“I don’t want to have anything to do with someone suspected of COVID-19”: a genuine infection avoidance interests or inappropriate concerns related to stigma?
Accepted: 24 June 2022
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Background: Human existence is being challenged by an outbreak of coronavirus disease 2019 (COVID-19) caused by the virus SARS-CoV-2 that began in Wuhan, China in December 2019. Efforts to avoid the spread of COVID-19 are undermined by the appearance of disease-associated avoidance of infected persons due to reasons such as social stigma and discrimination.
Objective: This study seeks to investigate avoidance and discrimination against persons suspected of COVID-19 in a predominantly rural setting in Ghana.
Methods: The study is a cross sectional survey. A random sample of 517 individuals drawn from a health and demographic surveillance system database was used for this study. Participants resided in six contiguous districts and municipalities of predominantly rural setting in the Bono East Region of Ghana.
Results: The findings showed that majority (60%) of the respondents agreed that they won’t have anything to do with someone suspected of COVID-19. However, 67% of them were willing to accommodate persons that recovered from the infection. Majority (91%) of respondents agreed that there is a need to adopt tolerant attitude towards persons who recovered from the infection, whilst another 98% also reported the need to show compassion towards persons who recovered from COVID-19.
Conclusion: There is a high-level avoidance of persons suspected of COVID-19, but little or no discrimination of those who recovered from the infection.
Guan W-J, Ni Z-Y, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. Published online February 28, 2020. doi:10.1056/NEJMoa2002032 DOI: https://doi.org/10.1056/NEJMoa2002032
WHO. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Published 2020. Accessed November 13, 2020. https://www.who.int/dg/speeches/ detail/who-director-general-s-opening-remarks-at-the-media-briefing-on- covid-19-11-march-2020
WHO. WHO Coronavirus (COVID-19) Dashboard. Global Situation. Published 2021. https://covid19.who.int/
Florindo HF, Kleiner R, Vaskovich-Koubi D, et al. Immune-mediated approaches against COVID-19. Nat Nanotechnol. 2020;15(8):630-645. doi:10.1038/s41565-020-0732-3 DOI: https://doi.org/10.1038/s41565-020-0732-3
WHO. Coronavirus disease (COVID-19) advice for the public. Basic protective measures against the new coronavirus. World Health Organization. Published online 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Abdelhafiz AS, Alorabi M. Social Stigma: The Hidden Threat of COVID-19. Front Public Heal. 2020;8(August):2-5. doi:10.3389/fpubh.2020.00429 DOI: https://doi.org/10.3389/fpubh.2020.00429
Patel BR, Khanpara BG, Mehta PI, Patel KD, Marvania NP. Evaluation of perceived social stigma and burnout, among health-care workers working in covid-19 designated hospital of India: A cross-sectional study. Asian J Soc Health Behav 2021;4:156-62
Lu M-Y, Ahorsu DK, Kukreti S, Strong C, Lin Y-H, Kuo Y-J, Chen Y-P, Lin C-Y, Chen P-L, Ko N-Y, Ko W-C. The preva-lence of posttraumatic stress disorder symptoms, sleep prob-lems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Frontiers Psychiatry 2021;12:705657. DOI: https://doi.org/10.3389/fpsyt.2021.705657
Olashore AA, Akanni OO, Fela-Thomas AL, Khutsafalo K. The psychological impact of COVID-19 on health-care work-ers in African Countries: A systematic review. Asian J Soc Health Behav 2021;4:85-97 Rajabimajd N, Alimoradi Z, Griffiths MD. Impact of COVID- DOI: https://doi.org/10.4103/shb.shb_32_21
-related fear and anxiety on job attributes: A systematic review. Asian J Soc Health Behav 2021;4:51-5 DOI: https://doi.org/10.4103/shb.shb_24_21
Patil ST, Datar MC, Shetty JV, Naphade NM. “Psychological consequences and coping strategies of patients undergoing treatment for COVID-19 at a tertiary care hospital”: A qualita-tive study. Asian J Soc Health Behav 2021;4:62-8 DOI: https://doi.org/10.4103/shb.shb_5_21
Dubey S, Biswas P, Ghosh R, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev. 2020;14(5):779-788. doi:10.1016/j.dsx.2020.05.035 DOI: https://doi.org/10.1016/j.dsx.2020.05.035
CDC. Reducing Stigma. Coronavirus Disease 2019 (COVID-19). Centers for Disease Control and Prevention. Published 2020. Accessed November 16, 2020. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/reducing-stigma.html#:~:text=Stigma is associated with a,others to spread COVID-19.
