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Stigma and fear during the Covid-19 pandemic

A qualitative study on the perceptions of healthcare workers in Canada and Singapore

Datos Bibliográficos

ID22069582
AutoresChristine Fahim (0000-0002-6809-7027, St. Michael's Hospital, autor de correspondencia), Chou Chuen Yu (0000-0002-5212-2662, Geriatric Education and Research Institute), Jeanette Cooper (0000-0002-5027-6334, St. Michael's Hospital), Suvabna Theivendrampillai (0009-0008-4959-0415, St. Michael's Hospital), Taehoon Lee (0000-0002-9224-0866, St. Michael's Hospital), Michelle Wai-Ki Lau (St. Michael's Hospital), Christine Marquez (0000-0003-3564-5303, St. Michael's Hospital), Bernard Tang (Geriatric Education and Research Institute), Mathews Mathew (0000-0002-1313-7351, National University of Singapore), Malika Sharma (0000-0002-3729-4554, St. Michael's Hospital), Eric Wong (0000-0003-2437-7446, St. Michael's Hospital), Tracey O’sullivan (0000-0002-4074-494X, University of Ottawa), James A Low (0000-0001-7407-2718, Khoo Teck Puat Hospital), Sharon E Straus (0000-0002-6106-832X, St. Michael's Hospital)
Año2025
Volumen12
Páginas1490814-1490814
Fecha de publicación2025-01-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1490814
PMID39917517
OpenAlexW4406738167
IdiomaEN
Referencias citadas41

Introduction: We sought to explore healthcare providers (HCPs)' perceptions of and experiences with stigma during the COVID-19 pandemic in Canada and Singapore. Methods: We conducted a qualitative study (May 2020-February 2021) with HCPs in Canada and Singapore and developed a semi-structured interview guide rooted in the Health Stigma and Discrimination Framework (HSDF). We recruited participants online and through word of mouth via newsletters, blogs and social media. Participants were eligible to participate if they worked as a healthcare provider in Singapore or Canada during COVID-19. Following participant consent, data were recorded, transcribed verbatim, and coded using a framework approach. Coded data were charted into a framework matrix and used to compare themes in each country. Results: We conducted 51 interviews (23 in Canada; 28 in Singapore). HCPs perceived that patient fears coupled with mistrust of the health system impacted health behaviors. HCPs reported discrimination and stigmatization of population subsets. In Singapore, this included Chinese tourists and migrant workers and in Canada, this included people of Chinese ethnicity and people experiencing homelessness. This stigma was often attributed to pre-existing prejudices including perceptions that these populations were at increased risk of COVID-19 or not adhering to public health recommendations. HCPs feared spreading COVID-19 to family, peers and patients, often resulting in participants choosing to isolate from social circles. HCPs in both countries experienced occupation-based stigma, including stigma related to public health practices (masking, testing); in Canada, this intersected with race-based prejudice for participants of Chinese ethnicity. HCPs in both samples witnessed and experienced stigmatizing behavior; some participants also experienced discrimination. Conclusions: Secondary stigma related to occupation was experienced by HCPs during COVID-19. HCPs experienced intersecting stigma based on race/ethnicity and observed stigmatization of marginalized patient populations. Most themes were consistent across Canada and Singapore. Strategies to mitigate COVID-19 related stigma toward HCPs and at-risk patient populations are warranted

Disease · Environmental health · Ethnic group · Family medicine · Health care · Pandemic · Perception · Political science · Population · Psychiatry · Public health · Qualitative research · Social distance · Social media · Social stigma · Sociology · COVID-19 and Mental Health · Healthcare Systems and Challenges · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Social Psychology

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