Evidence map›Paper›PMID 38487983›Full record

ArticleInternational health2024

Stigma associated with cutaneous leishmaniasis in rural Sri Lanka: development of a conceptual framework.

Hasara Nuwangi, Lisa Dikomitis, Kosala G Weerakoon, Chandani Liyanage, Thilini C Agampodi, Suneth B Agampodi

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Article in International health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

6 authors at 4 institutions in 3 countries.

Hasara NuwangiDepartment of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.ORCID 0000-0001-6368-3695
Lisa DikomitisCentre for Health Services Studies and Kent and Medway Medical School, University of Kent, Canterbury, UK.ORCID 0000-0002-5752-3270
Kosala G WeerakoonDepartment of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.ORCID 0000-0002-4814-6928
Chandani LiyanageDepartment of Sociology, Faculty of Arts, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0002-1959-123X
Thilini C AgampodiDepartment of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.ORCID 0000-0002-7977-6578
Suneth B AgampodiInternational Vaccine Institute, Seoul, South Korea.ORCID 0000-0001-7810-1774
Rajarata University of Sri Lanka · LKInternational Vaccine Institute · KRMedway School of Pharmacy · GBUniversity of Colombo · LK

Funding

National Institute for Health and Care Research NIHR200135
6 · The paper itself

Abstract

backgroundThere is limited knowledge about the stigma associated with cutaneous leishmaniasis (CL) in Sri Lanka. To ensure that leishmaniasis researchers focus on CL-associated stigma, we provide an evidence-based framework that can be used in future research.

methodsWe conducted a systematic review on CL-associated stigma using international evidence and carried out a multimethod qualitative study in the Anuradhapura district in Sri Lanka. Based on that, we identified manifestations of stigma, drivers and facilitators that we synthesised to develop a conceptual framework on CL-associated stigma.

resultsOur framework consists of drivers, facilitators and self-stigma experienced by people with CL. Stigma drivers included fear, misbeliefs and misconceptions about CL; the belief that wounds are disfiguring; the treatment burden and implied blame. Facilitators that reduced stigma included knowledge of the curability of CL and awareness that CL is not contagious. The nature of social interactions in rural communities enhanced stigma formation. We identified various enacted, felt and internalised stigma experiences of people with CL.

conclusionsWe developed a conceptual framework of the stigma associated with CL that can be used to develop targeted interventions to increase CL awareness, address stigma and improve the quality of life for CL patients.

Indexed as

Leishmaniasis, CutaneousRural PopulationSocial StigmaAdultFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedQualitative ResearchQuality of LifeSri Lankaleishmaniasisneglected tropical diseasesskin diseasesSri Lankastigma

Identifiers

PMID38487983
PMCPMC11375585
OpenAlexW4392851638

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.