Department of Community, Environmental, and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
PLoS One. 2020 Dec 18;15(12):e0244172. doi: 10.1371/journal.pone.0244172. eCollection 2020.
To explore coronavirus disease 2019 (COVID-19)-related stigma and its associated factors among Egyptian physicians.
A cross-sectional study using an anonymous online questionnaire was conducted from 7 to 21 June 2020. The survey was distributed via social media and email to physicians working in Egypt through convenience sampling.
509 physicians participated in the study (mean age: 41.5±10.2). 138 (27.1%) participants were directly involved in the care of COVID-19 patients. 159 (31.2%) participants reported severe level of COVID-19-related stigma. Participants' mean overall COVID-19-related stigma score was 40.6±8.0. The mean subscale scores were: personalized stigma 26.0±5.7, disclosure concerns 9.3±2.2, negative self-image 6.9±1.6, and concern with public attitudes 24.4±4.9. In the multivariable regression analyses, the overall COVID-19-related stigma score was higher in participants with lower qualifications (β = -0.19, 95% CI: 2.32, -0.64, p = 0.001), and in those working in a quarantine hospital (β = 0.08, 95% CI: 0.01, 7.14, p = 0.050).
A considerable proportion of Egyptian physicians in this exploratory study experienced COVID-19-related stigmatization. These preliminary findings highlight the need for specific research and targeted interventions particularly addressing COVID-19-related stigmatization among healthcare workers.
探讨埃及医生中与 2019 年冠状病毒病(COVID-19)相关的耻辱感及其相关因素。
本研究采用横断面研究设计,于 2020 年 6 月 7 日至 21 日期间通过在线匿名问卷进行。通过方便抽样,通过社交媒体和电子邮件向在埃及工作的医生分发了该调查。
509 名医生参与了本研究(平均年龄:41.5±10.2)。138 名(27.1%)参与者直接参与 COVID-19 患者的护理。159 名(31.2%)参与者报告了严重程度的 COVID-19 相关耻辱感。参与者的 COVID-19 相关耻辱感总评分平均为 40.6±8.0。平均各分量表得分为:个人耻辱感 26.0±5.7,披露顾虑 9.3±2.2,负面自我形象 6.9±1.6,和对公众态度的关注 24.4±4.9。在多变量回归分析中,具有较低学历的参与者的 COVID-19 相关耻辱感总评分较高(β=-0.19,95%置信区间:2.32,-0.64,p=0.001),在隔离医院工作的参与者得分也较高(β=0.08,95%置信区间:0.01,7.14,p=0.050)。
在这项探索性研究中,相当一部分埃及医生经历了 COVID-19 相关的耻辱感。这些初步发现强调了需要针对医护人员开展特定的研究和有针对性的干预措施,以解决 COVID-19 相关的耻辱化问题。