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2025 ; 25
(1
): 3580
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The effect of social alienation on stigma among stroke inpatients in China: a
cross-sectional study
#MMPMID41131544
Wu Y
; Liu J
; Fornah L
; Zhao J
; Wu S
BMC Public Health
2025[Oct]; 25
(1
): 3580
PMID41131544
show ga
BACKGROUND: Stigma adversely affects the rehabilitation among stroke inpatients,
which decreases the motivation and functional improvement. According to prior
studies, there was a correlation between social alienation and stigma. This study
aimed to investigate the factors influencing stigma among stroke inpatients,
providing evidence for future targeted stigma interventions. METHODS: The study
was a cross-sectional survey conducted in China from July to November 2023 using
a convenience sampling method. Ethical approval for this study was obtained from
the Medical Ethics Committee. A total of 220 stroke inpatients completed a
demographic questionnaire, the generalized social alienation scale, and the
stroke stigma scale. Multiple linear regression analysis was used to evaluate the
impact of the diverse factors on stigma. RESULTS: The results showed that the
score of stigma among stroke inpatients was 47.36?±?4.28, indicating a moderate
level of stigma. Social alienation was positively correlated with
stigma(r?=?0.366, P?0.001), indicating stigma increased with the increase of
social alienation. Age(B=-2.105, P?0.001), level of education[Junior high
school(B?=?1.545, P?=?0.040), senior high school or technical secondary
school(B?=?3.480, P?0.001), undergraduate or junior college(B?=?3.716,
P?0.001), and graduate(B?=?5.483, P?0.001)], and social alienation(B?=?0.158,
P?0.001) were all significantly associated with stigma in stroke inpatients.
Among all educational levels, graduate(B?=?5.483, P?0.001) showed the most
robust correlation with stigma. The results indicated that stroke inpatients who
were younger and had higher levels of education had higher levels of stigma.
CONCLUSIONS: Findings suggest that social alienation is a significant contributor
to perceived stigma among stroke inpatients, particularly among younger and more
educated individuals. Tailored psychosocial interventions that address feelings
of social alienation may help reduce stigma in these groups.
|*Inpatients/psychology/statistics & numerical data
[MESH]