| Epilepsy-associated stigma in Zambia: what factors predict greater felt stigma in a highly stigmatized population? | |
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MedLine Citation:
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PMID: 20851056 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Epilepsy-associated stigma in Africa has been described largely in terms of enacted stigma or discrimination. We conducted a study of 169 adults with epilepsy attending epilepsy clinics in Zambia's Lusaka or Southern province using a three-item instrument (maximum score = 3). Potential determinants of felt stigma including age, gender, education, wealth, disclosure status (meaning whether or how their community members knew of their condition), seizure type (generalized vs partial), seizure frequency, the presence of visible epilepsy-associated stigmata, personal contagion beliefs, and community contagion beliefs. The median stigma score was 2.5, suggesting some ceiling effect in the instrument. People with epilepsy who believed their condition to be contagious, who thought their community believed epilepsy to be contagious, and whose condition had been revealed to their community against their wishes reported more felt stigma. Community and clinic-based educational campaigns to dispel contagion beliefs are needed. |
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Authors:
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Masharip Atadzhanov; Alan Haworth; Elwyn N Chomba; Edward K Mbewe; Gretchen Lano Birbeck |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-09-17 |
Journal Detail:
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Title: Epilepsy & behavior : E&B Volume: 19 ISSN: 1525-5069 ISO Abbreviation: Epilepsy Behav Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-12-14 Completed Date: 2011-03-29 Revised Date: 2011-11-01 |
Medline Journal Info:
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Nlm Unique ID: 100892858 Medline TA: Epilepsy Behav Country: United States |
Other Details:
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Languages: eng Pagination: 414-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Medicine, University of Zambia, Lusaka, Zambia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Attitude to Health* Case-Control Studies Culture Educational Status Emotions Epilepsy / epidemiology* Female Humans Male Middle Aged Predictive Value of Tests Questionnaires Stereotyping* Young Adult Zambia / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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1R01NS061693/NS/NINDS NIH HHS; R21NS48060/NS/NINDS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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