What is at stake? Exploring the moral experience of stigma with Indian-Australians and Anglo-Australians living with depression

2018 ◽  
Vol 55 (2) ◽  
pp. 178-197 ◽  
Author(s):  
Bianca Brijnath ◽  
Josefine Antoniades
Keyword(s):  
Lived Experience ◽  
Social Relations ◽  
Social Acceptance ◽  
Community Relations ◽  
Moral Experience ◽  
Cultural Groups ◽  
Health Seeking ◽  
Workplace Relations ◽  
Health Seeking Behaviors ◽  
Generational Relationships

This article applies the framework of moral experience to examine the cultural experience of stigma with Indian-Australians and Anglo-Australians living with depression in Melbourne, Australia. To date few studies have examined this dynamic in relation to mental illness and culture, and no studies have applied this framework in a culturally comparative way. Based on 58 in-depth interviews with people with depression recruited from the community, we explicate how stigma modulates what is at stake upon disclosure of depression, participants’ lived experience following that disclosure, and how practices of health-seeking become stigmatised. Findings show that the social acceptance of depression jars against participants’ experience of living with it. Denialism and fear of disclosure were overwhelming themes to emerge from our analysis with significant cultural differences; the Anglo-Australians disclosed their depression to family and friends and encountered significant resistance about the legitimacy of their illness. In contrast, many Indian-Australians, especially men, did not disclose their illness for fear of a damaged reputation and damaged social relations. For Indian-Australians, social relations in the community were at stake, whereas for Anglo-Australians workplace relations (but not community relations) were at stake. Participants’ experiences in these settings also influenced their patterns of health-seeking behaviors and age and inter-generational relationships were important mediators of stigma and social support. These findings illuminate how stigma, culture, and setting are linked and they provide critical information necessary to identify and develop customised strategies to mitigate the harmful effects of stigma in particular cultural groups.

Low First Wave COVID-19 cases and health seeking behaviors across the six geopolitical zones of Nigeria

2021 ◽  
Vol 42 (1) ◽  
pp. 1-8
Author(s):  
C.N. Ukaga ◽  
S.O. Sam-Wobo ◽  
R.H. Muhammed ◽  
H.O. Mogaji ◽  
O.A. Surakat ◽  
...  
Keyword(s):  
Laboratory Testing ◽  
Management Strategies ◽  
Demographic Characteristics ◽  
Community Level ◽  
Health Seeking ◽  
Routine Testing ◽  
Home Management ◽  
Health Seeking Behaviors ◽  
Very High ◽  
Age Category

This study was carried out across the six geopolitical zones to assess knowledge and health seeking behaviors of Nigerians during the first wave of COVID-19 pandemic lockdown in order to understand the seemingly low cases of COVID-19 in Nigeria. Structured and pretested short questionnaires were employed to obtain information electronically and physically across the six geopolitical zones on socio-demographic characteristics of participants; the knowledge of participants on COVID-19 disease; availability and accessibility to testing and isolation centers in the communities, attitudes and health seeking behaviors. Atotal of 1023 respondents; 705 (68.9%) males and 318 (31.1%) females across the six geopolitical zones in Nigeria participated in this study with 477(46.6%) within the 26-45 years age category, and 6(0.6%) above 66 years. Atotal of 985(96.3%) had heard about COVID-19 at the time of survey while a total of  859(84.0%) of the respondents were aware of the presence of COVID-19 laboratory testing centers. Across the geopolitical zones, majority of the respondents 487(47.6%) claimed there are no routine testing for COVID-19 at their community level, while 303 (29.6%) affirmed otherwise and 216(21.1%) did not know if there were routine testing going on or not. On health seeking behaviors across the  country, majority of the respondents 558(54.5%) affirmed they would visit the hospital as the first point of contact if the opportunitypresented itself, 244(23.9%) claimed they would call the NCDC toll line, 2(0.2%) said they would use prayers, while 1(0.1%) respectively claimed they would use home management strategies through visiting chemist stores and checking the internet for solutions. Findings from this study confirm that there is very high awareness of the COVID-19 disease across the country, and limited number of testing centers at the community level. The implications include the possibility of unreported COVID19 cases in the cities as well as in the  communities. Keywords: COVID-19, knowledge, health seeking behaviors, community level 

scholarly journals An Evolutionary Perspective on the Importance of Community Relations for Quality of Life

