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Query: UMLS:C0277787 (stigma)
 13,352 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The research reported here examines knowledge, attitudes, and practices related to tuberculosis (TB) among Samoan immigrants through the use of a focus group. Samoan health workers to discuss participants' explanatory models regarding TB convened a focus group of eight Samoan living in Hawaii. The participants expressed a belief in the extreme contagiousness of TB. This leads to social stigma and isolation. Most agreed that biomedical treatment is necessary. Traditional herbal medicine was seen as adjunct to biomedical treatment. Focus group participants were found to subscribe to largely biomedical explanatory models regarding TB, but belief in traditional medicine also persists. TB was believed to be more transmissible than it actually is. TB continues to be a stigmatized disease.
Pac Health Dialog 2001 Mar
PMID:Attitudes regarding tuberculosis among Samoans. 1201 16

In Fiji the magnitude and burden of mental health disorders today is increasing with more than 75% of people admitted to the St Giles Psychiatric hospital for the first time suffer from mental or behavioural disorder. Moreover, more than 50% suffer from an alcohol-or drug-use disorder. This growing burden amounts to huge cost in terms of human misery, disability and economic loss. The purpose of this paper is to look at the mental health service provided at the St Giles psychiatric hospital and the utilisation of these services focusing exclusively on first admissions for year 2002 with the view to identifying characteristics that may suggest that patient may have benefited from a community based service, thereby avoiding the stigma of a psychiatric admission. Recommendations arising from the data will be presented on the role of other health promoting alternatives to hospitalization, which may be more health promoting. These recommendations may help to meet the diverse needs arising from the community, and strengthen the ability to respond to new cases in homesettings and rehabilitate people within their own communities.
Pac Health Dialog 2006 Sep
PMID:Utilisation review of first admissions in 2002: St Giles Psychiatric Hospital, Suva, Fiji. 1818 94

Ethno cultural influences on the psychosocial construction and lived experience of HIV/AIDS in Native Hawaiian women were examined in two exploratory studies. It is proposed that the quality, maintenance, and restoration of affective interpersonal bonds is a central organizing theme affecting the perceptions, interpretations, affective experiences, and motivations underlying the women's experience of HIV/AIDS. Qualitative analyses of verbatim transcriptions identified the role of affective interpersonal bonds in several key areas including stigma, shame and disclosure decisions, the meaning of infection, access to and experience of health and social services, and personal growth and development. The role of ethno cultural influences in psychological growth models is discussed and future research directions are offered.
Pac Health Dialog 2003 Sep
PMID:Psychosocial adjustment of Native Hawaiian women living with HIV/AIDS: the central role of affective bonds. 1818 55

Admission to Fiji's sole psychiatric hospital St Giles attaches the stigma of mental illness to patients, which may impact on the course of their lives and on their social acceptability. We argue that alternatives to hospitalization are health promoting in that they avoid stigmatization and institutional dependency. Recommendations are proposed for the further development of a community-based mental health service, such that admission is avoided where possible and where services are provided in the least restrictive environment close to patient's family and community supports.
Pac Health Dialog 2007 Sep
PMID:A proposed future for the care, treatment and rehabilitation of mentally ill people in Fiji. 1958 15

Capacity building assistance (CBA) uses multiple techniques, including training and technical assistance, to develop a sustainable infrastructure for healthcare agencies. Although there is some evidence that CBA is effective, much remains to be learned about the best ways to implement it. We assessed factors influencing the delivery of an HIV-related CBA project for health professional in the U.S.-Affiliated Pacific Jurisdictions. We found some factors clearly facilitated CBA (e.g., implementing programs over long time periods), while others were clearly limiting influences (e.g., AIDS-related stigma). Lessons from this study can be applied to other CBA programs, where CBA providers can assess barriers and facilitators to implementation in order to target their services to the needs of local health experts.
Pac Health Dialog 2007 Mar
PMID:'Healthcare is not something you can isolate from life in general": factors influencing successful clinical capacity building in the Pacific. 1977 45