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. 2018 Dec 12;27(4):e158–e188. doi: 10.1111/hsc.12694

Table 2.

Stigma‐related themes and itemized studies

Main stigma‐related themes Theme description Theme identified in studies
1. Concealment
  • Attempts to hide the ND

  • Often associated with fear of displaying physical manifestations of disease

n = 11
Alston, Jones, and Curtin (2012); Arai, Sugiura, Miura, Washio, and Kudo (2000); Burgener et al. (2015); Guo et al. (2012); McQueen et al. (1995); Morgan et al. (2002); Rafael et al. (2010); San‐Juan et al. (2015); Tiamkao et al. (2013); von Gaudecker et al. (2017); Yang et al. (2011)
2. Social exclusion
  • By self and/or by others

  • Of self and/or of others (i.e., friends/family)

  • Often associated with fear (e.g., of contagion or of disease manifestations)

n = 23
Alston et al. (2012); Bain et al. (2013); Birbeck et al. (2006); Burgener et al. (2015); Farmer et al. (2003); Forbes et al. (2011); Guo et al. (2012); Hsiao et al. (2015); Klepac et al. (2007); Kim et al. (2003); McQueen et al. (1995); Morgan et al. (2002); Mshana et al. (2011); Mugumbate (2013); Neni et al. (2010); Ojinnaka (2002); Osungbade et al. (2011); Rafael et al. (2010); Tiamkao et al. (2013); Tuan et al. (2007); von Gaudecker et al. (2017); Yang et al. (2011); Youssef et al. (2009)
3. Disempowerment, discrimination, unequal life opportunities
  • Loss of power, control, choices, and chances (e.g., decision‐making, finances, employment, marriage)

  • Includes prejudice/intolerance

n = 21
Atadzhano et al. (2006); Bain et al. (2013); Birbeck et al. (2006); Deresse et al. (2016); Farmer et al. (2003); Forbes et al. (2011); Guo et al. (2012); Hsiao et al. (2015); Kaddumukasa et al. (2015); Kartal et al. (2016); Kim et al. (2003); McQueen et al. (1995); Mshana et al. (2011); Mugumbate et al. (2013); Neni et al. (2010); Paúl et al. (1999); Rafael et al. (2010); Tiamkao et al. (2013); Tuan et al. (2007); Yang et al. (2011); Youssef et al. (2009)
4. Healthcare systems, services, and providers
  • Availability and accessibility

  • Healthcare provider beliefs

  • Lack of available, accessible healthcare systems, services and providers and related issues (e.g., cost, travel)

  • healthcare provider lack of time (to address complexities of certain NDs), and beliefs (e.g., relative priority)

n = 9
Birbeck et al. (2002); Cahill et al. (2008); Guo et al. (2012); Hsiao et al. (2015); McQueen et al. (1995); Mshana et al. (2011); Paúl et al. (1999); Stansbury et al. (2010); Yang et al. (2011)