WHO. Tackling COVID-19 fear and stigma. World Health Organization. Published 2020. Accessed November 16, 2020. https://www.afro.who.int/news/tackling-covid-19-fear-and-stigma
Meissner H, Creswell J, Klassen AC, Plano V, Smith KC. Best Practices for Mixed Methods Research in the Health Sciences. h t t p s : / / o b s s r . o d . n i h . g o v / w p -content/uploads/2016/02/Best_Practices_for_Mixed_Methods _Research.pdf
Bian H. Mixed Methods Research. http://core.ecu.edu/ofe/statisticsresearch/mixed methods new.pdf
Owusu-Agyei S, Nettey OEA, Zandoh C, et al. Demographic patterns and trends in Central Ghana: baseline indicators from the Kintampo Health and Demographic Surveillance System. Glob Health Action. 2012;5(June 2014):1-11. doi:10.3402/gha.v5i0.19033 DOI: https://doi.org/10.3402/gha.v5i0.19033
Kirkwood BR, Manu A, Tawiah-Agyemang C, et al. NEWHINTS cluster randomised trial to evaluate the impact on neonatal mortality in rural Ghana of routine home visits to pro-vide a package of essential newborn care interventions in the third trimester of pregnancy and the first week of life: Trial protoco. Trials. 2010;11:1-11. doi:10.1186/1745-6215-11-58 DOI: https://doi.org/10.1186/1745-6215-11-58
George S. Antwi-Boasiako FYA-B. Techiman north district, Ghana Statistical Service, October 2014. Published online 2014. http://www2.statsghana.gov.gh/docfiles/ 2010_District_Report/Brong Ahafo/TECHIMAN NORTH.pdf
Shirley Adjeley Sowah GG. Nkoranza South Municipality, Ghana Statistical Servie, October, 2014. Published online 2014. www.statsghana.gov.gh.
Rabiatu AP, Elijah MJ. Techiman municipality. Popul Hous census Dist Anal Rep Techiman Munic. Published online 2010. https://www2.statsghana.gov.gh/docfiles/2010_District_Repor t/Brong Ahafo/TECHIMAN Municipal.pdf
Ewuntomah Akibu Abubu BSD. Nkoranza North district, Ghana Statistical Service. Published online 2014. http://www2.statsghana.gov.gh/docfiles/2010_District_Report /Brong Ahafo/NKORANZA North.pdf
Hindustan Times. Social stigma, low testing behind WB’s high Covid-19 mortality rate: Report. Hindustan Times [Internet]. 2020 May 8. Published 2020. Accessed December 13, 2020. https://www.hindustantimes.com/kolkata/social-stigma-low-testing-behind-wb-s-high-covid-19-mortality-rate-report/story-VGGBAEy2IXueEplUxOGX3N.html
NDTV.com. Stigma reason for high COVID-19 mortality rate in Ahmedabad: AIIMS Chief. NDTV.com [Internet]. Press Trust of India; 2020 May 10. Published 2020. Accessed December 13, 2020. https://www.ndtv.com/india-news/coron-avirus-stigma-reason-for-high-covid-19-mortality-rate-in-ahmedabad-aiims-chief-2226177
Plan Ghana. Addressing stigma against Covid-19 survivors in Ghana. 2020;(August). https://reliefweb.int/sites/r e l i e f w e b . i n t / f i l e s / r e s o u r c e s / GHA - C OV I D _ 1 9 _ Stigma_Reduction_Case_Study_External-Final-IO-Eng-Aug20.pdf
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