Socio-psychological factors associated with anticipated stigma toward COVID-19: a cross-sectional study in Japan.

Publication date: Jun 27, 2023

The stigmatization against COVID-19 has become a public issue. However, it remains unknown which individual factor contributes to anticipated stigma formation. This study explored socio-psychological factors associated with anticipated stigma toward coronavirus disease 2019 (COVID-19). We obtained cross-sectional data regarding 1,638 middle-aged community residents (mean age, 48. 5 years) from a population-based survey in metropolitan Tokyo, Japan during the third wave of the COVID-19 pandemic, when a regional public health emergency had been declared in December 2020 and January 2021. We hypothesized that perceived risk of infection, normative beliefs about preventive behaviors, and past experiences of stigmatization unrelated to COVID-19 would be associated with anticipated stigma. Modified Poisson regression was conducted to examine associations after adjustments for demographic and socioeconomic statuses. Higher perceived risk (adjusted prevalence ratio [APR] = 1. 17; 95% confidence interval [CI, 1. 08-1. 27]), past experiences of stigmatization (APR = 1. 09; 95% CI [1. 00-1. 19]), and higher normative beliefs about preventive behaviors (APR = 1. 18; 95% CI [1. 11-1. 26]) were independently associated with anticipated stigma. These results suggest that intervention messages to increase risk perception and normative beliefs to enhance protective behaviors may have the unintended effect of increasing anticipated stigma in the context of the COVID-19 pandemic.

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Concepts Keywords
Coronavirus Anticipated stigma
December COVID-19
Socioeconomic Japan
Tokyo Normative beliefs
Unrelated Perceived risk


Type Source Name
disease MESH COVID-19
disease VO population
disease MESH emergency
disease MESH infection
disease IDO intervention
pathway REACTOME Reproduction
disease MESH loneliness
disease MESH psychological stress
disease MESH uncertainty
disease MESH obesity
disease MESH lifestyle
disease MESH psychological distress
disease VO effective
disease MESH social stigma
drug DRUGBANK Methionine
disease VO time
disease MESH educational attainment
disease MESH severe acute respiratory syndrome
disease MESH Comorbidity
disease MESH chronic diseases
disease MESH diabetes mellitus
disease MESH psychiatric disorders
disease MESH arthritis
disease MESH rheumatoid arthritis
pathway KEGG Rheumatoid arthritis
disease MESH respiratory diseases
disease VO USA

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