• Tuberculosis and Respiratory Diseases
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• 제86권3호
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• pp.216-225
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• 2023

Background: Tuberculosis (TB)-related stigma has been well-documented. Since the emergence of the coronavirus disease 2019 (COVID-19), different organizations have been alerted to the fact that stigma could arise again. Due to stigma's negative effects, this qualitative study aimed to explore the stigma felt by patients by evaluating the following: COVID-19 stigma and its temporal progression through the pandemic; stigma perceived by different patients with TB before and during COVID-19 pandemic; and difference perceived by individuals who contracted both diseases. Methods: A semi-structured interview was developed according to the available literature on the theme. It was performed individually in 2022 upon receiving signed informed consent. Participants were recruited with a purposive sampling approach by searching medical records. Those who currently or previously had pulmonary TB and/or COVID-19 were included. Data were subjected to thematic analysis. Results: Nine patients were interviewed, including six (66.7%) females. The median age of patients was 51±14.7 years. Four participants (44.4%) had completed high school and four (44.4%) were never smokers. Three had both TB and COVID-19. Four only had TB and two only had COVID-19. Interviews identified eight main themes: knowledge and beliefs, with several misconceptions identified; attitudes towards the disease, varying from social support to exclusion; knowledge and education, assumed as of extreme importance; internalized stigma, with self-rejection; experienced stigma, with discrimination episodes; anticipated stigma, modifying actions for avoiding stigma; perceived stigma, with judgment by others prevailed; and temporal evolution of stigma. Conclusion: Individuals expressed strong stigma for both diseases. De-stigmatization of respiratory infectious diseases is crucial for limiting stigma's negative impact.

• 비만대사연구학술지
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• 제2권1호
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• pp.1-5
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• 2023

The importance of weight discrimination for people with obesity has been highlighted by research which has found that more than 40% of those living with obesity have experienced weight discrimination. Evidence suggests that weight bias among obese individuals puts their health at risk more than health issues caused by obesity itself. Although bias, stigma, and discrimination towards individuals living with obesity are factors that make it difficult for them to lose weight, weight bias and stigma among healthcare professionals are common, causing individuals living with obesity to avoid treatment and potentially exacerbating obesity-related health issues. The concept that one's own efforts matter contributes to stigma, discrimination, and bias. This issue will be more frequent among primary care providers treating individuals living with obesity; thus, it is important to acknowledge the issues of bias, stigma, and discrimination towards individuals living with obesity and to seek out solutions. In this review, I will discuss the concept of weight bias, stigma, and discrimination, the problems they cause, and seek solutions to weight prejudice, stigma, and discrimination.

• Child Health Nursing Research
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• 제30권2호
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• pp.154-163
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• 2024

Purpose: This study is descriptive research aiming to identify factors influencing the stigma experienced by college students with coronavirus disease 2019 (COVID-19), focusing on COVID-19 pandemic stress, depression, and fear of negative evaluation as the main variables. Methods: An online survey was administered to 175 college students who had been diagnosed with COVID-19 from January to May 2022 and were enrolled in universities in Seoul, Cheongju, and Daegu, South Korea. The survey collected data on pandemic stress, depression, fear of negative evaluation, and stigma. The data were analyzed using the t-test, ANOVA, the Scheffe test, Pearson's correlation coefficients, and stepwise multiple regression in SPSS/WIN 26.0. Results: We analyzed differences in stigma scores based on general characteristics of the college students and found significant differences in stigma scores by age, major satisfaction, interpersonal satisfaction, date of COVID-19 confirmation, treatment modality, and recent subjective health condition. Factors influencing stigmatization were identified as COVID-19 pandemic stress, depression, date of COVID-19 confirmation, treatment modality, recent subjective health condition, and major satisfaction, with an overall explanatory power of 37.6%. Conclusion: This study is significant as it identifies emotional changes across various aspects of pandemic stress, depression, fear of negative evaluation, and stigma among college students who have been diagnosed with COVID-19. The findings of this study suggest the development of programs to reduce psychological distress and enhance mental health management skills among these students.

