Structural stigma and its impact on healthcare for consumers with borderline personality disorder: protocol for a scoping review

Klein, Pauline; Fairweather, A. Kate; Lawn, Sharon; Stallman, Helen M.; Cammell, Paul

doi:10.1186/s13643-021-01580-1

Cited by 11 publications

(10 citation statements)

References 39 publications

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“…The stigma against HIV impacts changing the life habits of PLWHA and reducing their health status. Several studies have revealed various cases of stigma affecting health practices [22], [23].…”

Section: Discussionmentioning

confidence: 99%

Religiosity, Social Stigma, and Public Acceptance to People Living with HIV/AIDS among Citizens in Bandung, Indonesia

Wilandika¹,

Yusof

Sari³

2022

Open Access Maced J Med Sci

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BACKGROUND: Social stigma in the form of knowledge aspects, attitudes, or prejudices, and discriminatory behavior is a serious issue that affects people living with human immunodeficiency virus (HIV) and the surrounding environment. AIM: The study aimed to determine the correlation between religiosity with social stigma and public acceptance of people living with HIV/AIDS. METHODS: This cross-sectional study applied a convenience sampling technique and involved 400 people. The subject is a citizen of the community domiciled in Bandung aged between 17 and 65 years. Instruments used included measurements of religiosity, social stigma, and public acceptance. All instruments used have been declared reliable. The data analysis used Spearman’s rank test and used frequency distribution or religiosity levels, social stigma, and public acceptance from the society. RESULTS: This study revealed that the mean overall religiosity score among the study population was 38.4 ± 5.3 (score range: 15–75). Most people’s social stigma against HIV/AIDS was high (58.7%), with a score of 80.1 ± 24.0. In addition, most of the community was less accepting of the presence of people with HIV/AIDS amid their environment (54.7%) with a score of 35.1 ± 10.2. The results showed a positively correlation between religiosity with social stigma (r = 0.325, 95% CI, p < 0.05) and religiosity with public acceptance (r = 0.506, 95% CI, p < 0.05) of people with HV/AIDS. CONCLUSIONS: Person’s level of religiosity determines a social stigma against people with HIV/AIDS, and then, this will determine acceptance of people with HIV/AIDS in the community. The data from this study can be used as basic information to develop strategies to reduce stigma by creating awareness and increasing community acceptance of people with HIV/AIDS.

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Section: Discussionmentioning

confidence: 99%

Religiosity, Social Stigma, and Public Acceptance to People Living with HIV/AIDS among Citizens in Bandung, Indonesia

Wilandika¹,

Yusof

Sari³

2022

Open Access Maced J Med Sci

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“…A diverse range of study designs including quantitative, qualitative, mixed methods and systematic review, were included in the review. In accordance with integrative review methodology [ 39 ], this review sought to identify, synthesize, and summarize the current evidence-base on the impact of BPD-related educational interventions [ 40 ] on attitudes and practices to working with people with BPD among health practitioners from diverse disciplines, across various healthcare settings. Russell’s [ 41 ] five-stage integrative review process (problem formulation, literature search, data evaluation, data analysis, interpretation and presentation) guided the methodological rigor of this review.…”

Section: Methodsmentioning

confidence: 99%

“…The search included three categories of search key terms: (a) BPD; (b) Stigma; and, (c) Crisis care. The eligibility criteria (see Table 1 ) based on the Population-Concept-Context (PCC) framework [ 40 ] guided the study selection process during screening.…”

Section: Methodsmentioning

confidence: 99%

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The impact of educational interventions on modifying health practitioners’ attitudes and practice in treating people with borderline personality disorder: an integrative review

