Differential judgements about disfigurement: the role of location, age and gender in decisions made by observers

Gardiner, Matthew D.; Topps, Ashley; Richardson, George H.; Sacker, Amanda; Clarke, Alex; Butler, Peter E. M.

doi:10.1016/j.bjps.2008.07.043

Cited by 25 publications

(19 citation statements)

References 7 publications

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“…While the positive impact of improved appearance in older patients may reflect better scarring observed in aging skin [22], this finding also challenges widely held beliefs that appearance is predominantly a concern of the young [23].…”

Section: Discussioncontrasting

confidence: 42%

Psychological outcomes following surgical excision of facial skin cancers

et al. 2012

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Section: Discussioncontrasting

confidence: 42%

Psychological outcomes following surgical excision of facial skin cancers

et al. 2012

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“…As the sand flies bite most often in the face or other exposed parts of the body, these disfiguring scars can lead to substantial psychological and social suffering, and economic losses [6]. Lesions affecting the central area of the face have a higher impact compared with others [7]. …”

Section: Introductionmentioning

confidence: 99%

Psychosocial impact of scars due to cutaneous leishmaniasis on high school students in Errachidia province, Morocco

et al. 2017

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BackgroundIn Morocco, cutaneous leishmaniasis (CL) is usually known to be a slowly healing localized skin disease, but in some cases, it can lead to mutilating scars. The outbreak of CL due to Leishmania major in the Errachidia province in southeastern Morocco between 2008 and 2010 left many adolescents with permanent scar tissue on the face or other exposed body parts. We studied the psychosocial impact of CL on these young people.MethodsIn 2015 we conducted a cross-sectional survey among high-school students living in boarding schools in two CL-endemic areas of Errachidia: Rissani and Tinejdad. A self-administered questionnaire elicited responses about general knowledge of CL and related scars. An open-ended question focused on the possible psychosocial effects associated with these scars. The quantitative data were analyzed with Epi Info™ and the text data with NVivo software.ResultsAlmost 20% of 448 respondents reported they had experienced a CL lesion and 87% said it could possibly or definitely lead to psychological consequences. The text analysis showed that girls more often than boys expanded on the negative psychological effects of CL. The students considered CL as “dangerous”, “serious”, and “deathly”, and said it sometimes led to extreme suicidal ideations.ConclusionsThe burden of CL in this age group is not negligible. The indelible CL scars lead to self-stigma and social stigma, and the emergence of negative psychological effects in this age group. While some students accepted their CL scars and related suffering as their “destiny”, others were eagerly demanding protective measures against CL and treatment for the scars.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-017-0267-5) contains supplementary material, which is available to authorized users.

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“…At home, at school, or on the streets, people regard the face as the region of the body that best characterizes one's identity and therefore give considerable aesthetic and emotional value to it. Trauma in this region can result in serious complications from the biological, and especially from the emotional and psychological point of view …”

Section: Discussionmentioning

confidence: 99%

Social determinants of health and maxillofacial injuries in children and adolescents victims of violence: A novel GIS‐based modelling application

Bernardino

Nóbrega

Silva

et al. 2019

Int J Paed Dentistry

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Background Physical violence against children and adolescents comprises a serious public health problem and often results in oral and maxillofacial traumas. Social determinants may favour the occurrence of these events, but few studies have critically evaluated the interaction between social and geographical risk factors. Aims To investigate the spatiotemporal distribution of oral and maxillofacial traumas resulting from violence against children and adolescents through geostatistical techniques. Methods This study was an ecological analysis of cases of trauma caused by violence against Brazilian children and adolescents using aggregated data from victims attended at a Center of Forensic Medicine and Forensic Dentistry between January 2012 and December 2015. Data were analysed through modelling based on geographic information system (GIS). Results Two distinct patterns of longitudinal trajectory of oral and maxillofacial trauma related to violence against children and adolescents were identified (TP1 and TP2, P < 0.05). The spatial regression analysis revealed a statistically significant association between higher incidence of cases and areas with worse socioeconomic conditions (β = 0.047, SE = 0.020, P < 0.05). Conclusion Neighbourhoods with considerable socio‐spatial vulnerability for violence against children and adolescents and maxillofacial traumas were identified.

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Differential judgements about disfigurement: the role of location, age and gender in decisions made by observers

Cited by 25 publications

References 7 publications

Psychological outcomes following surgical excision of facial skin cancers

Psychological outcomes following surgical excision of facial skin cancers

Psychosocial impact of scars due to cutaneous leishmaniasis on high school students in Errachidia province, Morocco

Social determinants of health and maxillofacial injuries in children and adolescents victims of violence: A novel GIS‐based modelling application

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