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Coronavirus Disease 2019-Related Stigma in China: A Descriptive Study
Li Zhao1, Zhen Wang1, Jian Guan1
1Department of Social Psychology, Zhou Enlai School of Government, Nankai University, Tianjin, China.
Insights
This study quantifies COVID-19 stigma in China, revealing significant prejudice against recovered patients, their families, high-risk individuals, and healthcare workers. Greater COVID-19 knowledge generally reduces stigma, but not for those already stigmatizing others.
Area of Science:
- Public Health
- Social Psychology
- Epidemiology
Background:
- Coronavirus disease 2019 (COVID-19) has had profound global health impacts.
- Most COVID-19 research focuses on medical aspects, neglecting social dimensions like stigma.
- Quantitative data on COVID-19-related stigma in China is limited.
Purpose of the Study:
- To investigate and quantify the prevalence of COVID-19-related stigma among individuals in China.
- To explore the relationship between COVID-19 knowledge and stigma.
- To identify specific groups targeted by COVID-19 stigma.
Main Methods:
- An online survey was conducted with 1,920 Chinese participants between October and December 2020.
- Data on perceived stigma towards various groups (high-risk individuals, recovered patients, families, healthcare providers) were collected.
- Knowledge about COVID-19 was assessed to determine its association with stigma.
Main Results:
- Significant proportions of participants endorsed stigma: 15.94% towards high-risk areas, 14.84% towards recovered patients, 13.80% towards families of recovered patients, and 5.21% towards frontline healthcare providers.
- General COVID-19 knowledge was negatively associated with overall stigma.
- No significant association was found between COVID-19 knowledge and stigma among individuals already holding stigmatizing views.
Conclusions:
- COVID-19-related stigma is prevalent in China, affecting recovered patients, their families, individuals in high-risk areas, and healthcare workers.
- Public health interventions should address knowledge gaps and combat discriminatory attitudes to mitigate COVID-19 stigma.
- Findings offer a quantitative basis for developing targeted anti-stigma strategies globally.
Abstract:
Coronavirus disease 2019 (COVID-19) tremendously impacts the physical and mental health of humans worldwide. Consequently, studies on COVID-19 remain extensive. However, most of them were mainly focused on the pathological mechanisms and treatment methods from medical perspectives. Various reports have indicated that COVID-19 is closely related to stigma and discrimination, but little statistical information has been integrated quantitatively to describe the situation in China. Thus, this study investigated the COVID-19-related stigma of individuals. We collected the online survey data from 1,920 Chinese participants from October to December 2020. Findings showed that 306 (15.94%), 285 (14.84%), 265 (13.80%), and 100 (5.21%) participants endorsed stigma toward individuals in high-risk areas, recovered patients with COVID-19, families of recovered patients with COVID-19, and frontline healthcare providers, respectively. To understand the possible factors that could impact the COVID-19-related stigma, knowledge about COVID-19 was investigated. Generally, knowledge about COVID-19 was negatively associated with COVID-19-related stigma in general, while no significant relationship existed between the knowledge about COVID-19 and the COVID-19-related stigma in the groups who had held COVID-19-related stigma. Ultimately, individuals showed COVID-19-related stigma toward recovered patients and their families, individuals in high-risk areas, and frontline healthcare providers to some extent. The results of this study can provide reference to nations, governments, and organizations in addressing the stigma issues raised by the COVID-19 pandemic.
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