2022

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Background The rising prevalence of Borderline Personality Disorder (BPD) and suicidality represents substantial health burden worldwide. People with BPD experience high rates of crisis presentations and stigma when accessing health services. Educational interventions designed to modify health practitioners’ attitudes and practice in treating people with BPD may assist in addressing this stigma. The current review aimed to identify and explore existing educational interventions designed to modify health practitioners' attitudes and practice in BPD; and determine what impact educational interventions have on improving health practitioners’ responses towards people with BPD. Methods A comprehensive search of the literature was undertaken in MEDLINE, CINAHL, PsycINFO, Scopus, Cochrane Library, and JBI Evidence-Based databases (from inception to February 2022). Secondary sources of literature included grey literature searches and handsearching the references of included studies as part of the comprehensive search strategy. The eligibility criteria included peer-reviewed empirical studies examining BPD-related educational interventions aimed at modifying health practitioners’ attitudes and practice in treating people with BPD. Quality appraisal of the included studies were completed using the Mixed Methods Appraisal Tool 2018 version (MMAT v.18) or the Joanna Briggs Institute (JBI) Checklist for Systematic Reviews and Research Syntheses Tool. Thematic Analysis informed data extraction, analysis, interpretation, and narrative synthesis of the data. Results A total of nine papers containing 991 participants across a diverse range of studies including, quantitative, qualitative, mixed methods, and a systematic review were included in this integrative review. Several BPD-related educational interventions designed to modify health practitioners’ attitudes and practice in BPD exist. Findings suggest that training health practitioners in BPD-related educational interventions can enhance positive attitudes and change practice towards people with BPD; however, more high-quality studies are needed to confirm these conclusions. Conclusions This review collated and summarized findings from studies examining the impact of BPD-related educational interventions on changing health practitioners’ attitudes and practice in treating this population. Results from this review may help inform future research, policy, and practice in stigma-reduction strategies which would improve the delivery of responsive health services and care for people with BPD. Systematic review registration Open Science Framework (https://osf.io/7p6ez/)

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“…(2) What are the speci c drivers in uencing the manifestation and perpetuation of BPD-related structural stigma in healthcare systems, and the implications for research, policy, and practice? [91].…”

Section: Aim and Research Questionsmentioning

confidence: 99%

Structural stigma and its impact on healthcare for borderline personality disorder: a scoping review

Klein

Fairweather

Lawn

2022

Preprint

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Background People with Borderline Personality Disorder (BPD) and their carers/families continue to experience structural stigma when accessing health services. Structural stigma involves societal-level conditions, cultural norms, and organizational policies that inhibit the opportunities, resources, and wellbeing of people living with attributes that are the object of stigma. BPD is a serious mental illness characterized by pervasive psychosocial dysfunction including, problems regulating emotions and suicidality. This scoping review aimed to identify, map, and explore the international literature on structural stigma associated with BPD and its impact on healthcare for consumers with BPD, their carers/families, and health practitioners. Methods A comprehensive search of the literature encompassed MEDLINE, CINAHL, PsycINFO, Scopus, Cochrane Library, and JBI Evidence-Based databases (from inception to February 28th 2022). The search strategy also included grey literature searches and handsearching the references of included studies. Eligibility criteria included citations relevant to structural stigma associated with BPD and health and crisis care services. Quality appraisal of included citations were completed using the Mixed Methods Appraisal Tool 2018 version (MMAT v.18), the Joanna Briggs Institute (JBI) Checklist for Systematic Reviews and Research Syntheses Tool, or the AGREE II: advancing guideline development, reporting, and evaluation in health care tool. Thematic Analysis was used to inform data extraction, analysis, interpretation, and synthesis of the data. Results A total of fifty-seven citations were included in the review comprising empirical peer-reviewed articles (n = 55), and reports (n = 2). Studies included quantitative, qualitative, mixed methods, and systematic review designs. Review findings identified several extant macro- and micro-level structural mechanisms, challenges, and barriers contributing to BPD-related stigma in healthcare systems. These structural factors have a substantial impact on health service access and care for BPD. Key themes that emerged from the data comprised: structural stigma and the BPD diagnosis; structural stigma surrounding health and crisis care services; and practitioner-patient interactions. Conclusion Narrative synthesis of the findings provide evidence about the impact of structural stigma on healthcare for BPD. Results of this review are anticipated to inform future research, policy, and practice in addressing BPD-related stigma in healthcare systems, as well as approaches for improving responsive care delivery for consumers with BPD and their carers/families.

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Structural stigma and its impact on healthcare for consumers with borderline personality disorder: protocol for a scoping review

Cited by 11 publications

References 39 publications

Religiosity, Social Stigma, and Public Acceptance to People Living with HIV/AIDS among Citizens in Bandung, Indonesia

Religiosity, Social Stigma, and Public Acceptance to People Living with HIV/AIDS among Citizens in Bandung, Indonesia

The impact of educational interventions on modifying health practitioners’ attitudes and practice in treating people with borderline personality disorder: an integrative review

Structural stigma and its impact on healthcare for borderline personality disorder: a scoping review

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