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. 2021 Jun 8;18(12):6183. doi: 10.3390/ijerph18126183

Table 4.

Summary of included quantitative studies.

First Author
Risk of Bias
Region
Study Design
Comments
Population Stigmatization Form
Assessment
Time of COVID-19 Pandemic
Chatterjee et al. [50]
High risk
India
CS
Convenience sample
Physicians Self-stigma (perceived)
1-item
Not specified
Chaudhary et al. [37]
High risk
Pakistan
CS
# invited n. r.
Clinical oral HCWs
Non-clinical oral HCWs from 10 different dental hospitals
Self-stigma (anticipated)
Associative stigma
4-items
Not specified
Chen et al. [72] High risk China
Longitudinal
# invited n. r.
Government/public institution/institutions/state-owned, enterprises, private enterprise staff or individual business Self-stigma (perceived)
1-item
Baseline: rapid increase in COVID-19 cases and related deaths; follow-up: authorities relaxed lowdown
Chew et al. [39]
High risk
Singapore
Longitudinal
Response: 49.2%
Medical residents in training (medical and surgical) Self-stigma (anticipated)
Self-stigma (internalized)
12 items (Healthcare Workers Stigma scale, HWSS)
Not specified
Dang et al. [36]
High risk
Vietnam
CS
Convenience sample
HCWs, professional educators, white collar workers, students, others Self-stigma (perceived)
Self-stigma (anticipated)
Associative stigma
4-items
Data collection one week after social distancing and lockdown was ordered by government
Do Duy et al. [40]
High risk
Vietnam
CS
# invited n. r.
Clinicians, nurses, others Self-stigma (perceived)
Self-stigma (anticipated)
Self-stigma (internalized)
12 items (adaption of Berger’s HIV Stigma Scale)
Lockdown of workplace because of COVID-19 outbreak-> all employees required to quarantine for 23 days. Data collection after quarantine
Dye et al. [57]
High risk
Worldwide
CS
Convenience sample
n.r. Self-stigma (anticipated)
Associative stigma
1 item
Not specified
Elhadi et al. [59]
High risk
Libya
CS
Convenience sample
HCWs (doctors and nurses) from 15 hospitals working during the outbreak period Self-stigma (perceived)
1 item
Not specified
(but during civil war)
Elhadi et al. [58]
High risk
Libya
CS
Response: 88.7%
HCWs working in either surgery, internal medicine, intensive care, or emergency departments Self-stigma (perceived)
1 item
Not specified
(but during civil war)
Greene et al. [60]
High risk
UK
CS
Convenience sample
Frontline health and social care workers working in a variety of healthcare roles in UK hospitals, nursing or care homes, and community settings Self-stigma (perceived)
1 item
During COVID-19 pandemic (post-peak phase of the initial COVID-19 wave in the UK)
Juan et al. [51]
High risk
China
CS
Response: 91.2%
hospital staff from five national COVID-19 designated hospitals (working in isolation ward, general ward) Self-stigma (perceived)
1 item
Study period corresponds with the highest point of the COVID-19 epidemic in
China
Khanal et al. [61,62]
High risk
Nepal
CS
# invited n. r.
Nurses, doctors, paramedics, laboratory staff, pharmacists, public health professional currently working in COVID-19 management Self-stigma (perceived)
1 item
During lockdown
Mohindra et al. [38]
High risk
India
CS
Convenience sample
Doctors, nurses, hospital attendants, sanitation attendants, others working at the hospital Self-stigma (perceived)
Self-stigma (internalized)
19 items (adapted from Ebola epidemic questionnaire [74])
During lockdown
Monterossa-Castro et al. [63]
High risk
Colombia
CS
# invited n. r.
General Practitioners Self-stigma (perceived)
(questions not described)
Responses
to “the 24–30 March period, when the country was in a health emergency, in the initial phase of containment”
Ramaci et al. [64]
High risk
Italy
CS
Convenience sample
Nurses and doctors Self-stigma (perceived)
Self-stigma (anticipated)
Questionnaire adapted from HIV/AIDS/drug users questionnaire [75]
During national lockdown
Said et al. [70]
High risk
Egypt
CS (controlled)
Convenience sample
Nurses from triage hospital and from a hospital with no triage or isolation Self-stigma (perceived)
Self-stigma (internalized)
2 items (from US National Centre for Posttraumatic Stress Disorder 2020 and “MERS-CoV staff questionnaire”)
Not specified
Sharma et al. [65]
High risk
USA
CS
Convenience sample
HCWs caring for COVID-19 patients (intensive care unit): physicians, nurses, respiratory therapists, advanced practice providers Self-stigma (perceived)
Not reported
Not specified
Tan et al. [66]
High risk
China
CS
Response: 50.9%
Members of the workforce who returned to work: workers, and technical staff, executives, sales and marketing, management and others> Self-stigma (perceived)
1 item
Returning to work after lockdown and quarantine in Chongqing, during the peak of the COVID-19 epidemic when strict infection control was in place
Taylor et al. [35]
High risk
Canada, USA
CS
# invited n. r.
Non-HCWs Public stigma
8 items
Not specified
Uvais et al. [67,68]
High risk
India
CS
Convenience sample
Physicians working in hospitals Self-stigma (perceived)
Self-stigma (anticipated)
13 items (Perceived Stigma Scale)
Not specified
Yadav et al. [69]
High risk
India
CS
Response: 36.6%
HCWs Self-stigma (perceived)
Associative stigma
Adapted Stigma assessment and reduction of impact (SARI) Stigma scale
Not specified
Zandifar et al. [71]
High risk
Iran
CS
Response: 92%
HCWs engaged in the field of diagnostic and treatment of COVID-19 patients working in 9 general hospitals (physicians, nurses, technicians) Self-stigma (perceived)
22-items (adopted from the HIV Stigma Scale)
Not specified
Zhu et al. [41]
High risk
China
CS
Response: 77.1%
HCWs from hospital directly providing services to confirmed or suspected COVID-19 patients (physicians, nurses, technicians) Self-stigma (perceived)
1 item
COVID-19 outbreak (2 weeks after the authority in Wuhan suspended all public transport)

# invited n. r. = number of invited participants was not reported, CS = cross-sectional study, longitudinal = longitudinal study design.