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1.
PLoS One ; 19(7): e0304723, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38985690

RESUMO

Extensive literature probes labor market discrimination through correspondence studies in which researchers send pairs of resumes to employers, which are closely matched except for social signals such as gender or ethnicity. Upon perceiving these signals, individuals quickly activate associated stereotypes. The Stereotype Content Model (SCM; Fiske 2002) categorizes these stereotypes into two dimensions: warmth and competence. Our research integrates findings from correspondence studies with theories of social psychology, asking: Can discrimination between social groups, measured through employer callback disparities, be predicted by warmth and competence perceptions of social signals? We collect callback rates from 21 published correspondence studies, varying for 592 social signals. On those social signals, we collected warmth and competence perceptions from an independent group of online raters. We found that social perception predicts callback disparities for studies varying race and gender, which are indirectly signaled by names on these resumes. Yet, for studies adjusting other categories like sexuality and disability, the influence of social perception on callbacks is inconsistent. For instance, a more favorable perception of signals like parenthood does not consistently lead to increased callbacks, underscoring the necessity for further research. Our research offers pivotal strategies to address labor market discrimination in practice. Leveraging the warmth and competence framework allows for the predictive identification of bias against specific groups without extensive correspondence studies. By distilling hiring discrimination into these two dimensions, we not only facilitate the development of decision support systems for hiring managers but also equip computer scientists with a foundational framework for debiasing Large Language Models and other methods that are increasingly employed in hiring processes.


Assuntos
Emprego , Estereotipagem , Humanos , Feminino , Percepção Social/psicologia , América do Norte , Masculino
2.
BMC Health Serv Res ; 24(1): 823, 2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39020333

RESUMO

BACKGROUND: During the COVID-19 pandemic, healthcare workers face the stigmatization of those caring for COVID-19 patients, creating a significant social problem. Therefore, this study investigated the stigmatization of healthcare workers in the context of the COVID-19 pandemic. METHODS: In this scoping review study, searches were conducted from December 2019 to August 2023 in Persian and English using various databases and search engines including PubMed (Medline), Embase, Scopus, ISI Web of Science, ProQuest, Science Direct, Springer, Cochrane Library, Google Scholar, and national databases. The study used English keywords such as Social Stigma, Health Personnel, Healthcare Worker, Medical Staff, Medical Personal, Physicians, doctors, Nurses, nursing staff, COVID-19, and coronavirus disease 2019, and their Persian equivalents, and their Persian equivalents to explore healthcare workers' experiences of COVID-19-related stigma. RESULTS: From a total of 12,200 search results, 77 eligible studies were included in this study. stigmatization of healthcare workers caring for COVID-19 patients was evident from the literature because of fear, misinformation, and negative self-image. Manifestations were violence and deprivation of social rights, resulting in adverse biopsychosocial, occupational, and economic consequences. This condition can affect negatively health staff themselves, their families, and society as well. Anti-stigmatization measures include informing society about the realities faced by healthcare workers, presenting an accurate and empathetic image of health workers, providing psychosocial support to health workers, and encouraging them to turn to spirituality as a coping mechanism. There are notable research gaps in comprehending the phenomenon, exploring its variations across diverse healthcare roles and cultural contexts, examining its long-term effects, and monitoring shifts in stigma perceptions over time. CONCLUSION: The COVID-19 pandemic has resulted in the stigmatization of healthcare workers, causing mistreatment and rights violations. This stigma persists even post-pandemic, posing a psychological dilemma for caregivers. Addressing this requires comprehensive strategies, including tailored stigma prevention programs and research to understand its psychological impact.


