Table 4.
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.