Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 25 , ISSUE 11 ( November, 2021 ) > List of Articles

Original Article

Social Stigma of COVID-19 Experienced by Frontline Healthcare Workers of Department of Anaesthesia and Critical Care of a Tertiary Healthcare Institution in Delhi

Shruti Jain, Jugal Kishore, Heena, Usha Ganapathy

Keywords : Discrimination, Healthcare workers, Negative attitude, Personalized stigma, SARS-CoV-2

Citation Information : Jain S, Kishore J, H, Ganapathy U. Social Stigma of COVID-19 Experienced by Frontline Healthcare Workers of Department of Anaesthesia and Critical Care of a Tertiary Healthcare Institution in Delhi. Indian J Crit Care Med 2021; 25 (11):1241-1246.

DOI: 10.5005/jp-journals-10071-24008

License: CC BY-NC 4.0

Published Online: 16-11-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Social stigma is associated with Coronavirus Disease-2019 (COVID-19) particularly against people who have contracted the disease or have come in contact with it. There is paucity of studies regarding the prevalence of social stigma against healthcare workers (HCWs) in COVID-19 hospitals in India. The objective of this study was to measure social stigma faced by frontline HCWs of Department of Anaesthesia and Critical Care in a COVID-19 hospital and to assess the relationship between sociodemographic characteristics and social stigma. Patients and methods: A cross-sectional study using a questionnaire (sociodemographic characteristics along with modified Berger HIV Stigma Scale) was conducted from October 10, 2020 to October 30, 2020, in the Department of Anaesthesia and Critical Care. The survey was distributed among frontline HCWs using Google Forms as well as Bilingual Physical Form. Total stigma and subgroups of stigma scale were measured for different sociodemographic parameters and compared. Data were presented as mean ± standard deviation. p-value <0.05 was taken as significant. Results: Out of 120 frontline HCWs participated in the study, 68 (56.6%) reported severe level of COVID-19-related stigma. The mean score of COVID-19-related stigma was 41 + 7.69. Mean scores for subgroups of stigma scale, i.e., personalized stigma, disclosure concerns, negative self-image, and concerns with public attitude, were 15.60 + 4.01, 6.68 + 3.21, 5.46 + 3.22, and 13.25 + 2.44, respectively. In the univariate analysis, the overall COVID-19-related stigma scores were associated with age >30 years, male gender, lower designation (technicians and nursing orderly), lesser education, and married HCWs. In logistic regression model, only male gender was significantly associated with severity of COVID-19 stigma. Conclusion: This study concluded that more than half of frontline HCWs in the Department of Anaesthesia and Critical Care experienced severe social stigma during COVID-19 pandemic, with highest stigma in concerns with public attitude subgroup. Severity of stigma was associated with age, male gender, designation, education, and marital status of HCW. Highlights: Frontline HCWs of Department Anaesthesia and Critical Care experienced significant stigma related to COVID-19.


