• 대한간호학회지
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• 제42권2호
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• pp.217-225
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• 2012

Purpose: This study was conducted to examine the factors associated with HPV (Human Papillomavirus) related stigma, shame and intent to have HPV test among adult women. Methods: Data were collected from December 1, 2009 to January 31, 2010, and participants were 324 women who visited an obstetric gynecologic clinic. They anticipated testing positive for HPV. Then HPV related stigma, shame, intent to have HPV testing and HPV knowledge were measured. Descriptive statistics, Mann-Whitney U test, Kruskal Wallis test and multivariate adjusted logistic regression were used for data analysis. Results: The levels of stigma and shame were higher than average. Intent to have HPV test was high and HPV knowledge was low. Women who answered that HPV is not sexually transmitted had lower HPV stigma than did women who answered they didn't know (OR=0.20, 95%CI 0.06-0.68). Women with lower stigma showed lower intent to have HPV test than women with higher stigma (OR=0.46, 95%CI 0.26-0.82). Conclusion: Basic HPV information should be fully understood for women especially prior to HPV test. Normalizing HPV stigma is necessary for women who perceive HPV as sexually transmitted and women intending to have HPV test.

• 대한간호학회지
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• 제46권3호
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• pp.349-363
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• 2016

Purpose: This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. Methods: The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group =32, control group =32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using ${\chi}^2-test$, t-test, repeated measures ANOVA with the SPSS program. Results: Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Conclusion: Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

• 지역사회간호학회지
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• 제32권1호
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• pp.86-94
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• 2021

Purpose: This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants' education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

• 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.

• 지역사회간호학회지
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• 제33권4호
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• pp.446-455
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• 2022

Purpose: This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes. Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression. Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%. Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.29-38
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• 2017

자살 위험성이 있는 사람이 주변지지 체계에 도움요청을 하는 행위는 자살예방에 있어서 매우 중요한 요소이다. 본 연구에서는 한국 군 병사를 대상으로 자살생각에 대한 도움요청의도에 영향을 미치는 요인과 그 기제를 파악하는 목적으로 수행되었다. 이를 위하여 총 471명의 한국 군 병사가 이 연구에 참여하였으며, 이들을 대상으로 사회적 낙인과 자기 낙인이 자살생각과 도움요청의도의 관계를 매개하는지를 살펴보았다. 연구 결과, 사회적 낙인과 자기 낙인은 자살생각과 도움요청의도를 부분 매개 하는 것으로 나타나, 자살생각은 낙인을 통해 간접적으로 도움요청의도에 영향을 미칠 뿐 아니라 직접적으로도 영향을 주는 것으로 나타났다. 또한 사회적 낙인은 자기 낙인을 강화시킬 뿐 아니라 직접적으로 도움요청 의도를 약화시키는 것으로 나타났다. 이러한 결과는 한국 군 병사의 자살에 대한 도움요청 행동을 증가시키기 위해서는 사회적 낙인과 자기 낙인 모두를 감소시키는 자살예방개입이 필요하다는 것을 시사한다.

• 한국콘텐츠학회논문지
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• 제15권9호
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• pp.285-294
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• 2015

본 연구는 결핵환자의 스티그마, 가족지지 및 삶의 질과 이들의 상관관계를 파악하기 위한 서술적 조사연구이다. 연구 대상자는 일개 대학교 병원에서 결핵치료를 받는 환자 122명으로 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 기술통계, t-test, ANOVA, 및 Pearson's correlation으로 분석하였고, 연구결과는 다음과 같다. 스티그마 I(결핵에 대한 타인 관점에 대한 지각)은 $18.67{\pm}7.48$ 이었고, 스티그마 II(자신의 관점에 대한 지각)는 $14.84{\pm}6.93$ 이었다. 가족지지는 평균 $30.81{\pm}4.16$ 이었고, 삶의 질은 평균 $102.22{\pm}13.72$ 이었다. 스티그마 I과 스티그마 II 사이에는 높은 정적 상관성(r = .753, p <.001)을, 스티그마II와 삶의 질은 경도의 부적 상관성(r = -.250, p = .005)을, 가족지지와 삶의 질은 중정도의 정적 상관성(r = .314, p < .001)을 나타내었다. 본 연구결과가 보여준 가족지지와 삶의 질의 정적 상관관계를 기반으로, 결핵환자의 스티그마를 줄이고 삶의 질을 증진시키는 중재프로그램을 개발하고 그 효과를 평가하는 연구를 제언한다.

• Journal of the Korean Data and Information Science Society
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• 제28권6호
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• pp.1371-1382
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• 2017

본 연구는 폐암환자의 스티그마와 삶의 질의 관계에서 극복력의 매개효과를 확인하기 위한 서술적 조사연구이다. 연구 대상자는 K도 소재의 종합병원에서 폐암으로 진단받고 외래를 방문한 환자 중 연구참여에 동의한 환자 119명을 대상으로 설문지를 이용하여 측정하였다. 수집된 자료는 t-test, ANOVA, Scheffe test, Pearson correlation, 3만계 매개회귀분석 및 Sobel test로 분석하였다. 연구결과 폐암환자의 스티그마는 극복력 및 삶의 질과는 음의 상관관계를 보였고 극복력은 삶의 질과 양의 상관관계를 나타냈다. 폐암환자의 스티그마는 극복력의 유의한 영향요인이며 설명력은 15.0%이었고 스티그마와 극복력은 삶의 질의 유의한 영향요인이며 설명력은 41.0%이었다. 극복력은 스티그마와 삶의 질의 관계에서 부분매개효과가 있는 것으로 나타났다. 따라서 폐암환자의 삶의 질 향상을 위해 스티그마를 감소시키고 극복력을 강화시킬 수 있는 간호중재 개발이 요구된다.

• 생약학회지
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• 제42권2호
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• pp.201-208
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• 2011

Obesity occur from the imbalance between energy intake and energy expenditure. Obesity is a complex chronic disease that is suggested to cause other metabolic disorders such as type 2 diabetes, hyperlipidemia, hypertension, and arteriosclerosis. In this study, our purpose is to investigate the anti-hyperglycemic and anti-obesitic effects of Maydis stigma water extract in 3T3-L1 adipocytes and db/db mice. Maydis stigma water extract at dose of 100 and 500 ${\mu}g/ml$ slowly inhibited cell viability as compared to that of control in mature adipocytes. Also, the additions of 50 and 250 ${\mu}g/ml$ of Maydis stigma water extract significantly inhibited the lipid accumulations and CCAAT/enhancer-binding protein(C/EBP) ${\alpha}$ and peroxisome proliferator-activated receptor(PPAR) ${\gamma}$ expressions with dose-dependent manner in 3T3-L1 adipocytes. Maydis stigma water extract at 250, 500, and 1000 ${\mu}g/ml$ only showed the increasing pattern on lipolysis activity. The oral treatment of Maydis stigma water extract (100 or 400 mg/kg body weight) in db/db mice only showed tendency to decrease body weight, food efficiency ratio (FER), HbA1c, blood glucose, total cholesterol, triglyceride, and the adipocyte size of in db/db mice. However, Maydis stigma water extract increased the insulin level in a dose dependent manner. Thus these results indicate that Maydis stigma water extracxt inhibits adipogenesis through regulation of C/EBP${\alpha}$ and PPAR${\gamma}$ expressions in 3T3-L1 adipocytes and shows anti-hyperglycemic effect through increase of insulin secretion in db/db mice.

• 지역사회간호학회지
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• 제32권3호
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• pp.312-324
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• 2021

Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.