all p values < 0.05).ConclusionCOVID-19-related stigma is commonly experienced among COVID-19 survivors even though the outbreak has been well-contained in China. Routine assessment of stigma experiences should be conducted on COVID-19 survivors and appropriate psychological assistance, public education, and anti-stigma campaigns and policies should be enforced to reduce stigma within this vulnerable subpopulation.

Exploration of traditional beliefs about human immunodeficiency virus and associated stigma among black Africans in the UK: a pilot study with implication for practice in Africa

Background: In the UK, black Africans account for the most affected ethnic population with HIV. Black Africans hold traditional beliefs which have been reported to cause certain misconceptions about the cause of HIV. Also, despite being in a developed country like the UK, it has been noted that Black Africans still hold these beliefs. This study was aimed at exploring the influence of traditional beliefs about the cause of HIV and HIV related stigma among Black Africans in the diaspora.Methods: Semi structured interviews were conducted among six individuals (M-4, F-2), three of which were people living with HIV (PLHIV). Participants were selected purposively. The study included male and/or female English-speaking Black Africans who were 18 years+ and not born in the UK but had migrated to live there.Results: The resulting data was analysed thematically, and three themes were developed: “…God created disease as a punishment for mankind…”: Punishment from God, “…witches, they can make HIV…”: HIV as related to witchcraft and “hanging on to traditional beliefs thus mistreating people with HIV”: Traditional African beliefs cause stigma.Conclusions: The main finding of this study reveals that participants who are knowledgeable about HIV still hold traditional beliefs about HIV. These beliefs are reported to exacerbate stigma against PLHIV. The study recommends that traditional beliefs should be prioritised when planning HIV prevention programs.

Temporal Trends and Disparities in Suicidal Behaviors by Sex and Sexual Identity Among Asian American Adolescents

Although suicide is the second leading cause of death among Asian American adolescents, there is a dearth of studies examining overall and possible sex and sexual orientation disparities in the trends in suicidal behaviors among Asian American adolescents. Such information is crucial to inform targeted efforts of suicide prevention among Asian American adolescents. To examine temporal trends and sex and sexual orientation disparities in trends of nonfatal suicidal behaviors in Asian American adolescents from 1991 through 2019. This cross-sectional study used data from the national Youth Risk Behavior Survey from 1991 through 2019, analyzing a representative sample of US adolescents in grades 9 through 12 using a 3-stage cluster-sampling design. Data were analyzed from October through November 2020. Calendar year, sex, sexual identity, sex of sexual contact, and interaction terms of these factors. Crude prevalence and annual percentage changes (APCs) in self-reported suicidal ideation, suicide plan, suicide attempts, and injury by suicide attempt for the overall sample and by sex, sexual identity, and sex of sexual contacts were calculated. Sexual minorities were defined as individuals whose sexual identity was gay or lesbian, bisexual, or not sure. Among 7619 Asian Americans who participated in the Youth Risk Behavior Survey from 1991 to 2019 (mean [SD] age, 16.09 [1.29] years; 3760 [47.1%] female adolescents), 1576 individuals completed the sexual identity and behaviors questions after 2015 (mean [SD] age, 15.97 [1.28] years; 810 [49.2%] female adolescents). From 2009 through 2019, there was a 1.3-fold (95% CI, -0.8 to 3.3; P = .22) increase in suicide attempts and a 1.7-fold (95% CI, -2.6 to 5.9; P = .45) increase in injury by suicide attempt among Asian American female adolescents, although these increases were not statistically significant. Among 39 Asian American adolescents who identified as gay, lesbian, or bisexual or who were attracted to and had sexual contact with partners of the same sex or both sexes, compared with 1556 Asian American adolescents who were heterosexual, prevalence was greater for suicidal ideation (24 individuals [68.2%] vs 223 individuals [15.0%]; P < .001), suicide plan (15 individuals [57.7%] vs 179 individuals [11.9%]; P < .001), suicide attempts (14 individuals [41.0%] vs 74 individuals [5.5%]; P < .001), and injury by suicide attempt (5 individuals [17.6%] vs 23 individuals [1.7%]; P < .001) between 2015 and 2019. These sexual minorities identified by sexual identity and sexual contact also had an increasing rate over this period in suicide plan (APC, 10.5%; 95% CI, 4.4% to 16.9%; P < .001). This study found significant increases in rates of suicide plan among Asian American adolescents who were sexual minorities identified by sexual identity and sexual contact together. These findings suggest that suicide screening needs to inquire about sexual minority status in terms of sexual identity and sex of sexual contact when identifying Asian American adolescents who are at risk for suicidal behaviors. Culturally relevant suicide-prevention programs addressing unique risk and protective factors, racial discrimination, and sexual orientation-related stigma may be needed for Asian American adolescents.

