Evidence map›Paper›PMID 34517288›Full record

ArticlePublic health2021

'Why are you not dead yet?' - dimensions and the main driving forces of stigma and discrimination among COVID-19 patients in Sri Lanka.

S Jayakody, S A Hewage, N D Wickramasinghe, R A P Piyumanthi, A Wijewickrama, N S Gunewardena, S Prathapan, C Arambepola

Open access · greenAbstract read
In one paragraph

Article in Public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Infodemic: Challenges and solutions in topic discovery and data process.Archives of public health = Archives belges de sante publique · 2023
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  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

S JayakodyDepartment of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka. Electronic address: surangijayakody@sjp.ac.lk.
S A HewageNational Programme for Tuberculosis Control and Chest Diseases, Ministry of Health and Indigenous Medical Services, Sri Lanka.
N D WickramasingheDepartment of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Sri Lanka.
R A P PiyumanthiDepartment of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.
A WijewickramaNational Institute of Infectious Diseases, Angoda, Sri Lanka.
N S GunewardenaWorld Health Organization Country Office, Sri Lanka.
S PrathapanDepartment of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.
C ArambepolaDepartment of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.
University of Sri Jayewardenepura · LKMinistry of Health, Nutrition and Indigenous Medicine · LKRajarata University of Sri Lanka · LKUniversity of Colombo · LK

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTo explore the experiences, and main driving forces of stigma and discrimination among COVID-19 patients, following hospital discharge, in Sri Lanka. STUDY

designA qualitative study was used in order to gain insight and explore the depth and complexity of COVID-19 patients' experiences.

methodsSemi-structured interviews were conducted via telephone in a purposively selected sample of 139 COVID-19 patients. Participants were interviewed during the first 3 weeks following discharge from four main state hospitals that were treating COVID-19 patients during the early phase of the pandemic. Questions on stigma and discrimination were open-ended, enabling patients to provide responses about their different experiences and settings; results were analysed using thematic analysis.

resultsThe majority of participants were men (n = 80; 57.6%), with a mean age of 43 years (SD = 11.2). In total, up to one-third of the study participants experienced stigma related to COVID-19 and were discriminated against by the community, co-workers and healthcare workers in Sri Lanka. Social discrimination included barriers in accessing basic needs, insulting, blaming, defaming, spreading rumours and receiving no support during emergencies. Workplace discrimination included loss of jobs, not allowing re-entry and loss of earnings due to self-employment. Discrimination by healthcare workers included breaching of confidentiality, lack of respect, not providing health services and communication barriers. Discrimination has led to social isolation, not seeking help and severe psychosocial issues impacting their family relationships. Irresponsible media reporting and sensationalism of news coverage leading to breaching of privacy and confidentiality, defaming, false allegations and reporting household details without consent were perceived as the main factors underlying the views and opinions of the general public.

conclusionsStigma and discrimination experienced by COVID-19 patients in society, workplaces and healthcare facilities have serious negative consequences at the individual and family level. Regulations on responsible media reporting, including an effective risk communication strategy to counteract its effects, are strongly recommended.

Indexed as

COVID-19AdultFemaleHumansMaleQualitative ResearchSARS-CoV-2Social DiscriminationSocial StigmaSri LankaCOVID-19DiscriminationPsychosocialStigma

Identifiers

PMID34517288
PMCPMC8429037
OpenAlexW3178606358

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.