Resilience and adaptive strategies for managing stigma in Chinese people with chronic kidney disease.

Wei Xiong, Tianhui An

Abstract read

In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–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

1 citing paper in PubMed.

Anticipated stigma and perceived social support among maintenance hemodialysis patients in Syria: a multicentre cross-sectional study in a conflict-affected setting.BMC psychology · 2026
Article

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

2 authors.

Wei XiongSchool of Chinese Language and Literature, Central China Normal University, Wuhan, Hubei, China.

Tianhui AnDepartment of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. Tianhuian90@hust.edu.cn.

Funding

the National Natural Science Foundation of China 82101662

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a significant global public health issue, with a substantial population in China. Influenced by traditional Chinese medicine that links kidney health to sexual vitality, people with CKD in China face unique societal stigmatization. This study aimed to explore the stigmatization experiences of individuals with CKD in China and their corresponding coping strategies. Employing a focused ethnographic approach, this research utilized participant observation within three WeChat groups and conducted offline semi-structured interviews with 30 individuals. The analysis of interviews and field transcripts reveals that people with CKD in China adopt a dualistic coping strategy metaphorically described as "huddling for warmth": they externally conceal their condition to avoid social stigma while internally cultivating a strong communal identity through online and offline interactions. Despite the prevalent stigma, these individuals demonstrate remarkable resilience and agency through their proactive coping mechanisms. This study highlights the urgent need for the Chinese government, medical institutions, and the public to address this deep-rooted stigma and foster a more inclusive and supportive environment to enhance the well-being of people living with CKD.

Indexed as

Adaptation, PsychologicalRenal Insufficiency, ChronicResilience, PsychologicalSocial StigmaAdultAgedChinaFemaleHumansMaleMiddle AgedChinaChronic kidney diseaseCoping strategiesQualitative researchStigma

Identifiers

PMID40702230

DOI10.1038/s41598-025-12676-2

PMCPMC12287454

What OpenQuestion holds

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LicenceCC BY

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Registered trials

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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.