A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries
Abstract Background Stigma is associated with health conditions that drive disease burden in low- and middle-income countries (LMICs), including HIV, tuberculosis, mental health problems, epilepsy, and substance use disorders. However, the literature discussing the relationship between stigma and he...
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| Format: | Article |
| Language: | English |
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BMC
2019-02-01
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| Series: | BMC Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12916-019-1250-8 |
| _version_ | 1811287961921126400 |
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| author | Jeremy C. Kane Melissa A. Elafros Sarah M. Murray Ellen M. H. Mitchell Jura L. Augustinavicius Sara Causevic Stefan D. Baral |
| author_facet | Jeremy C. Kane Melissa A. Elafros Sarah M. Murray Ellen M. H. Mitchell Jura L. Augustinavicius Sara Causevic Stefan D. Baral |
| author_sort | Jeremy C. Kane |
| collection | DOAJ |
| description | Abstract Background Stigma is associated with health conditions that drive disease burden in low- and middle-income countries (LMICs), including HIV, tuberculosis, mental health problems, epilepsy, and substance use disorders. However, the literature discussing the relationship between stigma and health outcomes is largely fragmented within disease-specific siloes, thus limiting the identification of common moderators or mechanisms through which stigma potentiates adverse health outcomes as well as the development of broadly relevant stigma mitigation interventions. Methods We conducted a scoping review to provide a critical overview of the breadth of research on stigma for each of the five aforementioned conditions in LMICs, including their methodological strengths and limitations. Results Across the range of diseases and disorders studied, stigma is associated with poor health outcomes, including help- and treatment-seeking behaviors. Common methodological limitations include a lack of prospective studies, non-representative samples resulting in limited generalizability, and a dearth of data on mediators and moderators of the relationship between stigma and health outcomes. Conclusions Implementing effective stigma mitigation interventions at scale necessitates transdisciplinary longitudinal studies that examine how stigma potentiates the risk for adverse outcomes for high-burden health conditions in community-based samples in LMICs. |
| first_indexed | 2024-04-13T03:27:36Z |
| format | Article |
| id | doaj.art-c2d08953edf2404fa92e7c3c443c2e35 |
| institution | Directory Open Access Journal |
| issn | 1741-7015 |
| language | English |
| last_indexed | 2024-04-13T03:27:36Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj.art-c2d08953edf2404fa92e7c3c443c2e352022-12-22T03:04:36ZengBMCBMC Medicine1741-70152019-02-0117114010.1186/s12916-019-1250-8A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countriesJeremy C. Kane0Melissa A. Elafros1Sarah M. Murray2Ellen M. H. Mitchell3Jura L. Augustinavicius4Sara Causevic5Stefan D. Baral6Department of Mental Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Neurology, Johns Hopkins School of MedicineDepartment of Mental Health, Johns Hopkins Bloomberg School of Public HealthInternational Institute for Social Studies, Erasmus UniversityDepartment of Mental Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Public Health Sciences, Karolinska Institutet, Widerströmska husetDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthAbstract Background Stigma is associated with health conditions that drive disease burden in low- and middle-income countries (LMICs), including HIV, tuberculosis, mental health problems, epilepsy, and substance use disorders. However, the literature discussing the relationship between stigma and health outcomes is largely fragmented within disease-specific siloes, thus limiting the identification of common moderators or mechanisms through which stigma potentiates adverse health outcomes as well as the development of broadly relevant stigma mitigation interventions. Methods We conducted a scoping review to provide a critical overview of the breadth of research on stigma for each of the five aforementioned conditions in LMICs, including their methodological strengths and limitations. Results Across the range of diseases and disorders studied, stigma is associated with poor health outcomes, including help- and treatment-seeking behaviors. Common methodological limitations include a lack of prospective studies, non-representative samples resulting in limited generalizability, and a dearth of data on mediators and moderators of the relationship between stigma and health outcomes. Conclusions Implementing effective stigma mitigation interventions at scale necessitates transdisciplinary longitudinal studies that examine how stigma potentiates the risk for adverse outcomes for high-burden health conditions in community-based samples in LMICs.http://link.springer.com/article/10.1186/s12916-019-1250-8StigmaLow- and middle-income countriesHIVTuberculosisEpilepsyDepression |
| spellingShingle | Jeremy C. Kane Melissa A. Elafros Sarah M. Murray Ellen M. H. Mitchell Jura L. Augustinavicius Sara Causevic Stefan D. Baral A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries BMC Medicine Stigma Low- and middle-income countries HIV Tuberculosis Epilepsy Depression |
| title | A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries |
| title_full | A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries |
| title_fullStr | A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries |
| title_full_unstemmed | A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries |
| title_short | A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries |
| title_sort | scoping review of health related stigma outcomes for high burden diseases in low and middle income countries |
| topic | Stigma Low- and middle-income countries HIV Tuberculosis Epilepsy Depression |
| url | http://link.springer.com/article/10.1186/s12916-019-1250-8 |
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