Tuberculosis: An Ailment of the Poor

Tuberculosis is usually a social disease, inequitably affecting poor humans, specifically in resource constrained regions. Not solely do poverty-related elements such as terrible residing stipulations and under-nutrition enlarge the possibility of contamination and subsequent development to energetic disorder. This synergy between tuberculosis and poverty transcends economics. The related stigma, marginalization, depression, and despair increase poverty in its broader sense, growing related suffering and hampering tuberculosis elimination Poverty is the best obstacle to human and socio-economic development. The United Nations and its specialized organizations are focusing on poverty reduction as the main priority. In the health sector, poverty represents a foremost barrier to health and health care. The World Health Organization (WHO) has dedicated to integrating fairness and pro-poor insurance policies all through its work. Fighting TB and poverty collectively is essential to accelerate monetary and social increase and reduce the world burden of TB. An in-depth analysis and systems/policy/operations lookup exploring-poor initiatives as highlighted with the aid of stakeholders. In precise analyzing carrier delivery synergies between present poverty alleviation schemes and TB manage program aimed at benefiting poor and prone populations is necessary.

Spatial pattern and associated factors of HIV testing and counselling among youths (15\u201324\u2009years) in Ethiopia

BackgroundHIV testing and counseling (HTC) services are key for HIV prevention, treatment, care, and support. Although the prevalence of HIV infection is high among adolescents and young adults, evidence suggests the utilization of HTC service among youth is very low in Ethiopia. Identifying factors and the geographic variation of HTC uptake is important to prioritize and design targeted prevention programs to increase its utilization and reduce HIV infection in hot spot areas.MethodsData from the 2016 Ethiopian Demographic and Health Survey were used to analyze 10,781 youth aged 15–24 years. The spatial analysis was performed in ArcGIS 10.1. The Bernoulli model was used by applying Kulldorff methods using the SaTScan software to analyze the purely spatial clusters of HTC uptake. A multilevel logistic regression analysis was used to identify the associated individual and community-level factors of HTC uptake and estimate between community variance. All models were fitted in Stata version 14.0 and finally, the adjusted odds ratio (AOR) with a corresponding 95% confidence interval (CI) were reported.ResultsIn this study, the spatial patterns of HTC uptake were found to be non-random (Global Moran’s I = 0.074, p value< 0.001). Forty-seven primary clusters were identified that were located in the entire Somali region with a relative likelihood of 1.50 and the Log-Likelihood Ratio of 135.57. Youth who were ever married (AOR = 4.65; 95% CI; 4.05, 5.34), those attended higher education (AOR = 3.97; 95% CI; 3.10,5.08), those from richest household (AOR = 1.86; 95% CI; 1.44, 2.39), aged 20–24 years (AOR = 2.25; 95% CI; 2.02,2.51), having compressive HIV related knowledge (AOR = 2.05; 95% CI; 1.75,2.41), and exposed to media (AOR = 1.38; 95% CI; 1.22,1.57) were positive association with HTC uptake. However, being male (AOR = 0.81; 95% CI; 0.73,0.91) and having high HIV related stigma (AOR = 0.53; 95% CI; 0.42,0.67) were negatively associated with HTC uptake. At the community-level, youth from communities with a high percentage of educated (AOR = 1.45; 95% CI; 1.17,1.80) were more likely to utilize HTC compared with those from communities with low percentages of educated.ConclusionThe current study indicated differences in HTC uptake in the country. Both individual and community-level factors affected HTC uptake in Ethiopia. Multifaceted intervention approaches that consider individual and community factors are required to improve HTC uptake.

