Ebola virus disease-related stigma among survivors declined in Liberia over an 18-month, post-outbreak period: An observational cohort study.

PLoS Neglected Tropical Diseases
J Daniel KellyMosoka Fallah

Abstract

While qualitative assessments of Ebola virus disease (EVD)-related stigma have been undertaken among survivors and the general public, quantitative tools and assessment targeting survivors have been lacking. Beginning in June 2015, EVD survivors from seven Liberian counties, where most of the country's EVD cases occurred, were eligible to enroll in a longitudinal cohort. Seven stigma questions were adapted from the People Living with HIV Stigma Index and asked to EVD survivors over the age of 12 at initial visit (median 358 days post-EVD) and 18 months later. Primary outcome was a 7-item EVD-related stigma index. Explanatory variables included age, gender, educational level, pregnancy status, post-EVD hospitalization, referred to medical care and EVD source. Proportional odds logistic regression models and generalized linear mixed-effects models were used to assess stigma at initial visit and over time. The stigma questions were administered to 859 EVD survivors at initial visit and 741 (86%) survivors at follow-up. While 63% of survivors reported any stigma at initial visit, only 5% reported any stigma at follow-up. Over the 18-month period, there was a significant decrease in stigma among EVD survivors (Adjusted Odds Ratio [A...Continue Reading

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Citations

Jul 25, 2019·The American Journal of Tropical Medicine and Hygiene·Samuel C FicenecSusan D Emmett
Dec 7, 2020·International Journal of Clinical Practice·Sawsan AbuhammadOmar Khabour
May 9, 2021·Globalization and Health·Yuan YuanYu-Tao Xiang
Jul 10, 2021·BMC Psychiatry·Célestin Kaputu-Kalala-MaluSteve Ahuka-Mundeke
Aug 11, 2020·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Simone VillaMario Carlo Raviglione

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