ระดับการตีตราและปัจจัยที่เกี่ยวข้องของผู้ที่ติดเชื้อ COVID-19 ในภาคตะวันออกเฉียงเหนือ ประเทศไทย

kanokporn Yodyot; Wongsa Laohasiriwong; Rajitra Nawawonganun; Kritsana Aunthakhot; Thitima Nutrawong; Paricha Nippanon; Nopparat Senahad

Authors

kanokporn Yodyot Doctor of Public Health Student, Faculty of Public Health, Khon Kaen University
Wongsa Laohasiriwong Faculty of Public Health, Khon Kaen University
Rajitra Nawawonganun Faculty of Public Health, Khon Kaen University
Kritsana Aunthakhot Faculty of Public Health, Khon Kaen University
Thitima Nutrawong Faculty of Medicine, Khon Kaen University
Paricha Nippanon Faculty of Public Health, Khon Kaen University
Nopparat Senahad Faculty of Public Health, Khon Kaen University

Keywords:

Stigma, COVID-19 survivors

Abstract

The COVID-19 pandemic has brought about substantial psychological and social impacts, particularly stigma, among individuals who have previously contracted the virus. This cross-sectional research aimed to investigate the levels of stigma and associated factors among COVID-19 survivors in Northeastern Thailand. A total of 1,250 samples aged 18 years and above who had recovered from COVID-19 were recruited through multi-stage sampling across 12 provinces. Data were collected via an online structured questionnaire in 2023 and analyzed using descriptive statistics and Generalized Linear Mixed Models (GLMM).

The findings revealed that 77.20% of participants experienced low stigma, 13.28% moderate stigma, and 9.52% high stigma, with a mean stigma score of 27.26 (S.D.=12.36). Stigma across all four dimensions—self-stigma, workplace, family, and community—was predominantly low. Factors significantly associated with lower stigma included being a government employee (Adj.OR=2.66, 95%CI: 1.40–5.05), shorter treatment duration (<7 days) (Adj.OR=1.95, 95%CI: 1.20–3.17), good COVID-19 preventive behaviors (Adj.OR=1.73, 95%CI: 1.16–2.56), excellent health literacy (Adj.OR=1.84, 95%CI: 1.25–2.72), mild-to-moderate stress (Adj.OR=4.34, 95%CI: 2.76–6.83), and moderate post-traumatic stress (Adj.OR=5.01, 95%CI: 2.35–10.70).

This study underscores the importance of addressing psychological, behavioral, and sociodemographic factors when developing stigma-reduction interventions. Public health strategies should therefore emphasize on promoting health literacy, mental health screening, alleviating stigma in communities.

References

สุภลักษณ์ ธานีรัตน์, เมทณี ระดาบุตรฐ สุจิรา วิเชียรรัตน์ และศิริพร โอภาสวัตชัย. (2563). กลยุทธ์เพื่อลดการตีตราทางสังคมในสถานการณ์โควิด 19 Strategies to Relieve a Social Stigma on COVID-19. วารสารเกื้อการุณย์, 27(2), 164-174.

Best, J. W., & Kahn, J. V. (2006). Research in education (10th ed.). Pearson Education.

Creswell, J. W. (2014). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (4th ed.). SAGE Publications.

Dayton, L., Song, W., Kaloustian, I., Eschliman, E. L., Strickland, J. C., & Latkin, C. (2022). A longitudinal study of COVID-19 disclosure stigma and COVID-19 testing hesitancy in the United States. Public health, 212, 14–21.

Fu, L., Wang, B., Jin, Q., & Liu, X. (2022). Perceived stigma and its relationship with quality of life and sleep quality among COVID-19 survivors in China: A cross-sectional study. BMC Psychiatry, 22(1), 79.

Hsieh, P., Bloch, D. L. & Larsen, J. M. (1998). The role of internet communication in community building. Journal of Computer-Mediated Communication, 4(1), 1-10.

Li, D. J., Ko, N. Y., Chen, Y. L., Wang, P. W., Chang, Y. P., Yen, C. F., et al. (2021). COVID-19-related stigma and its influence on psychological distress and mental health quality of life among healthcare students in Taiwan: A cross-sectional study. BMJ Open, 11(4), 1-10.

Lin, C., Li, R., & Guan, Y. (2021). Perceived social stigma and depression among people with COVID-19: A study from mainland China. Journal of Affective Disorders, 292, 391–395.

Logie, C. H., & Turan, J. M. (2020). How do we balance tensions between COVID-19 public health responses and stigma mitigation? Learning from HIV research. AIDS and Behavior, 24, 2003–2006.

Ramaci, T., Barattucci, M., Ledda, C., & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12(9), 3834.

Ryu, S., Kim, H., & Lee, J. (2024). Social stigma and psychological burden during the COVID-19 pandemic: A cross-national study. International Journal of Environmental Research and Public Health, 21(2), 123–136.