Jain Shruti, Das Akshaya Kumar, Talwar Vandana, Kishore Jugal, Ganapathy Usha
Department of Anaesthesia and Critical Care, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India.
Department of Anaesthesia and Critical Care, AIIMS, Jodhpur, Rajasthan, India.
Indian J Crit Care Med. 2021 Nov;25(11):1241-1246. doi: 10.5005/jp-journals-10071-24008.
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.
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. -value <0.05 was taken as significant.
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.
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.
Frontline HCWs of Department Anaesthesia and Critical Care experienced significant stigma related to COVID-19.
Jain S, Das AK, Talwar V, Kishore J, Heena, 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.
社会污名与2019冠状病毒病（COVID-19）相关，尤其是针对已感染该疾病或接触过该疾病的人群。关于印度COVID-19医院中针对医护人员（HCWs）的社会污名流行情况的研究较少。本研究的目的是衡量一家COVID-19医院麻醉与重症监护科一线医护人员所面临的社会污名，并评估社会人口学特征与社会污名之间的关系。
2020年10月10日至2020年10月30日，在麻醉与重症监护科进行了一项横断面研究，采用问卷调查（社会人口学特征以及改良的伯杰HIV污名量表）。该调查通过谷歌表单以及双语纸质表单分发给一线医护人员。针对不同的社会人口学参数测量了污名总量表及其子量表，并进行比较。数据以均值±标准差表示。P值<0.05被视为具有统计学意义。
在参与研究的120名一线医护人员中，68名（56.6%）报告称COVID-19相关污名程度严重。COVID-19相关污名的平均得分为41 + 7.69。污名量表子量表的平均得分，即个人污名、披露担忧、负面自我形象和对公众态度的担忧，分别为15.60 + 4.01、6.68 + 3.21、5.46 + 3.22和13.25 + 2.44。在单因素分析中，总体COVID-19相关污名得分与年龄>30岁、男性、较低职位（技术员和护理勤杂工）、教育程度较低以及已婚医护人员相关。在逻辑回归模型中，只有男性性别与COVID-19污名的严重程度显著相关。
本研究得出结论，在COVID-19大流行期间，麻醉与重症监护科超过一半的一线医护人员经历了严重的社会污名，其中对公众态度子量表的污名程度最高。污名的严重程度与医护人员的年龄、性别、职位、教育程度和婚姻状况有关。
麻醉与重症监护科的一线医护人员经历了与COVID-19相关的显著污名。
Jain S, Das AK, Talwar V, Kishore J, Heena, Ganapathy U. 德里一家三级医疗机构麻醉与重症监护科一线医护人员所经历的COVID-19社会污名。《印度重症监护医学杂志》2021；25(11):1241 - 1246。