Assuntos
COVID-19 , Pessoal de Saúde , SARS-CoV-2 , Estigma Social , Humanos , COVID-19/psicologia , COVID-19/epidemiologia , Pessoal de Saúde/psicologia , Pandemias , Estereotipagem , Atitude do Pessoal de Saúde
4.
Sci Rep ; 14(1): 16324, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39009697

RESUMO

Judgments about social groups are characterized by their position in a representational space defined by two axes, warmth and competence. We examined serial dependence (SD) in evaluations of warmth and competence while measuring participants' electroencephalographic (EEG) activity, as a means to address the independence between these two psychological axes. SD is the attraction of perceptual reports towards things seen in the recent past and has recently been intensely investigated in vision. SD occurs at multiple levels of visual processing, from basic features to meaningful objects. The current study aims to (1) measure whether SD occurs between non-visual objects, in particular social groups and (2) uncover the neural correlates of social group evaluation and SD using EEG. Participants' judgments about social groups such as "nurses" or "accountants" were serially dependent, but only when the two successive groups were close in representational space. The pattern of results argues in favor of a non-separability between the two axes, because groups nearby on one dimension but far on the other were not subject to SD, even though that other dimension was irrelevant to the task at hand. Using representational similarity analysis, we found a brain signature that differentiated social groups as a function of their position in the representational space. Our results thus argue that SD may be a ubiquitous cognitive phenomenon, that social evaluations are serially dependent, and that reproducible neural signatures of social evaluations can be uncovered.


Assuntos
Encéfalo , Eletroencefalografia , Humanos , Masculino , Feminino , Adulto , Encéfalo/fisiologia , Adulto Jovem , Estereotipagem , Julgamento/fisiologia
5.
AIDS Patient Care STDS ; 38(7): 330-339, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38985567

RESUMO

Although enacted and internalized stigma is a continuing problem for people living with HIV (PLWH) in Southeast Asia, there is little understanding of how PLWH cope with discrimination, exclusion, and other negative outcomes caused by HIV-related stigmatization. This article aims to bridge this gap by analyzing the lived experiences of HIV-related stigmatization and coping strategies among 30 people with HIV in Myanmar, a country heavily influenced by religion, especially Buddhism. Among the 30 study participants, 20 were female and 10 were male, with ages ranging from 18 to 50 years. Through the lens of Bourdieu's concepts of habitus, field, and capital, this article first elucidates the various forms of stigmatization in family, work, social, and other settings as symbolic violence on people with HIV. The present article shows that spirituality serves as a perceptual and action framework for people with HIV to generate reflexivity toward their HIV infection and related stigmatization and to further engage in agentic responses. More importantly, this article demonstrates how people with HIV draw on spirituality to support peers in reclaiming control over their lives and how they are perceived by society. The findings indicate that the local context, especially cultural and religious resources, should be considered when developing interventions to mitigate HIV-related stigmatization in Southeast Asia.


Assuntos
Adaptação Psicológica , Infecções por HIV , Estigma Social , Espiritualidade , Humanos , Mianmar , Masculino , Infecções por HIV/psicologia , Feminino , Adulto , Pessoa de Meia-Idade , Adolescente , Adulto Jovem , Estereotipagem , Apoio Social , Pesquisa Qualitativa , Entrevistas como Assunto , Capacidades de Enfrentamento
6.
Proc Natl Acad Sci U S A ; 121(30): e2405334121, 2024 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-39008667

RESUMO

Our given name is a social tag associated with us early in life. This study investigates the possibility of a self-fulfilling prophecy effect wherein individuals' facial appearance develops over time to resemble the social stereotypes associated with given names. Leveraging the face-name matching effect, which demonstrates an ability to match adults' names to their faces, we hypothesized that individuals would resemble their social stereotype (name) in adulthood but not in childhood. To test this hypothesis, children and adults were asked to match faces and names of children and adults. Results revealed that both adults and children correctly matched adult faces to their corresponding names, significantly above the chance level. However, when it came to children's faces and names, participants were unable to make accurate associations. Complementing our lab studies, we employed a machine-learning framework to process facial image data and found that facial representations of adults with the same name were more similar to each other than to those of adults with different names. This pattern of similarity was absent among the facial representations of children, thereby strengthening the case for the self-fulfilling prophecy hypothesis. Furthermore, the face-name matching effect was evident for adults but not for children's faces that were artificially aged to resemble adults, supporting the conjectured role of social development in this effect. Together, these findings suggest that even our facial appearance can be influenced by a social factor such as our name, confirming the potent impact of social expectations.


