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Stigma from medication use: an under recognised burden of care

Sonal Kansra, Rachel Calvert, Steve Jones
Breathe 2021 17: 210002; DOI: 10.1183/20734735.0002-2021
Sonal Kansra
1Paediatric Respiratory Medicine, Sheffield Children's Hospital NHS Trust, Sheffield, UK
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  • For correspondence: sonal.kansra@nhs.net
Rachel Calvert
2Paediatric Psychology, Sheffield Children's Hospital NHS Trust, Sheffield, UK
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Steve Jones
2Paediatric Psychology, Sheffield Children's Hospital NHS Trust, Sheffield, UK
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  • Figure 1
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    Figure 1

    The interaction of respiratory disease, need for medication and stigma.

Tables

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  • Table 1

    Components of stigma

    Component nameDescription
    Distinguishing and labelling differenceThe oversimplification and categorisation of groups based on attributes is an attempt to make sense of our complex world.
    Such categorisation leads to “taken for granted” labels that are applied in relation from one person to another.
    Within a society specific labels become socially salient and therefore desirable.
    Associating human difference with negative attributesLabelled differences can become linked to stereotypes, which can confer a socially undesirable characteristic about another person.
    Separating “us” from “them”Those labelled with a socially undesirable characteristic can be viewed as fundamentally different from “us”, which can lead to further generalised negative labelling due to a magnified perceived difference.
    Status loss and discriminationDue to being viewed as having socially undesirable characteristics a person may be set apart or devalued leading to a disadvantaged social position within a social hierarchy.
    The dependence upon powerThe exercise of power consciously or otherwise is often overlooked.
    Being part of a socially desirable label allows choice and power over someone in a less powerful position with respect to things such as inclusion or opportunity.

    Information from [6].

    • Table 2

      Impact of medication-related stigma on disease and health outcomes

      • Concealment leading to delay in presentations and treatment
      • Poor adherence to treatment
      • Inappropriate treatment (e.g. overreliance on reliever inhaler in asthma)
      • Psychological impact
      • Poor participation in social activities and further social exclusion
      • Poor disease control and more symptoms
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    Stigma from medication use: an under recognised burden of care
    Sonal Kansra, Rachel Calvert, Steve Jones
    Breathe Mar 2021, 17 (1) 210002; DOI: 10.1183/20734735.0002-2021

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    Stigma from medication use: an under recognised burden of care
    Sonal Kansra, Rachel Calvert, Steve Jones
    Breathe Mar 2021, 17 (1) 210002; DOI: 10.1183/20734735.0002-2021
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    • Article
      • Abstract
      • Abstract
      • Introduction
      • Search strategy
      • What is stigma?
      • Stigma and respiratory diseases
      • Impact of medication-related stigma on health outcomes
      • Practical tips on how to manage the stigma associated with health treatments across all spheres of influence
      • Footnotes
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