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Dispositional moral attribution and association avoidance: explaining chronic mpox stigma even after recovery
S Davoudpour1, R O Salvador2, M G Curtis3
1Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago IL, 60611.
Ethics, Medicine, and Public Health
|August 11, 2025
Summary
Disease stigma, like mpox stigma, persists post-infection. Believing mpox involves immoral acts increases avoidance of recovered individuals by 4.5 times, explaining chronic stigmatization.
Area of Science:
- Public Health
- Social Psychology
- Epidemiology
Background:
- Disease-related stigma, such as mpox stigma, often persists after infection resolution.
- HIV stigma remains prevalent despite public health interventions.
- Perpetuated stigma and association avoidance post-recovery present a challenge for public health.
Purpose of the Study:
- To explain the perpetuation of disease-related stigma, specifically mpox stigma.
- To investigate the role of dispositional moral attribution in association avoidance.
- To understand the psychological factors contributing to chronic stigmatization.
Main Methods:
- Utilized multiple logistic regression models.
- Analyzed data from the mpox substudy of the Keeping it LITE study.
- Conducted a cross-sectional survey of 226 sexual minority individuals in Illinois, USA, in September 2022.
Main Results:
- A significant positive relationship was found between moral attribution and association avoidance.
- Individuals perceiving mpox as linked to immoral activities were 4.5 times more likely to avoid association with recovered individuals.
- This highlights the impact of perceived immorality on post-recovery social distancing.
Conclusions:
- Chronic stigmatization, including association avoidance, is amplified when an individual's status is attributed to their own immoral behavior.
- Destigmatization campaigns should consider the role of moral judgments in their messaging.
- Understanding dispositional moral attribution is crucial for effective public health strategies against disease stigma.
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