Perceived-stigma level of COVID-19 patients in China in the early stage of the epidemic: A cross-sectional research

PLoS One. 2021 Oct 1;16(10):e0258042. doi: 10.1371/journal.pone.0258042. eCollection 2021.

Abstract

Objective: To investigate the perceived-stigma level of COVID-19 patients in the early stage of the epidemic and analysed related factors and correlations that affected the stigma levels.

Methods: The COVID-19 patients were selected using the convenience sampling method. Perceived-stigma level was evaluated using the Social Impact Scale (SIS). Frequency was used to describe the general information and disease investigation status of COVID-19 patients; mean and standard deviation were used for describing stigma levels, Wilcoxon signed-ranks test (nonparametric test) was applied for pairwise comparison. Kruskal-Wallis non-parametric test for grade data, and Dwass-Steel-Critchlow-Fligner test for multiple comparative analysis. Multiple linear regression analysis was performed, and statistically significant indicators in single-factor analysis were included to investigate the independent factors of stigma. The p<0.05 was considered statistically significant.

Results: SIS score of the 122 COVID-19 patients averaged 57.37±9.99 points. There were statistically significant differences in perceived-stigma levels among patients of different ages (p = 0.008), occupation (p <0.001), marital status (p = 0.009), and disease severity (p = 0.020). Multivariate logistic regression analysis revealed that age was the main influencing factor of stigma (p<0.05).

Conclusions: The overall perceived-stigma level of COVID-19 patients in the early stage of the epidemic was moderate. Younger, unmarried, and severely ill patients had a higher level of perceived-stigma, with age being the main factor. More attention should be given to the young COVID-19 patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • COVID-19 / epidemiology
  • COVID-19 / pathology*
  • COVID-19 / virology
  • China / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Linear Models
  • Male
  • Marriage
  • Middle Aged
  • SARS-CoV-2 / isolation & purification
  • Severity of Illness Index
  • Social Stigma*
  • Surveys and Questionnaires

Grants and funding

The study was supported by Fujian Science and Technology Innovation Joint Fund, China (grant no 2017Y9052 to YL).