Assuntos
Face , Nomes , Humanos , Masculino , Criança , Feminino , Adulto , Face/anatomia & histologia , Adulto Jovem , Adolescente , Reconhecimento Facial/fisiologia , Estereotipagem
7.
J Appl Res Intellect Disabil ; 37(5): e13276, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39010739

RESUMO

BACKGROUND: The present study examines the relationship between stereotypical beliefs about people with intellectual disabilities, desire for social distance, and general knowledge about human sexuality with attitudes towards the sexuality of adults with mild intellectual disabilities. METHOD: Two hundred fifty participants from staff, family and community samples completed an online set of questionnaires. RESULTS: Higher agreement with stereotypical beliefs and lower sexual knowledge were associated with less normalising and more paternalistic attitudes towards the sexuality of adults with mild intellectual disabilities. Higher agreement with stereotypical beliefs was also associated with more negative attitudes. On the other hand, willingness to interact with these adults was associated with more normalising and less paternalistic attitudes. CONCLUSIONS: Interventions that aim to support adults with intellectual disabilities in relation to their sexuality should also address the perceptions of their support network towards them as individuals with disabilities, as well as their knowledge about sexuality.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Deficiência Intelectual , Distância Psicológica , Sexualidade , Estereotipagem , Humanos , Masculino , Deficiência Intelectual/psicologia , Feminino , Adulto , Pessoa de Meia-Idade , Sexualidade/psicologia , Adulto Jovem , Idoso , Adolescente
8.
Eat Weight Disord ; 29(1): 45, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38954277

RESUMO

PURPOSE: Eating disorder (ED) awareness is low. We assessed if ED symptom recognition, perceived need for treatment, perceived distress, perceived acceptability, and perceived prevalence differed depending on the gender of the individual with the ED. METHODS: 276 community participants were randomly assigned to one of three gender conditions (female, male, and non-binary), read three vignettes describing three different individuals with ED symptoms [anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED)], and then answered a series of questions related to participants ED symptom recognition, perceived need for treatment, perceived distress associated with having ED symptoms, perceived acceptability (e.g., the extent to which it may not be too bad to have an ED), and perceived prevalence. Mixed ANOVAs and chi-square analyses were conducted to examine differences between groups. RESULTS: There were no significant main effects of gender condition across the outcome variables. There were main effects of ED type for problem recognition, perceived need for treatment, perceived level of distress, and perceived prevalence, with participants being more likely to recognize a problem in the AN and BN vignettes than the BED vignettes, refer for treatment and rate a higher perceived level of distress in then AN vignette than the BN and BED vignettes, and perceive a higher prevalence rate in the BN vignette than the AN vignette. There was a significant gender by condition interaction for perceived prevalence, with participants rating a higher prevalence of AN in women and non-binary individuals than men and a higher prevalence of BN in women than non-binary individuals and men. CONCLUSION: These results highlight the importance of education on EDs and awareness that EDs can occur in any individual, regardless of their gender identification. LEVEL OF EVIDENCE: Level I, experimental study with randomization.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Estereotipagem , Humanos , Masculino , Feminino , Adulto , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Adulto Jovem , Adolescente , Fatores Sexuais , Bulimia Nervosa/psicologia , Pessoa de Meia-Idade
9.
Front Public Health ; 12: 1388842, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39011331

