About: An assessment of Ebola-related stigma and its association with informal healthcare utilisation among Ebola survivors in Sierra Leone: a cross-sectional study

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	An assessment of Ebola-related stigma and its association with informal healthcare utilisation among Ebola survivors in Sierra Leone: a cross-sectional study
Creator	Adams, Jon Steel, Amie Wardle, Jonathan James, Peter
Source	Medline; PMC
abstract	BACKGROUND: We examined the magnitude and correlates of Ebola virus disease (EVD)-related stigma among EVD survivors in Sierra Leone since their return to their communities. In addition, we determined whether EVD-related stigma is a predictor of informal health care use among EVD survivors. METHODS: We conducted a cross-sectional study among 358 EVD survivors in five districts across all four geographic regions (Western Area, Northern Province, Eastern Province and Southern Province) of Sierra Leone. Ebola-related stigma was measured by adapting the validated HIV related stigma for people living with HIV/AIDS instrument. We also measured traditional and complementary medicine (T&CM) use (as a measure of informal healthcare use). Data were analysed using descriptive statistics and regression analysis. RESULTS: EVD survivors report higher levels of internalised stigma (0.92 ± 0.77) compared to total enacted stigma (0.71 ± 0.61). Social isolation (0.96 ± 0.88) was the highest reported enacted stigma subscale. Ebola survivors who identified as Christians [AOR = 2.51, 95%CI: 1.15–5.49, p = 0.021], who perceived their health to be fair/poor [AOR = 2.58, 95%CI: 1.39–4.77. p = 0.003] and who reside in the northern region of Sierra Leone [AOR = 2.80, 95%CI: 1.29–6.07, p = 0.009] were more likely to experience internalised stigma. Verbal abuse [AOR = 1.95, 95%CI: 1.09–3.49, p = 0.025] and healthcare neglect [AOR = 2.35, 95%CI: 1.37–4.02, p = 0.002] were independent predictors of T&CM use among EVD survivors. CONCLUSION: Our findings suggest EVD-related stigma (internalised and enacted) is prevalent among EVD survivors since their return to their communities. Religiosity, perceived health status and region were identified as independent predictors of internalised stigma. Verbal abuse and healthcare neglect predict informal healthcare use. EVD survivor-centred and community-driven anti-stigma programs are needed to promote EVD survivors’ recovery and community re-integration.
has issue date	2020-02-05(xsd:dateTime)
bibo:doi	10.1186/s12889-020-8279-7
bibo:pmid	32020858
has license	cc-by
sha1sum (hex)	38a33f302357e8dced322858ad61fe20b876d445
schema:url	https://doi.org/10.1186/s12889-020-8279-7
resource representing a document's title	An assessment of Ebola-related stigma and its association with informal healthcare utilisation among Ebola survivors in Sierra Leone: a cross-sectional study
has PubMed Central identifier	PMC7001224
has PubMed identifier	32020858
schema:publication	BMC Public Health
resource representing a document's body	covid:38a33f302357e8dced322858ad61fe20b876d445#body_text
is schema:about of	named entity 'ASSOCIATION' named entity 'ITS' named entity 'Sierra Leone' named entity 'EVD' named entity 'cross-sectional study' named entity 'CROSS-SECTIONAL STUDY' named entity 'EBOLA' named entity 'ADDITION' named entity 'RELATED' named entity 'SURVIVORS' named entity 'PREDICTOR' named entity 'HEALTHCARE' named entity 'STIGMA' named entity 'STIGMA' named entity 'SURVIVORS' named entity 'RELATED' named entity 'ASSESSMENT' named entity 'SIERRA LEONE' named entity 'RETURN TO' named entity 'SIERRA LEONE' named entity 'EXAMINED' named entity 'IS A' named entity 'COMMUNITIES' named entity 'THEIR' named entity 'BACKGROUND' named entity 'DETERMINED' named entity 'MAGNITUDE' named entity 'EBOLA VIRUS DISEASE' named entity 'HEALTH CARE USE' covid:arg/38a33f302357e8dced322858ad61fe20b876d445 named entity 'survivors' named entity 'health care' named entity 'EVD' named entity 'Sierra Leone' named entity 'SARS' named entity 'EVD' named entity 'EVD' named entity 'commodities' named entity 'policy makers' named entity 'EVD' named entity 'virus' named entity 'questionnaire' named entity 'high levels' named entity 'economic empowerment' named entity 'regression analysis' named entity 'West Africa' named entity 'Sierra Leone' named entity 'EVD' named entity 'Sierra Leone' named entity 'self-efficacy' named entity 'conventional medicine' named entity 'EVD' named entity 'EVD' named entity 'EVD' named entity 'groups of people' named entity 'homosexuals' named entity 'rural areas' named entity 'alternative medicine' named entity 'EVD' named entity 'EVD' named entity 'faith healing' named entity 'mental illness' named entity 'social support' named entity 'Questionnaire' named entity 'anxiety' named entity 'pregnant women' named entity 'social support' named entity 'Ebola' named entity 'mental health' named entity 'social support programs' named entity 'Africa' named entity 'Ebola' named entity 'follow-up' named entity 'health care' named entity 'EVD' named entity 'EVD' named entity 'discrimination' named entity 'epidemiological'

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