Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study

BackgroundStigma can be seen as a mark of disgrace that can lead to the separation of one person from another. In this qualitative study, we assess the status of stigma among in front-line health care workers (HCWs) during the first wave of the COVID-19 pandemic in Iran.Subjects and methodsThe parti...

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Main Authors: Rahim Badrfam, Mostafa Qorbani, Atefeh Zandifar
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045683/full
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author Rahim Badrfam
Mostafa Qorbani
Mostafa Qorbani
Atefeh Zandifar
Atefeh Zandifar
author_facet Rahim Badrfam
Mostafa Qorbani
Mostafa Qorbani
Atefeh Zandifar
Atefeh Zandifar
author_sort Rahim Badrfam
collection DOAJ
description BackgroundStigma can be seen as a mark of disgrace that can lead to the separation of one person from another. In this qualitative study, we assess the status of stigma among in front-line health care workers (HCWs) during the first wave of the COVID-19 pandemic in Iran.Subjects and methodsThe participants were selected from frontline HCWs related to COVID-19 in Imam Ali and Imam Hossein referral hospitals in Alborz province, Iran. Study was conducted between May and June 2020. The 32-item checklist Consolidated Criteria for Reporting Qualitative Research (COREQ) was used to report this qualitative study. Interview questions were prepared based on the grounded theory method. The thematic approach was used to analyze the data content. Data analysis was based on open and axial coding and after implementing the codes in MAXQDA software.ResultsThe results of this study included 4 themes, 8 categories and 33 sub-categories. Themes included extrinsic and intrinsic elements of stigma, perplexity and stigma removal requirements. Extrinsic elements included “creating blame and shame” and “discrimination” categories. Intrinsic elements included “the desire to be avoidance,” “feeling depressed and frustrated” and “feeling anxious and scared” categories. Perplexity included “feeling loss” category. Stigma removal requirements included “factors causing stigma” and “protective agents against stigma” categories.ConclusionLow public awareness on COVID-19 and inadequate public care, limited personal protective equipment and inadequate facilities for HCWs along with lack of appreciation for their efforts, lack of proper psychiatric/psychological counseling to identify and treat symptoms associated with mental health and the limitations of training to maintain mental health skills are considered to be factors in the formation of stigma among HCWs related to COVID-19. Health policymakers should implement coherent strategies related to increasing public awareness and providing personal protection needs and counseling care for HCWs in relation to COVID-19.
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spelling doaj.art-e7fa4ce4320446bb9cb73a4edf35642e2022-12-22T04:33:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-11-011310.3389/fpsyt.2022.10456831045683Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative studyRahim Badrfam0Mostafa Qorbani1Mostafa Qorbani2Atefeh Zandifar3Atefeh Zandifar4Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, IranChronic Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, IranDepartment of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, IranBackgroundStigma can be seen as a mark of disgrace that can lead to the separation of one person from another. In this qualitative study, we assess the status of stigma among in front-line health care workers (HCWs) during the first wave of the COVID-19 pandemic in Iran.Subjects and methodsThe participants were selected from frontline HCWs related to COVID-19 in Imam Ali and Imam Hossein referral hospitals in Alborz province, Iran. Study was conducted between May and June 2020. The 32-item checklist Consolidated Criteria for Reporting Qualitative Research (COREQ) was used to report this qualitative study. Interview questions were prepared based on the grounded theory method. The thematic approach was used to analyze the data content. Data analysis was based on open and axial coding and after implementing the codes in MAXQDA software.ResultsThe results of this study included 4 themes, 8 categories and 33 sub-categories. Themes included extrinsic and intrinsic elements of stigma, perplexity and stigma removal requirements. Extrinsic elements included “creating blame and shame” and “discrimination” categories. Intrinsic elements included “the desire to be avoidance,” “feeling depressed and frustrated” and “feeling anxious and scared” categories. Perplexity included “feeling loss” category. Stigma removal requirements included “factors causing stigma” and “protective agents against stigma” categories.ConclusionLow public awareness on COVID-19 and inadequate public care, limited personal protective equipment and inadequate facilities for HCWs along with lack of appreciation for their efforts, lack of proper psychiatric/psychological counseling to identify and treat symptoms associated with mental health and the limitations of training to maintain mental health skills are considered to be factors in the formation of stigma among HCWs related to COVID-19. Health policymakers should implement coherent strategies related to increasing public awareness and providing personal protection needs and counseling care for HCWs in relation to COVID-19.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045683/fullstigmahealth care workersCOVID-19perplexitymental health
spellingShingle Rahim Badrfam
Mostafa Qorbani
Mostafa Qorbani
Atefeh Zandifar
Atefeh Zandifar
Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
Frontiers in Psychiatry
stigma
health care workers
COVID-19
perplexity
mental health
title Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
title_full Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
title_fullStr Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
title_full_unstemmed Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
title_short Status of stigma on the health care workers related to COVID-19 at the first wave of the pandemic in Iran: A qualitative study
title_sort status of stigma on the health care workers related to covid 19 at the first wave of the pandemic in iran a qualitative study
topic stigma
health care workers
COVID-19
perplexity
mental health
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045683/full
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