RESUMO

Introduction: This study was conducted on the occasion of the parricide in Bolzano (South Tyrol, Italy) in January 2021. The psychological impact of parricide on the general population and on mental health professionals has scarcely been investigated to the present day. Studies on stigmatization show differences between various groups. The aim was to analyze the emotional reactions to the parricide and the stigmatization of persons with mental disorders in the South Tyrolian population. Methods: In September 2022, 121 mental health professionals of the Department of Psychiatry in Bolzano were surveyed using an online questionnaire. In addition, from January to March 2023, the general population of South Tyrol was invited to take part in the survey through an online-link and was divided into three groups: 267 persons with mental health problems, 855 relatives and 1,019 persons with no direct or indirect contact to people with mental problems. The validated Reported and Intended Behavior Scale (RIBS) was used together with questions on the emotional reactions to the parricide and the perceived dangerousness of psychiatric patients. Descriptive statistics, one-way Anovas as well as regressions were carried out. Results and discussion: All groups experienced sadness the most. Relatives experienced more sadness and anger than the other groups. Over 80% of the professionals stated that psychiatric patients were not at greater risk of committing parricide. The population with no contact rated the risk higher than those affected and had the lowest level of openness (RIBS). There were no differences between genders, but there were age differences, with younger people being more stigmatizing. The results suggest that personal contact, appropriate information, and education are associated with less stigmatization.


Assuntos
Emoções , Transtornos Mentais , Humanos , Itália , Masculino , Feminino , Adulto , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Inquéritos e Questionários , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Família/psicologia , Estereotipagem , Idoso
10.
Glob Public Health ; 19(1): 2371390, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-39016193

RESUMO

Stigmatisation processes constitute key barriers to effectively addressing the HIV pandemic. In this article, we provide a critical overview of this field's current state of the art, highlighting some key emerging issues that merit greater research attention in the future to ensure that contemporary research on stigmatisation and resistance processes continues to engage with changing social and political circumstances. We look at how resistance to stigma has developed in the context of HIV and highlight some of the most important programmatic strategies that have emerged over the history of the pandemic. We present the key concepts of 'moral panics' and 'necropolitics', and we articulate them in relation to new global phenomena that deepen the processes of stigmatisation. Moreover, we identify an agenda for investigation which merits greater attention in future research, intervention, and advocacy: 1) changing political environments, neoliberalism, growing political polarisation, and the rise of political extremism; 2) the rise of the information age, technological change, and social media; and 3) rebuilding civil society and governmental responses to stigma.


Assuntos
Infecções por HIV , Política , Estigma Social , Humanos , Estereotipagem
11.
PLoS One ; 19(6): e0303653, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38941299

RESUMO

BACKGROUND: Racism and implicit bias underlie disparities in health care access, treatment, and outcomes. An emerging area of study in examining health disparities is the use of stigmatizing language in the electronic health record (EHR). OBJECTIVES: We sought to summarize the existing literature related to stigmatizing language documented in the EHR. To this end, we conducted a scoping review to identify, describe, and evaluate the current body of literature related to stigmatizing language and clinician notes. METHODS: We searched PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Embase databases in May 2022, and also conducted a hand search of IEEE to identify studies investigating stigmatizing language in clinical documentation. We included all studies published through April 2022. The results for each search were uploaded into EndNote X9 software, de-duplicated using the Bramer method, and then exported to Covidence software for title and abstract screening. RESULTS: Studies (N = 9) used cross-sectional (n = 3), qualitative (n = 3), mixed methods (n = 2), and retrospective cohort (n = 1) designs. Stigmatizing language was defined via content analysis of clinical documentation (n = 4), literature review (n = 2), interviews with clinicians (n = 3) and patients (n = 1), expert panel consultation, and task force guidelines (n = 1). Natural language processing was used in four studies to identify and extract stigmatizing words from clinical notes. All of the studies reviewed concluded that negative clinician attitudes and the use of stigmatizing language in documentation could negatively impact patient perception of care or health outcomes. DISCUSSION: The current literature indicates that NLP is an emerging approach to identifying stigmatizing language documented in the EHR. NLP-based solutions can be developed and integrated into routine documentation systems to screen for stigmatizing language and alert clinicians or their supervisors. Potential interventions resulting from this research could generate awareness about how implicit biases affect communication patterns and work to achieve equitable health care for diverse populations.


