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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Epilepsy-associated stigma in Zambia: What factors predict greater felt stigma in a highly stigmatized population?
Epilepsy and Behavior, Volume 19, No. 3, Year 2010
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Description
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. © 2010 Elsevier Inc.
Authors & Co-Authors
Atadzhanov, Masharip
Zambia, Lusaka
University of Zambia
Haworth, Alan
Zambia, Lusaka
University of Zambia
Chomba, Elwyn Nachanya
Zambia, Lusaka
University of Zambia
Mbewe, Edward K.
Zambia, Lusaka
Chainama Hills College Hospital
Birbeck, Gretchen Lano
Zambia, Mazabuka
Chikankata Hospital
United States, East Lansing
Michigan State University
Statistics
Citations: 79
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1016/j.yebeh.2010.08.017
e-ISSN:
15255069
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Phenomenological Study
Study Locations
Zambia