Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood

Rusch, Melanie; Shoveller, Jean; Burgess, Susan; Stancer, Karen; Patrick, David M.; Tyndall, Mark W.

doi:10.1186/1472-6874-8-21

Cited by 18 publications

(10 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Other research has shown that socioeconomic characteristics, such as income level and insurance status, are correlated with some specific types of health-related discrimination and healthcare experiences, for instance, insurancebased discrimination and receipt of postpartum support and contraceptive services. [27][28][29][30] Additionally, specific health issues common among women of reproductive age, such as sexually transmitted diseases, 50 unwanted pregnancy, 51 and abortion, 52 are also known predictors of perceived discrimination in healthcare. 53 Collectively, these experiences disproportionately occur among socially disadvantaged groups of women.…”

Section: Discrimination Healthcare Use and Health Statusmentioning

confidence: 99%

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

Dehkordy

Hall

Dalton

et al. 2016

Journal of Women's Health

View full text Add to dashboard Cite

Background: Research has not adequately examined the potential negative effects of perceiving routine discrimination on general healthcare utilization or health status, especially among reproductive-aged women. We sought to evaluate the association between everyday discrimination, health service use, and perceived health among a national sample of women in the United States. Materials and Methods: Data were drawn from the Women's Healthcare Experiences and Preferences survey, a randomly selected, national probability sample of 1078 U.S. women aged 18-55 years. We examined associations between everyday discrimination (via a standardized scale) on frequency of health service utilization and perceived general health status using chi-square and multivariable logistic regression modeling. Results: Compared with women who reported healthcare visits every 3 years or less (reference group), each one-point increase in discrimination score was associated with higher odds of having healthcare visits annually or more often (odds ratio [OR] = 1.36, confidence interval [95% CI] = 1.01-1.83). Additionally, each one-point increase in discrimination score was significantly associated with lower odds of having excellent/very good perceived health (OR = 0.65; 95% CI = 0.54-0.80). Conclusion: Perceived discrimination was associated with increased exposure to the healthcare setting among this national sample of women. Perceived discrimination was also inversely associated with excellent/very good perceived health status.

show abstract

Section: Discrimination Healthcare Use and Health Statusmentioning

confidence: 99%

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

Dehkordy

Hall

Dalton

et al. 2016

Journal of Women's Health

View full text Add to dashboard Cite

show abstract

“…A number of factors, however, influence the likelihood that an individual will actually disclose to a healthcare professional in a particular situation. These include positive staff communication, feeling respected by healthcare professionals (La Rusch et al 2008) and feeling able to present safely and comfortably in a clinic situation without experiencing discrimination (La Rusch et al 2008). Individuals are therefore most likely to disclose their need for STI testing to healthcare workers whom they perceive to have a performance supporting orientation and who they believe will not discredit their identities.…”

Section: Self‐disclosure and Sti Testingmentioning

confidence: 99%

Disclosure of STI testing activities by young adults: the influence of emotions and social networks

Balfe

Brugha

2010

Sociology Health & Illness

View full text Add to dashboard Cite

Thirty young adults (between 18 and 29 years of age) who had sought STI testing were interviewed about their experiences of 'passing' during the STI testing process (keeping their testing practices a secret from other individuals), and also their experiences of disclosing to other individuals the fact that they had sought STI testing. Respondents kept their STI testing practices secret from others in order to preserve their identities as 'normal' individuals. They feared that their identities would become stigmatised if other people were to find out about their testing practices. Keeping their practices a secret was difficult and emotionally draining. Consequently, respondents usually chose to inform a few key individuals about their testing activities. These individuals provided respondents with emotional support and helped them to pass as normal. Healthcare professionals were a particular, valued group to whom respondents disclosed their need for STI testing. A number of respondents reported experiencing stigmatising reactions from healthcare professionals, however, which had deleterious consequences for these respondents' willingness to seek treatment for their STI. Findings are discussed in relation to Goffman's impression management framework (1959, 1963) and develop Goffman's work by highlighting the roles played by emotions and social networks in impression management activities.

show abstract

“…This finding contradicts some previous U.S. and U.K. research, which suggests that STI-related stigma is a more intense concern for young women (Fortenberry 2004;La Rusch et al 2008). A recent national survey of Irish attitudes toward sexuality, however, discovered that young Irish men were more likely to cite stigma as a barrier to STI testing than young women (44% vs. 38%) (McGee et al 2009).…”

Section: Accesssing the Clinicmentioning

confidence: 69%

What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing?

Balfe

Brugha

2011

Deviant Behavior

View full text Add to dashboard Cite

Thirty Irish young adults (between eighteen and twenty-nine years of age) were interviewed about their experiences of accessing and attending healthcare settings for STD (sexually transmitted disease) testing. Four principle themes emerged: the risk of stigma as a result of seeking STD testing; the need to engage in impression management activities while accessing information about STD testing; the importance of using healthcare settings that supported rather than undermined impression management attempts; and identity risks experienced while waiting in clinic reception areas. Findings are discussed in relation to previous research on this topic.

show abstract

Preliminary development of a scale to measure stigma relating to sexually transmitted infections among women in a high risk neighbourhood

Cited by 18 publications

References 22 publications

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

Disclosure of STI testing activities by young adults: the influence of emotions and social networks

What Concerns do Young Adults in Ireland Have about Attending Health Services for STD Testing?

Contact Info

Product

Resources

About