Clinico-epidemiological Profile and Social Stigma in Hospitalised RT-PCR Confirmed COVID-19 Cases with and without Comorbidity

Introduction: The unprecedented COVID-19 outbreak has now spread to every nook of the world. It has contributed to an enormous adverse impact globally. Persons of every age group are likely to get infected but elderly people or those with comorbidities could develop a more serious illness. Objectives: To describe the clinico-demographic characteristics, various risk factors, and COVID-19 related social stigma among 135 hospitalised patients in north India and to find an association by comparing it with comorbidity. Methods: The present study is an observational analytical study carried out on 135 patients with RT-PCR confirmed cases admitted in a tertiary care hospital India aged between 15-79 years. Data were collected in a validated questionnaire specially designed for COVID-19 by National Centre for Disease Control (NCDC). Result: A total of 135 patients were included (median age, 40 years [interquartile range {IQR}, 54-29; range, 15-79 years]; 62.9% Male). The presenting symptoms at the time of admission were fever (57.0%), cough (43.0%), fatigue (42.2%), and breathlessness (28.1%). The most prevalent comorbidities were hypertension (20%), diabetes (14.1%), thyroid disorder (6.7%), cardiovascular diseases (3.7%), and chronic obstructive pulmonary disease (4.4%) and 23.7% patients reported having at least one comorbidity. Patients without pre-existing diseases have more social stigma as compared to patients with comorbidities. Twenty eight percent reported use of AYUSH therapies as prophylactic measures. Conclusion: This study describes the clinico-demographic profile, baseline comorbidities, and social stigma associated with COVID-19 patients. Patients having comorbidity have less stigma, however, the family of both the groups were worried and supportive.

Contact Versus Education: An Explorative Comparison Between the Contact and Education Strategy Considering Albinism Related Stigma in Tanzanian High Schools

Albinism in Tanzania causes fierce health-related stigma. Little research has focused on the impact of stigma reduction strategies aiming to reduce albinism related stigma. Therefore, this research assessed the impact of two short video interventions among high school students in Tanzania on their attitude towards people with albinism: a contact intervention (n = 95) and an education intervention (n = 97). A mixed method design was used. Directly before and after the interventions impact was measured among all participants through the Albinism Social Distance Scale for Adolescents (ASDS-A), knowledge items, and entertainment items. After these measurements focus group discussions were conducted, 16 in total (n = 80). Both interventions caused a significant increase in the levels of correct knowledge about albinism. The education intervention entailed a significant positive change in attitude measured through the ASDS-A, whereas the contact intervention did not have a significant effect. In terms of entertainment value, the respondents were more enthusiastic about the contact intervention. The study suggests that education interventions on their own can be a successful tool in decreasing albinism related stigma. Additionally, qualitative findings show many positive outcomes for the contact intervention. Therefore, we would recommend using a combination of these two interventions, which has also proved successful in the past. However, more research on the effect of a combination of the two strategies is recommended.

Honor Related Violence: A new social psychological perspective

Honor related violence is generally associated with crimes committed by people from the Middle East and adjacent areas. Perpetrators sometimes justify their deeds saying they ‘had to’ restore their honor. Theorists have argued that men from these populations exclusively correlate honor with the behaviour of their womenfolk, which they use as a pretext to further oppress and dominate women. Due to large-scale migration, western societies have become acquainted with honor related violence and honor killings. In this book, Robert Ermers addresses a number of questions related to honor related violence, including the use of predominantly negative frames regarding the cultural and social background of non-westerners and immigrants. In many publications, including the press, crimes committed by non-western individuals are often attributed to their cultural background rather than specific contexts or circumstances, in contrast to western cases. Vague and insufficiently defined concepts such as ‘honor’ and ‘culture’ strongly contribute to this bias. Honor Related Violence deals with honor and honor related violence, their background and contexts, what honor is, and what it is not. It examines stigma in relation to honor and based upon stigma research, reliably explains, analyses, and predicts honor related violence. The book argues that people all over the world can be stigmatized, excluded and ostracized when they commit misbehavior, and therefore find themselves in a state of dishonor which can lead to honor related violence. A timely intervention into the psychology of honor related violence, this is an essential resource for students and researchers in the fields of social psychology, sociology, law, criminology and anthropology.