HTML PDF Share
  1. Goffman E. Stigma: notes on the management of spoiled identity. 1st ed. New York: Simon and Schuster; 1963.
  2. Pfefferbaum B, North CS. Mental health and the COVID-19 pandemic. N Engl J Med 2020;383(6):510–512. DOI: 10.1056/NEJMp2008017.
  3. Ransing R, Ramalho R, de Filippis R, Ojeahere MI, Karaliuniene R, Orsolini L, et al. Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: drivers, facilitators, manifestations, and outcomes across the world. Brain Behav Immun 2020;89:555–558. DOI: 10.1016/j.bbi.2020.07.033.
  4. Eyre DW, Lumley SF, O'Donnell D, Campbell M, Sims E, Lawson E, et al. Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study. eLife 2020;9:e60675. DOI: 10.7554/eLife.60675.
  5. Bagcchi S. Stigma during the COVID-19 pandemic. Lancet Infect Dis 2020;20(7):782. DOI: 10.1016/S1473-3099(20)30498-9.
  6. Cook TM. Risk to health from COVID-19 for anaesthetists and intensivists – a narrative review. Anaesthesia 2020;75(11):1494–1508. DOI: 10.1111/anae.15220.
  7. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One 2012;7(4):e35797. DOI: 10.1371/journal.pone.0035797.
  8. Sorokin MY, Kasyanov ED, Rukavishnikov GV, Makarevich OV, Neznanov NG, Morozov PV, et al. Stress and stigmatization in health-care workers during the COVID-19 pandemic. Indian J Psychiatry 2020;62(Suppl. 3):445–453. DOI: 10.4103/psychiatry.IndianJPsychiatry_870_20.
  9. Verma S, Mythily S, Chan YH, Deslypere JP, Teo EK, Chong SA. Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Ann Acad Med Singapore 2004;33(6):743–748.
  10. Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Res Nurs Health 2001;24(6):518–529. DOI: 10.1002/nur.10011.
  11. Sowell RL, Lowenstein A, Moneyham L, Demi A, Mizuno Y, Seals BF. Resources, stigma, and patterns of disclosure in rural women with HIV infection. Public Health Nurs 1997;14(5):302–312. DOI: 10.1111/j.1525-1446.1997.tb00379.x.
  12. Demas P, Schoenbaum EE, Wills TA, Doll LS, Klein RS. Stress, coping, and attitudes toward HIV treatment in injecting drug users: a qualitative study. AIDS Educ Prev 1995;7(5):429–442.
  13. Laryea M, Gien L. The impact of HIV-positive diagnosis on the individual, Part 1: stigma, rejection, and loneliness. Clin Nurs Res 1993;2(3):245–263. DOI: 10.1177/105477389300200302.
  14. Sotgiu G, Dobler CC. Social stigma in the time of coronavirus disease 2019. Eur Respir J 2020;56(2):2002461. DOI: 10.1183/13993003.02461-2020.
  15. Muzzi L. “As if we were the disease”: coronavirus brings prejudice for Italy's Chinese workers. The Guardian. Available from: https://www.theguardian.com/global-development/2020/mar/25/as-if-we-were-the-disease-coronavirus-brings-prejudice-for-italys-chinese-workers.
  16. Outbreaks of xenophobia in west as coronavirus spread. The Guardian. Available from:https://www.theguardian.com/world/2020/jan/31/spate-of-anti-chinese-incidents-in-italy-amid-coronavirus-panic.
  17. Kandil CY. Asian Americans report over 650 racist acts over last week, new data says. NBC News. Available from: https://www.nbcnews.com/news/asian-america/asian-americans-report-nearly-500-racist-acts-over-last-week-n1169821.
  18. Huang J, Liu F, Teng Z, Chen J, Zhao J, Wang X, et al. Care for the psychological status of frontline medical staff fighting against coronavirus disease 2019 (COVID-19). Clin Infect Dis 2020;71(12):3268–3269. DOI: 10.1093/cid/ciaa385.
  19. Maunder R. The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philos Trans R Soc Lond B Biol Sci 2004;359(1447):1117–1125. DOI: 10.1098/rstb.2004.1483.
  20. Advice for public. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
  21. Robertson E, Hershenfield K, Grace SL, Stewart DE. The psychosocial effects of being quarantined following exposure to SARS: a qualitative study of Toronto health care workers. Can J Psychiatry 2004;49(6):403–407. DOI: 10.1177/070674370404900612.
  22. Mostafa A, Sabry W, Mostafa NS. COVID-19-related stigmatization among a sample of Egyptian healthcare workers. PLoS One 2020;15(12):e0244172. DOI: 10.1371/journal.pone.0244172.
  23. Ramaci T, Barattucci M, Ledda C, Rapisarda V. Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability 2020;12:3834. DOI: 10.3390/su12093834.
  24. Sotgiu G, Carta G, Suelzu L, Carta D, Migliori GB. How to demystify COVID-19 and reduce social stigma. Int J Tuberc Lung Dis 2020;24(6):640–642. DOI: 10.5588/ijtld.20.0233.
  25. Malecki KMC, Keating JA, Safdar N. Crisis communication and public perception of COVID-19 risk in the era of social media. Clin Infect Dis 2021;72(4):697–702. DOI: 10.1093/cid/ciaa758.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.