• 대한간호학회지
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• 제52권6호
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• pp.582-597
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• 2022

Purpose: This study aimed to translate the Infertility Stigma Scale (ISS) into Korean and to evaluate its reliability and validity in the Korean context. Methods: Data were collected from 350 women who underwent in vitro fertilization (IVF). Data were analyzed using SPSS WIN 25.0 and AMOS 22.0. Content validity was analyzed using the item-level content validity index (I-CVI) and scale-level content validity index/averaging (S-CVI/Ave). The preliminary survey was conducted on 20 women who had experienced IVF at least once to check the level of understanding of the tool and the time required to fill out the questionnaire. Exploratory and confirmatory factor analyses were used to test construct validity. Additionally, hypothesis-testing construct validity were tested. Cronbach's α was used to assess the reliability. Results: The Korean-ISS (K-ISS) consists of 25 items, excluding two items from the original ISS questionnaire. Exploratory factor analysis identified four factors, which explained 75.6% of the total variance. The four distinct factors were infertility stigma with self-devaluation (56.8%), public stigma (8.1%), social withdrawal (6.5%), and family stigma (4.2%). In the confirmatory factor analysis, the 25 items in the four-factor structure were validated (χ² /df ≤ 3, RMSEA ≤ 10). The hypothesis-testing construct validity of K-ISS against FPI (r = .58~.71, p < .001) and FQI (r = - .49~- .65, p < .001) was tested and found to be significant. The internal consistency reliability of the K-ISS, assessed using Cronbach's α, was .97. Conclusion: The K-ISS has satisfactory construct validity and reliability; therefore, it can help minimize the negative impact of stigma by measuring the stigma associated with women experiencing infertility.

• 종양간호연구
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• 제11권3호
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• pp.237-246
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• 2011

Purpose: The aim of this study was to investigate the relationships between stigma, distress, and quality of life (QOL) in patients with lung cancer. Methods: The subjects of the study were 123 lung cancer patients who visited the outpatient department of S hospital in Seoul from July 21st to August 29th, 2011. To measure stigma, distress, and QOL, Cataldo Lung Cancer Stigma Scale, Hospital Anxiety and Depression Scale (HADS), and EORTC QLQ-C30 (Quality of Life Questionnaire, Core 30) were used in this study. The collected data were analyzed using frequency, average, t-test, ANOVA, and Pearson correlation with SPSS WIN 19.0. Results: Stigma showed positive correlations with anxiety, depression, and symptom (r=.37, p<.001; r=.44, p<.001; r=.23 p=.012), while it showed negative correlations with global QOL and function (r=-.26, p=.003; r=-.40, p<.001). Anxiety and depression also positively correlated with symptoms (r=.43, p<.001; r=.58, p<.001) while anxiety and depression negatively correlated with global QOL (r=-.40, p<.001; r=-.56, p<.001) and function (r=-.64, p<.001; r=-.66, p<.001). Conclusion: The findings of the study demonstrated that lung cancer patients experienced stigma and distress that had a negative influence on the subjects' QOL. Thus the study's findings can be useful in developing psychosocial nursing strategies to improve QOL of lung cancer patients in the future.

• 한국가족복지학
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• 제53호
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• pp.79-115
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• 2016

본 연구는 남한 사회에서 탈북여성들이 경험하는 차별과 낙인을 역사적 배경과 연관된 '종족화된 낙인(ethnicized stigma)'의 관점에서 살펴보고 북한이탈주민의 남한사회 적응을 위한 사회복지실천 방안을 모색하는데 목적이 있다. 이를 위해 탈북여성 8명, 전문가 4명(2명은 탈북여성)을 심층 면접하였다. 연구결과, 참여자들은 언어와 의사표현 등 소통의 어려움과 내국인으로의 불인정을 경험하였으며, 이로 인해 종족 정체성(ethnic identity)의 혼란을 겪는 것으로 나타났다. 주요 원인으로 북한이탈주민에 대한 선(先)경험과 잘못된 정보의 일반화, 오랜 분단의 역사와 공간적 거리감에서 초래된 종족성(ethnicity)의 부인 등이 작용하는 것으로 나타났다. 탈북여성들은 부정적 인식과 차별로 인한 부정적 정서와 외로움을 해소하고 적응하기 위해 그들만의 공동체를 구축하였으며, 이것은 정서적 도구적 지지 기능을 하는 것으로 나타났다. 그러나 공동체 내 구성원간의 갈등, 후원금과 자원배분의 문제, 공동체 경험의 부재, 북한체제에서 겪은 불신과 호상비판의 일상, 신변노출의 문제, 자유와 인권에 대한 몰이해 등으로 갈등과 해체의 위기를 경험하였다. 결론에서는 이와 같은 연구결과를 바탕으로 북한이탈주민의 공동체를 지속적으로 유지하면서 남북한 교류를 위한 모임과 프로그램을 확대할 필요성을 제언하였다.