2009 ◽  
Vol 9 ◽  
pp. 588-605 ◽  
Author(s):  
Bjørn Grinde
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Well Being ◽  
Community Relations ◽  
Western Society ◽  
Evolutionary Perspective ◽  
Human Interactions ◽  
Inherent Nature ◽  
The Brain

The evolutionary perspective is relevant for the study of quality of life in that the brain, including its capacity for positive and negative states of mind, has been shaped by the forces of evolution. The present text uses this perspective to discuss three questions related to the observation that human interactions are a particular important factor for well-being: (1) What is known about the inherent nature of our social propensities? (2) Is the present situation responsible for a suboptimal quality of life? (3) Are there alternatives to the organization of mainstream Western society? Based on this discussion, the question is raised as to whether it is possible to suggest improvements. Briefly, it seems possible to create conditions that enhance social relations and to the extent that happiness is considered an important objective, this is a relevant endeavor.

scholarly journals Physician Self-disclosure of Lived Experience Improves Mental Health Attitudes Among Medical Students: A Randomized Study

2020 ◽  
Vol 7 ◽  
pp. 238212051988935 ◽  
Author(s):  
Andrés Martin ◽  
Julie Chilton ◽  
Doron Gothelf ◽  
Doron Amsalem
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Students ◽  
Help Seeking ◽  
Randomized Study ◽  
Role Modeling ◽  
Mental Illnesses ◽  
Control Group ◽  
Health Seeking ◽  
Health Seeking Behaviors

Introduction: Depression and suicidal ideation are common among medical students, a group at higher risk for suicide completion than their age-normed peers. Medical students have health-seeking behaviors that are not commensurate with their mental health needs, a discrepancy likely related to stigma and to limited role-modeling provided by physicians. Methods: We surveyed second-year medical students using the Attitudes to Psychiatry (ATP-30) and Attitudes to Mental Illness (AMI) instruments. In addition, we asked questions about role-modeling and help-seeking attitudes at baseline. We then conducted a randomized trial of an intervention consisting of 2 components: (a) a panel of 2 physicians with personal histories of mental illness speaking about their diagnosis, treatment, and recovery to the students, immediately followed by (b) small-group facilitated discussions. We repeated the ATP-30 and AMI after the active/early group was exposed to the panel, but before the control/late group was similarly exposed. Results: Forty-three medical students participated (53% women). The majority of students (91%) agreed that knowing physicians further along in their careers who struggled with mental health issues, got treatment, and were now doing well would make them more likely to access care if they needed it. Students in the active group (n = 22) had more favorable attitudes on ATP-30 ( P = .01) and AMI ( P = .02) scores, as compared with the control group (n = 21). Conclusion: Medical students can benefit from the availability of, and exposure to physicians with self-disclosed histories of having overcome mental illnesses. Such exposures can favorably improve stigmatized views about psychiatry, or of patients or colleagues affected by psychopathology. This intervention has the potential to enhance medical students’ mental health and their health-seeking behaviors.

scholarly journals ANTROPOLOGIENS HEMMELIGHED: Refleksioner over etnografens rolle i studiet af hemmelige ritualer

1995 ◽  
Author(s):  
Christian Kordt Højbjerg
Keyword(s):  
Lived Experience ◽  
Social Relations ◽  
Scientific Discipline ◽  
Object A ◽  
Scientific Object ◽  
The People ◽  
The Common ◽  
Object Of Study

Christian Kordt Højbjerg: The Secret of Anthropology. Reflections on the Ethnographer’s Role in the Study of Secret Rituals. The article gives an account of an apparently hopeless effort to study men’s secret association and its masked figure among the Loma in Guinea. The secret mask is purposely withheld during the ethnographer’s stay, and he is not allowed to assist in the meetings of the men’s society taking place in the sacred grove. However, the student possesses prior knowledge about the mask, and information from the meetings is transmitted constantly. Therefore, nothing is in faet held secret to the ethnographer, and the leaders of the men’s association seem to be aware of it. Still, secrecy is being practiced by the people chosen as the object of study. An essential aspect of secrecy is hereby revealed. Despite its emptiness, it is efficient in its patteming of social relations. The methodological point is that in anthropology, subjectivity can be a means to objectivity. Not by focusing too exelusively on the observing scientist, but rather in the sense that the staging of the ethnographic encounter by the anthropologist produces a miscalculation permitting an understanding of the scientific object. A sort of role inversion is taking place. The anthropologist realizes that he has become the victim of an illusion about the nature of secrecy, and that he has been subjected to the practice of secrecy. This lived experience leads to a concluding observation about the common but reversed strategies of staging inherent in secrecy and anthropology. While secrecy deliberately and inevitably reveals a part of itself in order to conceal, anthropology is on the contrary inevitably concealing reality when constructing its object. But just as secrecy implies concealment, anthropology is compelled to unmask reality, at least as a regulative principle, if it is not to lose its status as a scientific discipline.

