| Structural forces and the production of TB-related stigma among Haitians in two contexts. | |
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MedLine Citation:
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PMID: 20724052 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In recent years renewed interest in health-related stigma has underscored the importance of better understanding the structural underpinnings of stigma processes. This study investigated the influence of sociocultural context on perceived components of tuberculosis-related stigma in non-affected persons by comparing Haitians living in South Florida, USA, with Haitians residing in Léogane Commune, Haiti. Using the methods of cultural epidemiology, a two-phase study based on fieldwork between 2004 and 2007 collected ethnographic data on the cultural context and components of tuberculosis (TB) stigma, and administered a stigma scale developed specifically for these populations. Thematic analysis of stigma components expressed in interviews, focus groups and observation revealed commonalities as well as distinctive emphases of TB stigma in the two comparison groups. Factor analyses of stigma scale scores confirmed the thematic differences revealed in ethnographic findings and highlight the influence of political and economic factors in shaping the meaning and experience of illness. Perceived components of TB stigma among Haitians in South Florida incorporated aspects of Haitian identity as a negatively stereotyped minority community within the larger society, while in Haiti, stigma was associated primarily with poverty, malnutrition, and HIV co-infection. Discussion of findings focuses on the social production of perceived and anticipated stigma as it is influenced by structural forces including the influences of politics, economics, institutional policies, and health service delivery structures. The findings also demonstrate the value of a transnational framework encompassing both sending and receiving countries for understanding TB-related stigma in immigrant communities. |
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Authors:
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Jeannine Coreil; Gladys Mayard; Kelly M Simpson; Michael Lauzardo; Yiliang Zhu; Mitchell Weiss |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2010-08-05 |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 71 ISSN: 1873-5347 ISO Abbreviation: Soc Sci Med Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-20 Completed Date: 2010-11-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: England |
Other Details:
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Languages: eng Pagination: 1409-17 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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College of Public Health, University of South Florida, Department of Community & Family Health, Tampa, FL 33612, USA. jcoreiil@health.usf.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anthropology, Cultural Cross-Cultural Comparison* Factor Analysis, Statistical Female Florida Focus Groups Haiti / ethnology Humans Male Politics Qualitative Research Social Perception* Socioeconomic Factors Stereotyping* Tuberculosis, Pulmonary / psychology* |
| Grant Support | |
ID/Acronym/Agency:
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1-R01-TW06320/TW/FIC NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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