Assuntos
Documentação , Registros Eletrônicos de Saúde , Humanos , Idioma , Estereotipagem , Racismo
12.
PLoS One ; 19(6): e0302039, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38900806

RESUMO

Weight stigma is highly prevalent. However, existing weight stigma interventions are only modestly effective at reducing anti-fat attitudes. The current research proposes a novel approach using a loving kindness meditation (LKM). Experiment 1 tests whether random assignment to the LKM intervention reduces explicit and implicit anti-fat bias and increases empathy based on the LKM recipient with higher weight (close other vs. stranger). Experiment 2 tests whether LKM outperforms an empathy intervention or control to increase empathy or reduce stigmatizing behavior. Results revealed that the LKM increased empathic care but did not reduce anti-fat bias compared to control; the LKM intervention, but not the empathy intervention, reported greater empathy compared to control in unadjusted analyses; and participants in the LKM and empathy interventions (vs. control) were more likely to engage in stigmatizing behavior. These findings suggest that the LKM may not be effective at reducing weight stigma despite increasing empathy.


Assuntos
Empatia , Meditação , Estigma Social , Humanos , Meditação/psicologia , Meditação/métodos , Masculino , Feminino , Adulto , Adulto Jovem , Amor , Adolescente , Estereotipagem
13.
J Psychosom Res ; 183: 111828, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38852031

RESUMO

INTRODUCTION: Stigma is a social attribute that links a person to an undesirable characteristic and leads to actions that increase the social distance from that person. This includes different or discriminatory treatment. Stigma is common in healthcare, particularly in people with persistent physical symptoms (PPS) and functional disorders (FD). The aim of this study is to create a new actionable framework to aid understanding of stigmatisation in consultations about PPS/FD and to improve the consultation experiences. METHODS: This framework development used the Best Fit Framework approach to data collected for a scoping review of stigma in functional disorders. The stages included selection of an initial framework from existing conceptual models, mapping quote data from published papers to the framework and an iterative process of revision and re-mapping. The final framework was tested by re-mapping all the quote data to the framework following classification rules. RESULTS: 253 quotes were obtained from the results sections of qualitative studies from a previous scoping review. The framework comprises of prejudice, stereotypes and actions to increase social distance. Stereotype refers to the focus of stigma: this may be the condition, the patient, or their behaviour. Actions that increase social distance include: othering; denial; non-explanation; minimising, norm-breaking; and psychologising. By breaking down stigma into recognisable components, the framework provides a way to understand the difficulties that patients and clinicians face during consultations and a way to develop intervention materials. CONCLUSIONS: This new framework for stigma in clinical consultations for PPS/FDs provides a useful tool for the study of stigma in clinical consultations.


Assuntos
Encaminhamento e Consulta , Estigma Social , Estereotipagem , Humanos , Distância Psicológica
14.
Trends Immunol ; 45(7): 483-485, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38862366

RESUMO

Despite prevalent diversity and inclusion programs in STEM, gender biases and stereotypes persist across educational and professional settings. Recognizing this enduring bias is crucial for achieving transformative change on gender equity and can help orient policy toward more effective strategies to address ongoing disparities.


Assuntos
Sexismo , Humanos , Feminino , Masculino , Estereotipagem , Ciência , Engenharia , Matemática
15.
Ann Dyslexia ; 74(2): 143-157, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38877328

RESUMO

Dyslexia, characterized by word reading and spelling deficits, has historically been viewed through a medical model of disability. However, a countermovement has emerged, emphasizing the strengths and abilities of neurodiverse individuals, including those with dyslexia. The concept of neurodiversity, which was initially introduced to help inform understanding of a mild form of autism, has expanded to include dyslexia. The expansion has occurred alongside a similar portrayal of dyslexia as an advantage that comes with specific gifts, creating a positive stereotype. While intended to empower individuals with dyslexia, the translation of the concept of neurodiversity to dyslexia in this way can inadvertently stigmatize and isolate those who do not fit this positive stereotype of dyslexia. This review, following a perspective review article format, synthesizes existing literature on the purported gifts of dyslexia and the implications of both negative and positive stereotypes on the well-being of individuals with dyslexia. The findings of this review underscore the importance of dispelling myths about dyslexia and advocating against the use of stereotypes, both negative and positive, in portraying dyslexia. Doing so will help remove the harmful effects of stigmatization, stereotype threat, and the potential of a fixed mindset inherent to being stereotyped.


