DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20204760

A study on stigma and apprehensions related to COVID-19 among healthcare professionals in Delhi

Kartikey Yadav, Ananya Ray Laskar, S. K. Rasania

Abstract


Background: Public health emergencies during pandemics of communicable diseases, may cause fear leading to social isolation and stigma. Cases have been reported of healthcare professionals (HCPs), facing discrimination on account of heightened fear and misinformation. However, there is dearth of literature with regards to the nature and magnitude of this stigma. Hence, this study was conducted to assess perceived and experienced stigma related to the Coronavirus disease 2019 (COVID-19) among HCPs and also assess their apprehensions about testing, quarantine/isolation and consuming Hydroxy-chloroquine as prophylaxis (HCQ).

Methods: A cross-sectional study was undertaken among the HCPs working in Delhi during the period May to July 2020. The study was conducted using a semi-structured online questionnaire which was circulated on official contact numbers and email IDs of HCPs in the Google.doc format.

Result: Seventy percent of the participants in the current study perceived some kind of stigma, 50% of study participants perceived some form of stigma in their residential colony, 46% observed change in behaviour of their neighbours. Around 20% of participants experienced stigma, most commonly being rude behaviour or harassment from neighbour/landlord. A statistically significant association was observed between marital status (p=0.038), designation (p=0.021) and place of stay (p=0.013) of the study participants and perceived stigma among them. The level of awareness regarding HCQ was high (94.3%), but more than 60% didn’t consume it due to apprehension about side effects.

Conclusion: In view of the substantial stigma faced by the HCP, necessary measures to curb the fear and dispel misinformation related to COVID-19 must be undertaken. the rural population.


Keywords


Stigma, COVID-19, Healthcare professionals, Apprehensions, HCQ

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References


Farag E, Marufu O, Sikkema R, Al-Romaihi H, Al Thani M, Al-Marri S et al. The hidden epidemic: MERS-CoV-related stigma observations from the field, Qatar 2012-2015. Int J Infect Dis. 2016;45:332.

Ministry of Health and Family Welfare. Addressing Social Stigma Associated with COVID-19. MoHFW, New Delhi. 2020. https://www.mohfw.gov.in/pdf/AddressingSocialStigmaAssociatedwithCOVID19.pdf. Accessed on 24 April, 2020.

Weiss MG, Ramakrishna J. Stigma interventions and research for international health. The Lancet. 2006;367(9509):536-8.

Bagcchi S. Stigma during the COVID-19 pandemic. The Lancet. Infectious Diseases. 2020;20(7):782.

Dadun, Peters R.M.H, Van Brakel W, Lusli M, Damayanti R, Bunders J.F.G et al. Cultural validation of a new instrument to measure leprosy-related stigma: the SARI Stigma Scale. Lepr Rev. 2017;88(1):23-42.

Simonsen C, Aminoff SR, Vaskinn A, Barrett EA, Faerden A, Ueland T, et al. Perceived and experienced stigma in first-episode psychosis: A 1-year follow-up study. Compr. Psychiatry. 2019;95(2019):152134.

A guide to preventing and addressing social stigma. WHO, Geneva. 2020. World Health Organization. https://www.who.int/publications/m/item/a-guide-to-preventing-and-addressing-social-stigma-associated-with-covid-19. Accessed on 10 August, 2020.

Bhattacharya P, Banerjee D, Rao TSS. The “untold” side of COVID-19: Social stigma and its consequences in India. Indian J Psychol Med. 2020;42(4):382-6.

Zaki M. Virus turns health workers in Egypt into 'outcasts'. The Jakarta Post; World. 2020. https://www.thejakartapost.com/news/2020/04/21/virus-turns-health-workers-in-egypt-into-outcasts.html. Accessed on 1 August, 2020.

EH News Bureau. Stigma of COVID-19 amongst healthcare professionals. Express Healthcare; Blogs. 2020. https://www.expresshealthcare.in/blogs/stigma-of-covid-19-amongst-healthcare-professionals/419585/. Accessed on 1 August, 2020.

Logie CH, Turan JM. How do we balance tensions between COVID-19 public health responses and stigma mitigation? Learning from HIV research. AIDS and Behav. 2020;24(7):1-4.

Ramaci T, Barattucci M, Ledda C, Rapisarda V. Social Stigma during COVID-19 and its impact on HCWs outcomes. Sustainability. 2020;12(9):3834.

Nursalam N, Sukartini T, Priyantini D, Mafula D, Efendi F. Risk factors for psychological impact and social stigma among people facing covid-19: a systematic review. Sys Rev in Pharm. 2020;11(6):1022-8.

Li L, Wu Z, Wu S, Jia M, Lieber E, Lu Y. Impacts of HIV/AIDS stigma on family identity and interactions in china. Fam Syst Health. 2008;26(4):431.

Koschorke M, Padmavati R, Kumar S, Cohen A, Weiss HA, Chatterjee S, et al. Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India. Soc Sci Med. 2017;178:66-77.

Van Brakel WH, Cataldo J, Grover S, Kohrt BA, Nyblade L, Stockton M et al. Out of the silos: identifying cross-cutting features of health-related stigma to advance measurement and intervention. BMC med. 2019;17(1):13.

Ministry of Health and Family Welfare. Advisory on the use of hydroxy-chloroquine as prophylaxis for SARS-CoV-2 infection. MoHFW, India. https://www.mohfw.gov.in/pdf/AdvisoryontheuseofHydroxychloroquinasprophylaxisforSARSCoV2infection.pdf. Accessed on 10 August, 2020.

Bhattacharya R, Chowdhury S, Mukherjee R, Nandi A, Kulshrestha M, Ghosh R et al. Pre exposure Hydroxychloroquine use is associated with reduced COVID19 risk in healthcare workers. medRxiv. 2020. Accessed on 10 August, 2020.

Nagaraja BS, Ramesh KN, Dhar D, Mondal MS, Dey T, Saha S et al. HyPE study: hydroxychloroquine prophylaxis-related adverse events’ analysis among healthcare workers during COVID-19 pandemic: a rising public health concern. J Public Health. 2020.

Pathak GP, Manapurath RM. Compating the pandemic of COVID-19 in India: healthcare worker perspective. Int J Community Med Public Health. 2020;7(7):2797-802.

Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review. Asian J Psychiatr. 2020;51:102119.

Press Information Bureau. Ensure adequate security to Healthcare Professionals, Medical Staff and Frontline Workers to prevent violence against them: Union Home Minister. Ministry of Home Affairs, Government of India. New Delhi. https://www.mha.gov.in/sites/default/files/HS_22042020.pdf. Accessed on 10 August, 2020.

Press Information Bureau. Promulgation of an Ordinance to amend the Epidemic Diseases Act, 1897 in the light of the pandemic situation of COVID-19. Ministry of Health and Family Welfare. Delhi. https://pib.gov.in/PressReleasePage.aspx?PRID=1617327. Accessed on 10 August, 2020.

Antonio Guterres. We are all in this Together: Human Rights and COVID-19 Response and Recovery. United Nations. https://www.un.org/en/un-coronavirus-communications-team/we-are-all-together-human-rights-and-covid-19-response. Accessed on 10 August, 2020.