Table 3.
Stigma Forms | Description | Examples from Included Studies |
---|---|---|
Public stigma | Endorsement of stereotypes, prejudices and discrimination against a group, that holds a specific characteristic. In surveys, the public is asked. | Stereotypes: e.g., “Healthcare workers who work in hospitals are likely to have COVID-19” [35]. Discrimination: e.g., “Healthcare workers should have some restrictions on their freedom [35]. Social exclusion as a component of discrimination: e.g., “I do not want to be around someone who works in a healthcare setting [35]. |
Associative stigma | Endorsement of stereotypes, prejudices and discrimination against a group which is transferred to relatives. In surveys, the public or affected persons are asked. | Discrimination: e.g., “Relatives being alienated because employment related to COVID-19” [36]. Social exclusion as a component of discrimination: e.g., “People would avoid my family members because of my job” [37]. Aggressive behavior/bullying as a component of discrimination: e.g., “Have verbally abused (…) or physically assaulted (…) my family members” [38]. |
Self-stigma (internalized) | Internalization, i.e., perception and transfer of stereotypes and devaluations to the own person. In surveys, affected persons are asked. | e.g., “Felt guilty about possibly exposing family, community and peers to infection” [38]; “feeling inferior to others due to occupation” [39]. |
Self-stigma (perceived) | Belief that “most people” will devalue and discriminate the stigmatized. In surveys, affected persons are asked. | Stereotypes: e.g., “People do not trust me and worry that I might infect them” [38]. Discrimination: e.g., „People feel uncomfortable when I am around” [40] Social exclusion as a component of discrimination: e.g., “Family members and friends have avoided contact with me because of my work?” [41]. Aggressive behavior/bullying as a component of discrimination: e.g., “People have verbally abused me or physically assaulted me” [38]. |
Self-stigma (anticipated) | Expectation of experiencing prejudice and discrimination due to a specific characteristic. In surveys, (potentially) affected persons are asked. | Fear, perceived consequences: “People would avoid me because of my job” [37]. |