Skip to main content Skip to main navigation menu Skip to site footer

Correlation between perceived stigma and quality of life of Leprosy patients

  • Duma Wenty Irene Sinambela ,
  • Syahril Rahmat Lubis ,
  • Dina Arwina Dalimunthe ,

Abstract

Background: Stigma is one of many problems that hinders leprosy prevention efforts. Perceived stigma refers to the perceptions and subjective awareness of leprosy patients what the community thinks or do to themselves which can reduce quality of life (QOL). This study aimed to analyze the correlation between perceived stigma and QOL of leprosy patients

Methods: This study involved 30 leprosy patients and the baseline data were collected through interview. We assessed perceived stigma and QOL respectively by using Explanatory Model Interview Catalogue (EMIC) and World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. Pearson correlation test is used to analyze the collected data.

Results: There was a significant correlation between perceived stigma and QOL (p=0,011; r= -0,459). The majority of research subjects were aged between 19-40 years old with male sex predominance, senior high school education, income below the city minimum wage and married status. Most of them had negative perceived stigma. Covering illness from others and discussing their illness closest people were the dominant factors affecting perceived stigma. They had ordinary QOL subjectively, not satisfied to health condition, physical domain was the most affected by Leprosy and had a good QOL.

Conclusion: There was a significant correlation between perceived stigma and QOL.