• 사회복지연구
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• 제44권2호
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• pp.231-264
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• 2013

이 연구의 목적은 영구임대주택지역에서 사회서비스를 이용하는 지역주민들이 스티그마를 어느 정도 경험하고, 그것을 어떻게 인식하는가를 밝히고자 하는데 있다. 자료의 수집기간은 2012년 5월부터 2013년 2월까지 10개월간 이루어졌다. 사회복지관에서 서비스를 이용하고 있거나 이용한 경험이 있는 이용자 13명과 기관 실무자 12명을 인터뷰하였고, 이를 수정근거이론을 활용하여 분석하였다. 분석결과로 첫째, 영구임대주택지역에 거주하는 상당수는 빈곤화를 경험하면서 스티그마를 경험함은 물론 공적부조서비스 이용과정에서도 스티그마를 경험하는 것으로 나타났다. 둘째, 수급자가 된 이후 영구임대지역에 위치한 사회복지관서비스를 이용하는 과정에서도 이용자들은 스티그마를 경험하는 것으로 밝혀졌다. 셋째, 주거복지서비스 이용과정에서도 스티그마를 경험하는 것으로 나타났다. 즉 일반주택지역과 인접한 지역에 위치한 영구임대주택지역과 관련하여, 지역 내의 거주자와 지역 외의 거주자들은 영구임대주택지역 주민들에게 스티그마를 부여하고 있는 것으로 나타났다. 이 연구의 의의는 영구임대주택지역 사회복지관서비스를 이용하는 이용자들이 경험하는 스티그마의 실재를 질적연구를 통해 심층적으로 밝히고 있다는 점에 있다.

• 한국콘텐츠학회논문지
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• 제16권3호
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• pp.563-574
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• 2016

본 연구의 목적은 정신요양시설 입소 정신장애인의 정신건강자신감 영향요인을 살펴보고 영향요인 및 메카니즘이 입소기간에 따라서 차이가 있는지를 탐색적으로 고찰하는 것이다. 분석대상은 정신요양시설 실태조사에 참여한 정신요양시설 입소 정신장애인 1,742명으로 구조방정식을 이용하여 분석하였다. 입소기간에 따른 차이를 탐색하기 위해 평균입소기간이 10년 미만 입소 정신장애인(n=962)와 10년 이상 입소 정신장애인(n=780)간 다중집단분석을 실시하였다. 주요 결과는 다음과 같다. (1) 학력, 유병기간, 정신과적 증상, 및 인지된 스티그마는 직 간접적으로 정신건강자신감에 영향이 있는 것으로 나타났다. (2) 영향력의 효과분해 결과 유일하게 유병기간만 인지된 스티그마를 통한 유의한 간접효과를 나타내었다. (3) 다중집단분석 결과는 입소기간에 따른 영향요인 및 메카니즘에 차이가 있는 것으로 나타났다. 이러한 결과를 바탕으로 연구의 의의 및 한계를 논의하였다.

• 대한가정학회지
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• 제40권3호
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• pp.99-113
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• 2002

The purpose of this study is to explore family life issues of institutionalized single-mother families in Seoul. Using in-depth interviews and self-administered questionnaires, this study is focused on the needs assessments of social workers and institutionalized single-mothers. Subjects were 4 social workers and 31 institutionalized single-mothers. The results of study showed that institutionalized single-mother families experienced economic, child rearing, emotional problems, negative stigma and the loss of social networks. Future research, theoretical and practical implications are added.

• 복식문화연구
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• 제24권6호
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• pp.886-902
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• 2016

This study investigated multidimensional body image, self-esteem, clothing benefits sought, and Body Image After Breast Cancer (BIABC) within surgical subgroups among breast cancer survivors. The study applied the questionnaire survey method and the main research was conducted through an online survey. The respondents included 207 breast cancer survivors between the ages of 30 and 59, each of whom received the Multidimensional Body-Self Relations Questionnaire (MBSRQ). Self-esteem, clothing benefits sought, examination, and demographic variables were measured using a 5-point Likert scale. The main results of this study are outlined below. For clothing benefit sought, six factors were formulated-pursuit of self-expression/social approval, function/health, compensation, femininity, fashion, and camouflage-and BIABC was defined by the four factors of body stigma/vulnerability, transparency, limitation and cancer concern. While MBSRQ and self-esteem did not show a statistically significant difference between groups differentiated by the surgical methods experienced, those who underwent mastectomies scored slightly lower than members of the other groups. Moreover, the reconstruction after mastectomy group showed the highest mean on self-expression/social approval, compensation, femininity and entire clothing benefits sought, followed by the lumpectomy group and mastectomy group. The lumpectomy group was found to have more positive BIABC than the mastectomy group. In particular, the mastectomy group showed a lower body stigma/vulnerability mean than the other groups. This study is meaningful in that it improves our understanding of the body image of breast cancer survivors and provides basic knowledge for developing products and marketing strategies for breast cancer survivors as consumers.