Evidence map›Paper›PMID 37920698›Full record

ArticleAgeing and society2023

Experiences of stigma and discrimination among people living with dementia and family carers in Brazil: Qualitative study.

Déborah Oliveira, Fabiana da Mata, Elaine Mateus, Christine W Musyimi, Nicolas Farina, Cleusa P Ferri, Sara Evans-Lacko

Abstract read
In one paragraph

Article in Ageing and society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. iSupport for Young Carers: An Adaptation of an e-Health Intervention for Young Dementia Carers.International journal of environmental research and public health · 2022
    Article
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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

7 authors.

Déborah OliveiraUniversidade Federal de Sao Paulo (UNIFESP), Escola Paulista de Medicina, Department of Psychiatry, Sao Paulo, Brazil.
Fabiana da MataUniversidade Federal de Sao Paulo (UNIFESP), Escola Paulista de Medicina, Department of Psychiatry, Sao Paulo, Brazil.
Elaine MateusFederação Brasileira das Associações de Alzheimer (FEBRAZ), Parana, Brazil.
Christine W MusyimiAfrica Mental Health Research and Training Foundation, Research Department, Kenya.
Nicolas FarinaCentre for Dementia Studies, Brighton and Sussex Medical School, Brighton, United Kingdom.
Cleusa P FerriUniversidade Federal de Sao Paulo (UNIFESP), Escola Paulista de Medicina, Department of Psychiatry, Sao Paulo, Brazil.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics, London, United Kingdom.

Funding

Subjective Well-Being Over The Life CourseR01AG040640 · NIA · LONDON SCHOOL/ECONOMICS/POLITICAL SCI · PI KNAPP, MARTIN, LAYARD, RICHARD · 2011 to 2015
$1.1M
NIA NIH HHS R01 AG040640
6 · The paper itself

Abstract

This study aimed to understand stigma in relation to people living with dementia in Sao Paulo, Brazil. Critical Narrative Inquiry methodology was used. Semi-structured interviews were conducted between January and March 2020 with six people living with dementia and 15 family carers. Inductive and deductive techniques were used. The latter was informed by Link and Phelan's (2001) sociological theory of stigma. Dementia was commonly viewed by people living with dementia as part of ageing and carers reported low levels awareness about the condition. To avoid negative reactions from people, people living with dementia managed the negative views of dementia by minimising and normalising the condition, by expressing their ability to live an active life, and by emphasising the positive impacts of dementia in their lives. Fear of negative reactions appeared to lead to a selective disclosure of their diagnosis. Among carers, stigmatising attitudes coincided with a strong willingness to provide good care, to protect the person cared for, as well as to understand and validate their caring experiences, rather than to cause harm. In doing so, however, carers ended up depersonalising and infantilising people living with dementia, underestimating their capacities, demanding 'obedience', and restricting their freedom. There is a need to increase awareness about dementia and to provide support and training on person-centred care for carers in Brazil.

Indexed as

Alzheimer’s diseasecaregiverscourtesy stigmadementiadiscriminationqualitative researchstereotypingstigma

Identifiers

PMID37920698
PMCPMC10621398

What OpenQuestion holds

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LicenceTDM
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.