scholarly journals Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data

2021 ◽  
Vol 18 (15) ◽  
pp. 8037
Author(s):  
Fangye Du ◽  
Jiaoe Wang ◽  
Haitao Jin
Keyword(s):  
Smart Card ◽  
Public Hospital ◽  
Tertiary Hospital ◽  
Small Sample ◽  
Health Seeking ◽  
Spatiotemporal Resolution ◽  
Hospital Reform ◽  
Health Seeking Behaviors ◽  
Smart Card Data ◽  
Public Hospital Reform

The effects of public hospital reforms on spatial and temporal patterns of health-seeking behavior have received little attention due to small sample sizes and low spatiotemporal resolution of survey data. Without such information, however, health planners might be unable to adjust interventions in a timely manner, and they devise less-effective interventions. Recently, massive electronic trip records have been widely used to infer people’s health-seeking trips. With health-seeking trips inferred from smart card data, this paper mainly answers two questions: (i) how do public hospital reforms affect the hospital choices of patients? (ii) What are the spatial differences of the effects of public hospital reforms? To achieve these goals, tertiary hospital preferences, hospital bypass, and the efficiency of the health-seeking behaviors of patients, before and after Beijing’s public hospital reform in 2017, were compared. The results demonstrate that the effects of this reform on the hospital choices of patients were spatially different. In subdistricts with (or near) hospitals, the reform exerted the opposite impact on tertiary hospital preference compared with core and periphery areas. However, the reform had no significant effect on the tertiary hospital preference and hospital bypass in subdistricts without (or far away from) hospitals. Regarding the efficiency of the health-seeking behaviors of patients, the reform positively affected patient travel time, time of stay at hospitals, and arrival time. This study presents a time-efficient method to evaluate the effects of the recent public hospital reform in Beijing on a fine scale.

scholarly journals Relationship of socio-economic status and childhood cancer: an in-hospital cross-sectional study in a developing country

1970 ◽  
Vol 44 (4) ◽  
pp. 180-184
Author(s):  
BJ Brown ◽  
AO Adeleye
Keyword(s):  
Childhood Cancer ◽  
Developing Country ◽  
Burkitt Lymphoma ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Health Seeking ◽  
Cross Sectional ◽  
Socio Economic Status ◽  
Health Seeking Behaviors

Background: Socioeconomic factors are known to affect health quality, disease occurrence as well as health-seeking behaviors in several ways.Objectives: To determine the influence of socio-economic factors on awareness of cancer, healthseeking behaviors among parents of children with cancer in a developing country and occurrence of cancer using Burkitt lymphoma as index malignancy.Methods: This was a descriptive cross-sectional study that involved children with cancer seen over a 2-year period in a tertiary hospital in Nigeria. Information was obtained by interview through administration of a questionnaire and retrieval of clinical data from patients’ case notes.Results: The caregivers of 91 children (46 boys, 45 girls) were interviewed including 86 biological parents. Majority (84.6%) of the children belonged to the low socio -economic classes 3-5; 45 of 86 parents (52.3%), more likely in parents from higher socioeconomic classes, were aware of cancer but only 7 (8.1%) knew it could occur in children. There was no association between Burkitt lymphoma and socio-economic class. Twenty-eight (30.8%) parents of the 91 children visited alternate sources of health care, most commonly traditional healers, followed by religious centers. There was no association between visits to such centers and the parents’ socio-economic status or with presentation with metastatic disease.Conclusions: Awareness of childhood cancer is low among this cohort of parents; their socioeconomic status seems to impact on this level of awareness but not on their health-seeking behaviors for their affected children. Focused health education is needed to increase childhood cancer awareness and appropriate healthseeking behavior among the population studied.Key words: socio-economic; childhood; cancer; health-seeking; behaviour; awareness

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