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Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B

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  • Thieu Van Le

    (Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam
    These authors contributed equally to this work.)

  • Thuc Thi Minh Vu

    (Hanoi Medical University, Hanoi 100000, Vietnam
    These authors contributed equally to this work.)

  • Hue Thi Mai

    (Hanoi Medical University, Hanoi 100000, Vietnam)

  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam)

  • Nu Thi Truong

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam)

  • Chi Linh Hoang

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam)

  • Son Hoang Nguyen

    (Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam)

  • Cuong Tat Nguyen

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 55000, Vietnam)

  • Binh Cong Nguyen

    (Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam)

  • Tung Hoang Tran

    (Department of Lower Limb Surgery, Vietnam-Germany Hospital, Hanoi 100000, Vietnam)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
    Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Carl A. Latkin

    (Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Cyrus S.H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

  • Roger C.M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore)

Abstract

Vietnam is among the countries with the highest prevalence of chronic hepatitis B (CHB) and individuals who suffer from CHB oftentimes perceive high levels of stigma and discrimination. Our study aimed to provide evidence on the prevalence of stigma against hepatitis B virus (HBV), HBV infection, and social determinants of stigma and discrimination in patients. A cross-sectional study was conducted at Viet-Tiep Hospital, Hai Phong, Vietnam. Stigma and discrimination against CHB in the last month were measured via four dimensions: (1) Blame/Judgment; (2) Shame; (3) Discrimination in different settings; (4) Disclosure of CHB status. Multivariate Logistic and Tobit regressions were used to identify factors associated with CHB-related stigma and discrimination. Among 298 enrolled patients, 4.8% experienced blame/judgement, 10.2% perceived shame, 48.5% felt discriminated in healthcare facilities, and 90.6% disclosed their health status with spouses/partners. Factors associated with lower odds of CHB-related stigma/discrimination included living with spouses/partners, old age, being employed, and the existence of comorbidities was linked with higher odds of stigma. Anti-stigma programs should target those who are younger and have comorbidities. This could be done by community-based interventions which focus on inaccurate beliefs about viral hepatitis. Furthermore, families, healthcare providers, and society should play a crucial role in supporting CHB patients.

Suggested Citation

  • Thieu Van Le & Thuc Thi Minh Vu & Hue Thi Mai & Long Hoang Nguyen & Nu Thi Truong & Chi Linh Hoang & Son Hoang Nguyen & Cuong Tat Nguyen & Binh Cong Nguyen & Tung Hoang Tran & Bach Xuan Tran & Carl A., 2019. "Social Determinants of Stigma and Discrimination in Vietnamese Patients with Chronic Hepatitis B," IJERPH, MDPI, vol. 16(3), pages 1-9, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:398-:d:202182
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    References listed on IDEAS

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    1. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
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    Cited by:

    1. Zhisong Zhang & Kaising Sun & Chonnakarn Jatchavala & John Koh & Yimian Chia & Jessica Bose & Zhimeng Li & Wanqiu Tan & Sizhe Wang & Wenjing Chu & Jiayun Wang & Bach Tran & Roger Ho, 2019. "Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies," IJERPH, MDPI, vol. 17(1), pages 1-23, December.

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