Perception of social stigma among patients attending a filariasis morbidity control clinic in South India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20204452Keywords:
Lymphatic filariasis, Social stigma, Perception, Discrimination, South India, EMIC-CSSAbstract
Background: The psychological and social stigma associated with lymphatic filariasis can adversely affect productivity and quality of life. This study was carried out to assess the perception of social stigma among patients with lymphatic filariasis.
Methods: A hospital based cross sectional study was done on 30 subjects with lymphatic filariasis who attended a filariasis morbidity control clinic in Tamil Nadu. Data was collected using a locally adopted, pilot tested interviewer administered questionnaire derived from explanatory model interview catalogue community stigma scale (EMIC-CSS). Patients were categorized into none, mild, moderate and severe levels of social stigma based on their responses for questions related to stigma assessment. Data was analyzed using Epi-Info. Quantitative variables were presented as mean with standard deviation. Qualitative variables were presented as frequency with proportion.
Results: Majority of the study subjects were males (60%), Hindu by religion (73.3%) and belonged to nuclear family (73.3%). The mean age (±SD) was 47 (±10.9) years. 66.7% of subjects were aged between 46-50 years. Majority (60%) of subjects had mild stigma. 13% had moderate while 3% had severe stigma. 23% of subjects had no stigma.
Conclusions: 87% of this study subjects had perceived the social stigma towards lymphatic filariasis. Hence, apart from prevention and treatment measures for filariasis, importance has to be given in context of reducing social stigma towards the disease.
References
Global programme to eliminate lymphatic filariasis: progress report, 2016. Wkly Epidemiol Rec. 2017;92(40):594-607.
Global programme to eliminate lymphatic filariasis: progress report, 2015. Wkly Epidemiol Rec. 2016;91(39):441-55.
Abdulmalik J, Nwefoh E, Obindo J, Dakwak S, Ayobola M, Umaru J et al. Emotional Difficulties and Experiences of Stigma among Persons with Lymphatic Filariasis in Plateau State, Nigeria. Health Hum Rights. 2018;20(1):27-40.
Obindo J, Abdulmalik J, Nwefoh E, Agbir M, Nwoga C, Armiya'u A et al. Prevalence of depression and associated clinical and socio-demographic factors in people living with lymphatic filariasis in Plateau State, Nigeria. PLoS Negl Trop Dis. 2017;11(6):e0005567.
Zeldenryk LM, Gray M, Speare R, Gordon S, Melrose W. The emerging story of disability associated with lymphatic filariasis: a critical review. PLoS Negl Trop Dis. 2011;5(12):e1366.
World Health Organization Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health final report. World Health Organization. 2008. Available at: https://www.who. int/social_determinants/thecommission/finalreport/en/. Accessed on 20 September 2020.
Kumari KA, Harichandrakumar KT, Krishnamoorthy K, Das LK. The stigmata and discrimination experienced, in southern India, by cases of lymphatic filariasis. Ann Trop Med Parasitol. 2010;104(5):421-6.
Weiss MG. Explanatory Model Interview Catalogue (EMIC): Framework for Comparative Study of Illness. Transcult Psychiatry. 1997;34(2):235-63.
Weiss MG, Doongaji DR, Siddhartha S, Wypij D, Pathare S, Bhatawdekar M et al. The Explanatory Model Interview Catalogue (EMIC). Contribution to cross-cultural research methods from a study of leprosy and mental health. Br J Psychiatry. 1992;160:819-30.
Link BG, Cullen FT, Frank J, Wozniak JF. The Social Rejection of Former Mental Patients: Understanding Why Labels Matter. Am J Sociol. 1987;92(6):1461-500.
Peters RMH, Dadun, Van Brakel WH, Zweekhorst MB, Damayanti R, Bunders JF et al. The cultural validation of two scales to assess social stigma in leprosy. PLoS Negl Trop Dis. 2014;8(11):e3274.
Peters RM, Dadun, Zweekhorst MB, Bunders JF, Irwanto, van Brakel WH. A Cluster-Randomized Controlled Intervention Study to Assess the Effect of a Contact Intervention in Reducing Leprosy-Related Stigma in Indonesia. PLoS Negl Trop Dis. 2015;9(10):e0004003.
Sun Y, Chen G, Wang L, Li N, Srisurapanont M, Hong JP, et al. Perception of Stigma and Its Associated Factors Among Patients with Major Depressive Disorder: A Multicenter Survey From an Asian Population. Frontiers Psychiatry. 2019;10:321.
Padmanabhan N, Poornima S. A study to assess the stigma related to tuberculosis among directly observed treatment short-course (DOTS) providers and patients on DOTS therapy attending DOTS centres of Mandya. Int J Community Med Public Health. 2016;3(10):8.
Weiss MG. Cultural epidemiology: an introduction and overview. Anthropol Med. 2001;8:5-29.
Person B, Bartholomew LK, Gyapong M, Addiss DG, van den Borne B. Health-related stigma among women with lymphatic filariasis from the Dominican Republic and Ghana. Soc Sci Med. 2009;68(1):30-8.
Cassidy T, Worrell CM, Little K, Prakash A, Patra I, Rout J et al. Experiences of a Community-Based Lymphedema Management Program for Lymphatic Filariasis in Odisha State, India: An Analysis of Focus Group Discussions with Patients, Families, Community Members and Program Volunteers. PLoS Negl Trop Dis. 2016;10(2):e0004424.
Babu BV, Mishra S, Nayak AN. Marriage, sex, and hydrocele: an ethnographic study on the effect of filarial hydrocele on conjugal life and marriageability from Orissa, India. PLoS Negl Trop Dis. 2009;3(4):e414.
Wynd S, Melrose WD, Durrheim DN, Carron J, Gyapong M. Understanding the community impact of lymphatic filariasis: a review of the sociocultural literature. Bull World Health Organ. 2007;85(6):493-8.
Van't Noordende AT, Van Brakel WH, Banstola N, Dhakal KP. The Impact of Leprosy on Marital Relationships and Sexual Health among Married Women in Eastern Nepal. J Trop Med. 2016;2016:4230235.
Hofstraat K, Van Brakel WH. Social stigma towards neglected tropical diseases: a systematic review. Int Health. 2016;8(1):i53-70.
Suma TK, Shenoy RK, Kumaraswami V. A qualitative study of the perceptions, practices and socio-psychological suffering related to chronic brugian filariasis in Kerala, southern India. Ann Trop Med Parasitol. 2003;97(8):839-45.