Assuntos
Dislexia , Estereotipagem , Humanos , Dislexia/fisiopatologia , Estigma Social
16.
Adv Pediatr ; 71(1): 17-27, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38944482

RESUMO

A primer for pediatric providers on understanding stigma in health care, the terminology and types of stigma, the conditions commonly faced with stigma in pediatrics, the components of evidence-based anti-stigma initiatives, and guidance to effect change within a pediatric practice. The authors outline the negative effects of stigma in pediatrics and how to combat the problem at the source, and explore self-stigma, public stigma, and structural stigma and how it applies to weight, diabetes, disability, HIV, mental health, and substance use in pediatrics.


Assuntos
Estigma Social , Humanos , Criança , Pediatria , Pediatras/psicologia , Estereotipagem
17.
Int J Equity Health ; 23(1): 114, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38831276

RESUMO

BACKGROUND: The intensive care unit presents structural complexities, and the prevailing power imbalance between patients and staff can lead to health disparities. Hence, unveiling the underlying factors that give rise to and reinforce these disparities can contribute to their prevention. This study aims to shed light on the stereotypes linked to ageism and lookism, which perpetuate health disparities within the intensive care unit setting in Iran. METHODS: This critical ethnographic study employed Carsepkan's approach and was carried out in intensive care units in the west of Iran from 2022 to 2023. The data collection and analysis were conducted through three interconnected stages. In the initial stage, more than 300 h of observations were made at the research site. In the subsequent stage, a horizon analysis was performed. Conversations with 14 informants were conducted in the final stage to enrich the dataset further. Then the analysis process was carried out as in the previous step to uncover an implicit culture of health disparity. To verify the validity and reliability of the study, credibility, conformability, dependability, and transferability were all taken into account. FINDINGS: The ageism and lookism stereotypes emerged from seven main themes; youth-centric; negative ageism; age-friendliness; age-related priority; centered care for pediatric patients and families; appearance-centeredness; and a contradiction between belief and behavior. CONCLUSION: This critical study showed that ageism and lookism stereotypes permeated the intensive care unit's culture. These stereotypes have the potential to influence equality dynamics, as well as to foster and support health disparity in the intensive care unit.


Assuntos
Etarismo , Antropologia Cultural , Unidades de Terapia Intensiva , Estereotipagem , Humanos , Irã (Geográfico) , Etarismo/psicologia , Masculino , Feminino , Adulto , Disparidades em Assistência à Saúde , Pessoa de Meia-Idade , Disparidades nos Níveis de Saúde
18.
Sci Rep ; 14(1): 13096, 2024 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-38849419

RESUMO

"Felt understanding" is a crucial determinant of positive interpersonal and intergroup relationships. However, the question of why felt understanding shapes intergroup relations has been neglected. In a pre-registered test of the process in intergroup relations with a sample from East Asia, we manipulated felt understanding (understood versus misunderstood by an outgroup) in an experimental study (N = 476). The results supported the expectation that felt understanding would lead to a more positive intergroup orientation and action intention. The results of parallel mediation analyses showed that felt understanding indirectly predicted intergroup outcomes through felt positive regard, intergroup overlap, and outgroup stereotypes. Furthermore, the results of post-hoc sequential mediation analyses indicated that felt understanding indirectly predicted intergroup outcomes sequentially through felt positive regard and intergroup overlap, followed by outgroup stereotypes.


