Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B
Vietnam is among the countries with the highest prevalence of chronic hepatitis B (CHB) and individuals who suffer from CHB oftentimes perceive high levels of stigma and discrimination. Our study aimed to provide evidence on the prevalence of stigma against hepatitis B virus (HBV), HBV infection, an...
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doaj-0daad731ab1348d793d7e6dc3e8914ff2020-11-25T01:13:39ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-01-0116339810.3390/ijerph16030398ijerph16030398Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis BThieu Van Le0Thuc Thi Minh Vu1Hue Thi Mai2Long Hoang Nguyen3Nu Thi Truong4Chi Linh Hoang5Son Hoang Nguyen6Cuong Tat Nguyen7Binh Cong Nguyen8Tung Hoang Tran9Bach Xuan Tran10Carl A. Latkin11Cyrus S.H. Ho12Roger C.M. Ho13Viet-Tiep Friendship Hospital, Hai Phong 180000, VietnamHanoi Medical University, Hanoi 100000, VietnamHanoi Medical University, Hanoi 100000, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, VietnamCenter of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 55000, VietnamViet-Tiep Friendship Hospital, Hai Phong 180000, VietnamDepartment of Lower Limb Surgery, Vietnam-Germany Hospital, Hanoi 100000, VietnamInstitute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, VietnamJohns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USADepartment of Psychological Medicine, National University Hospital, Singapore 119074, SingaporeCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, VietnamVietnam is among the countries with the highest prevalence of chronic hepatitis B (CHB) and individuals who suffer from CHB oftentimes perceive high levels of stigma and discrimination. Our study aimed to provide evidence on the prevalence of stigma against hepatitis B virus (HBV), HBV infection, and social determinants of stigma and discrimination in patients. A cross-sectional study was conducted at Viet-Tiep Hospital, Hai Phong, Vietnam. Stigma and discrimination against CHB in the last month were measured via four dimensions: (1) Blame/Judgment; (2) Shame; (3) Discrimination in different settings; (4) Disclosure of CHB status. Multivariate Logistic and Tobit regressions were used to identify factors associated with CHB-related stigma and discrimination. Among 298 enrolled patients, 4.8% experienced blame/judgement, 10.2% perceived shame, 48.5% felt discriminated in healthcare facilities, and 90.6% disclosed their health status with spouses/partners. Factors associated with lower odds of CHB-related stigma/discrimination included living with spouses/partners, old age, being employed, and the existence of comorbidities was linked with higher odds of stigma. Anti-stigma programs should target those who are younger and have comorbidities. This could be done by community-based interventions which focus on inaccurate beliefs about viral hepatitis. Furthermore, families, healthcare providers, and society should play a crucial role in supporting CHB patients.https://www.mdpi.com/1660-4601/16/3/398chronic hepatitis B (CHB)hepatitis B virus (HBV)stigmadiscrimination |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thieu Van Le Thuc Thi Minh Vu Hue Thi Mai Long Hoang Nguyen Nu Thi Truong Chi Linh Hoang Son Hoang Nguyen Cuong Tat Nguyen Binh Cong Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho |
spellingShingle |
Thieu Van Le Thuc Thi Minh Vu Hue Thi Mai Long Hoang Nguyen Nu Thi Truong Chi Linh Hoang Son Hoang Nguyen Cuong Tat Nguyen Binh Cong Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B International Journal of Environmental Research and Public Health chronic hepatitis B (CHB) hepatitis B virus (HBV) stigma discrimination |
author_facet |
Thieu Van Le Thuc Thi Minh Vu Hue Thi Mai Long Hoang Nguyen Nu Thi Truong Chi Linh Hoang Son Hoang Nguyen Cuong Tat Nguyen Binh Cong Nguyen Tung Hoang Tran Bach Xuan Tran Carl A. Latkin Cyrus S.H. Ho Roger C.M. Ho |
author_sort |
Thieu Van Le |
title |
Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B |
title_short |
Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B |
title_full |
Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B |
title_fullStr |
Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B |
title_full_unstemmed |
Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B |
title_sort |
social determinants of stigma and discrimination in vietnamese patients with chronic hepatitis b |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-01-01 |
description |
Vietnam is among the countries with the highest prevalence of chronic hepatitis B (CHB) and individuals who suffer from CHB oftentimes perceive high levels of stigma and discrimination. Our study aimed to provide evidence on the prevalence of stigma against hepatitis B virus (HBV), HBV infection, and social determinants of stigma and discrimination in patients. A cross-sectional study was conducted at Viet-Tiep Hospital, Hai Phong, Vietnam. Stigma and discrimination against CHB in the last month were measured via four dimensions: (1) Blame/Judgment; (2) Shame; (3) Discrimination in different settings; (4) Disclosure of CHB status. Multivariate Logistic and Tobit regressions were used to identify factors associated with CHB-related stigma and discrimination. Among 298 enrolled patients, 4.8% experienced blame/judgement, 10.2% perceived shame, 48.5% felt discriminated in healthcare facilities, and 90.6% disclosed their health status with spouses/partners. Factors associated with lower odds of CHB-related stigma/discrimination included living with spouses/partners, old age, being employed, and the existence of comorbidities was linked with higher odds of stigma. Anti-stigma programs should target those who are younger and have comorbidities. This could be done by community-based interventions which focus on inaccurate beliefs about viral hepatitis. Furthermore, families, healthcare providers, and society should play a crucial role in supporting CHB patients. |
topic |
chronic hepatitis B (CHB) hepatitis B virus (HBV) stigma discrimination |
url |
https://www.mdpi.com/1660-4601/16/3/398 |
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