References

  1. Ministry of Health, Directorate General of Disease Control and Environmental Health. National Guidelines for the Eradication of Leprosy. 2014; 18:1-169
  2. Astutik E, Gayatri D. Perceived Stigma in People Affected by Leprosy in Leprosy Village of Sitanala, Banten, Indonesia. Kesmas: National Public Health Journal. 2018; 12(4):178-186. DOI: 10.21109 / kesmas.v12i4.1756
  3. Sermrittirong S, Van Brakel W H. Stigma in Leprosy: concepts, causes and determinants. In: Sermrittirong S. Stigma and stigma interventions related to Leprosy and tuberculosis in Thailand. Ridderprint, Ridderkerk, The Netherlands. 2014: 39-51
  4. Aagaard-Hansen J, Chaignat CL. Neglected tropical diseases: equity and social determinants. In: Equity, social determinants and public health programmes [Internet]. Geneva: World Health Organization. 2010:135-58. Available from: http://www.who.int/social_determinants/en/. [ cited 2019 June 7th]
  5. Infodatin. Eliminate Stigma and discrimination against Leprosy. Center for Data and Information, Ministry of Health RI. 2018. Available from: http://www.pusdatin.kemkes.go.id/article/view/18053000001/infodatin-kusta-2018.html [cited 2019 June 5th]
  6. Luka EEL. Understanding the stigma of Leprosy. Southern Sudan Medical Journal .2010;3(3):45-9
  7. Chi P, Li X, Zhao J, Zhao G. Vicious Circle of Perceived Stigma, Enacted Stigma and Depressive Symptoms Among Children Affected by HIV/AIDS in China. New York:Springer Science+Business Media. 2013. DOI 10.1007/s10461-013-0649-z
  8. Govindharaj P, Srinivasan S, Darlong J, Mahato B, Acharya P. A New Instrument to Measure Leprosy Internalised Stigma: the Leprosy Internalised Stigma Scale (LISS). Lepr Rev. 2018;89:242–55
  9. Vorend C, Stevelink S, Rensen C. Guidelines to reduce stigma: How to assess health related stigma. The International Federation of Anti-Leprosy Associations (ILEP) and the Netherlands Leprosy Relief (NLR), London / Amsterdam. 2011:11-45
  10. Kaehler N, Adhikar B, Raut S, Marahatta SB, Chapman RS. Perceived Stigma towards Leprosy among Community Members Living Close to Nonsomboon Leprosy Colony in Thailand. PloS ONE. 2015;10(6): e0129086. DOI:10.1371/journal.pone.0129086
  11. Roifah I. Improving the Quality of Life of Leprosy Patients by Using the Self Help Group (SHG) Method. Journal of Health Sciences. 2017; 6 (1): 82-9
  12. Astiningrum R, Triestianawati, Menaldi SW. Quality of Life for Leprosy Patients. MDVI. 2013; 40 (1): 28-34
  13. Govindharaj P, Srinivasan, Darlong J. Quality of Life of Persons Affected by Leprosy in an Endemic District, West Bengal, India. Indian J Dermatol. 2018; 63(6): 459–46
  14. Van Brakel WH, Peters RMH, da Silva Pereira ZB. Stigma Related to Leprosy—A Scientific View.International textbook of Leprosy. Available from: https://internationaltextbookofleprosy.org/chapter/stigma quantitative?sect=chapter [cited 2019 July 6th ]
  15. World Health Organization. WHOQOL User Manual. Geneva: World Health Organization, 1998. Available from: https://www.who.int/mental_health/media/en/620.pdf. [ cited 2019 June 5th]
  16. World Health Organization. WHOQOL-BREF instruction,administration, scoring and generic version of the assessment. Geneva: World Health Organization, 2004. Available from: https://www.who.int/mental_health/media/en/76.pdf. [ cited 2019 June 7th]
  17. Adhikari B, Kaehler N, Chapman RS, Raut S, Roche P. Factors Affecting Perceived Stigma in Leprosy Affected Persons in Western Nepal. PLoS Negl Trop Dis. 2014;8(6): e2940. doi:10.1371/journal.pntd.0002940
  18. Rahayuningsih E. Analysis of the Quality of Life of Leprosy Patients at the Kedaung Wetan Public Health Center, Tangerang City in 2012. Indonesia University Library. 2012: 1-89
  19. Thorat DM, Sharma P. Epidemiology. In:Kar KH, Kumar B, editor. IAL Textbook of Leprosy. 2nd ed. London: Churchil Livingstone.2017:57-76
  20. Pane RS, Lubis SR, Darmi M. Analysis of Malondialdehyde Level in Leprosy Patients. International Journal of Innovative Research in Medical Science. 2018;3(10)
  21. Darus NIM, Jusuf NK, Lubis RD. Analysis of serum vitamin D level in leprosy patients. Bali Medical Journal. 2019:8(2)
  22. Menaldi SLSW. Quality of Life for Leprosy Patients in Dermatology and Venereology Polyclinic Dr. Cipto Mangunkusumo Jakarta: Study of Social Stigma. 2018. eJKI: 6 (3): 159-65
  23. Indriani S. Risk factors associated with the incidence of Leprosy (a case study in the working area of the Community Health Centre Kunduran Blora). UNNES repository. 2014. Downloaded from https://lib.unnes.ac.id/20213/1/6450408021.pdf [cited 2020 July 28th]
  24. Aprizal, Lazuardi L, Soebono H. Risk factors for Leprosy in Lamongan district. Community Medical News. 2017; 33 (9): 427-32
  25. Ibikunle P, Nwokeji S. Assessment of stigma among people living with Hansen’s disease in south-east Nigeria. Lepr Rev .2017;88:43–57
  26. van ’t Noordende AT, van Brakel WH,Banstola N, Dhakal KP. The Impact of Leprosy on Marital Relationships and Sexual Health among Married Women in Eastern Nepal. Hindawi Publishing Corporation. Journal of Tropical Medicine. 2016:1-9. http://dx.doi.org/10.1155/2016/4230235
  27. Govindharaj P, Srinivasan S, Darlong J, Mahato B, Acharya P. A New Instrument to Measure Leprosy Internalised Stigma: the Leprosy Internalised Stigma Scale (LISS). Lepr Rev. 2018;89:242–55
  28. Van Brakel, W. H., Sihombing, B., Djarir, H., Beise, K., Kusumawardhani, L., Yulihane, Wilder-Smith, A. Disability in people affected by Leprosy: the role of impairment, activity, social participation, stigma and discrimination. Global Health Action. 2012:5(1);18394. doi:10.3402/gha.v5i0.18394
  29. Ulfa F. Quality of life of people who have had Leprosy (Case Study in the Work Area of the Jenggawah Health Center and the Work Area of the Community Health Centre Kemuningsari Kidul, Jember Regency). UNEJ repository. 2015. Downloaded from https://repository.unej.ac.id/handle/123456789/66003 [cited 2020 March 7th
  30. Muhaimin T. Measuring Children's Quality of Life. National Public Health Journal. 2010; 5 (2): 51-5.
  31. Slamet ES, Sukandar H, Gondodiputro S. Factors Affecting the Quality of Life of Persons Affected by Leprosy in Cirebon Regency. Unpad Libraries. 2014: 1-19
  32. Tsusumi A, Izutsu T, Islam A, Jalal U, Nakahara S, Takagi F, et al. Depressive status of leprosy patients in Bangladesh: Association with sel-perception of stigma. Lepr Rev.2004; 75:57-66.

How to Cite

Sinambela, D. W. I., Lubis, S. R., & Dalimunthe, D. A. (2020). Correlation between perceived stigma and quality of life of Leprosy patients. Bali Medical Journal, 9(3), 830–835. https://doi.org/10.15562/bmj.v9i3.1962

HTML
0

Total
2

Share

Search Panel

Duma Wenty Irene Sinambela
Google Scholar
Pubmed
BMJ Journal


Syahril Rahmat Lubis
Google Scholar
Pubmed
BMJ Journal


Dina Arwina Dalimunthe
Google Scholar
Pubmed
BMJ Journal