Assuntos
População do Leste Asiático , Relações Interpessoais , Adulto , Feminino , Humanos , Masculino , Adulto Jovem , China , Compreensão , População do Leste Asiático/psicologia , Processos Grupais , Japão , Estereotipagem
19.
J Natl Cancer Inst Monogr ; 2024(63): 20-29, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38836527

RESUMO

BACKGROUND: Innovations in lung cancer control and care have started to transform the landscape of lung cancer outcomes, but lung cancer stigma and biases have been implicated as a deterrent to realizing the promise of these innovations. Research has documented lung cancer stigma among the general public and lung cancer survivors (self-blame), as well as clinicians across many disciplines. However, studies have not explored lung cancer stigma in health-care trainees. These data seek to address that gap and inform efforts to prevent the emergence or mitigate the presence of lung cancer stigma among future clinicians. METHODS: Using clinical vignettes and a 2x2 factorial design, this investigation evaluated the impact of a history of smoking (yes vs no) and cancer diagnosis (lung vs colorectal) on perceptions of the described patient among 2 groups of preclinical health-care trainees (medical = 94 and nursing = 138). A charitable giving paradigm also asked participants to donate provided funds to 1 of 2 cancer advocacy organizations: one serving the lung cancer community and one serving the colorectal cancer community. RESULTS: In study 1, results revealed a consistent pattern of statistically significant and medium to large effect size differences regarding stigmatized perceptions (eg, higher stigmatizing behavior, increased pity, greater anger, and less helping) for individuals with a history of smoking but no reliable differences regarding cancer diagnosis. Analysis of data from nursing trainees in study 2 showed a similar pattern of statistically significant and medium to large effects pertaining to stigma behavior and perceptions of individuals who had a history of smoking depicted in the vignettes. The charitable giving paradigm did not identify any reliable difference between the groups in either study. CONCLUSIONS: Findings revealed a consistent pattern of health-care trainee perceptions that varied by smoking status but much less evidence that the cancer diagnosis contributed to different perceptions. This suggests that efforts to integrate consideration of stigma and biases in health-care training needs to adopt an approach that seeks to mitigate or eliminate stigmatizing perceptions and behaviors toward individuals with a history of smoking.


Assuntos
Neoplasias Pulmonares , Estigma Social , Humanos , Neoplasias Pulmonares/psicologia , Neoplasias Pulmonares/diagnóstico , Masculino , Feminino , Adulto , Atitude do Pessoal de Saúde , Pessoal de Saúde/psicologia , Fumar/psicologia , Fumar/epidemiologia , Estereotipagem , Inquéritos e Questionários
20.
Appetite ; 200: 107506, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38782094

RESUMO

What factors hinder the reduction of meat and/or dairy intake? In this study, we explored the perceived barriers that meat and/or dairy reducers experienced when shifting their diets. We particularly focused on how meat and/or dairy reducers were affected by their beliefs about how omnivores stereotype vegans (i.e., meta-stereotypes), as meta-stereotypes have not been previously explored in this context. Through open-ended questions in an online survey, we explored the experiences and perceived barriers among female meat and/or dairy reducers (n = 272), as well as their perceptions of vegans (i.e., stereotypes and meta-stereotypes), and how these perceptions affected their lived experiences. We analysed the data using reflexive thematic analysis and generated six themes. We highlighted perceptions of cost (Theme 1) and perceptions of health concerns (Theme 2) as the most dominant barriers to the reduction of meat and/or dairy intake. Regarding (meta) stereotypes, participants' perceptions of vegans were shaped by personal experiences and encounters with vegans (Theme 3), and how participants related to vegans was sometimes reflected in the language they used to describe vegans (Theme 4). Participants felt that they, or reducers more generally, were occasionally judged as vegans (Theme 5), which might influence participants' choices and conformity to eating norms (Theme 6). Meta-stereotypes may play a role in polarised dietary group perceptions, and we discuss how they are shaped by social identity processes as well as by aspects of Western food systems.


Assuntos
Estereotipagem , Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Carne , Inquéritos e Questionários , Dieta Vegetariana/psicologia , Dieta/psicologia , Laticínios , Dieta Saudável/psicologia , Idoso , Conhecimentos, Atitudes e Prática em Saúde , Comportamento Alimentar/psicologia
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