Displaying publications 1 - 20 of 120 in total

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  1. Ran MS, Hall BJ, Su TT, Prawira B, Breth-Petersen M, Li XH, et al.
    BMC Psychiatry, 2021 01 07;21(1):8.
    PMID: 33413195 DOI: 10.1186/s12888-020-02991-5
    BACKGROUND: Although cultural factors play a crucial role in experience of stigma, there is scant review on the impact and importance of culture on stigma of mental illness across Pacific Rim Region. This study aims to investigate: 1) the cultural factors related to stigmatizing beliefs about mental illness in Pacific Rim region, and 2) culture-specific measures and interventions on stigma of mental illness.

    METHODS: A systematic search of papers was conducted in the MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, Scopus, Cochrane Library and Google scholar through January 2003 to April 2019.

    RESULTS: Forty-one studies in Pacific Rim region which met the inclusion criteria were included in the study. The rate of stigma of mental illness (e.g., public stigma: from 25.4 to 85.2%) was relatively high in Pacific Rim region. Culture factors (e.g., Collectivism, Confucianism, face concern and familism, religion and supernatural beliefs) contributed to people's stigmatizing behaviors and attitudes toward persons with mental illness, their relatives and mental health professionals. Certain measurements were developed and employed to assess different type of cultural factors related to stigma of mental illness.

    CONCLUSIONS: Cultural factors play an important role in influencing the rate and performance of stigma of mental illness. Further research on stigma of mental illness and culture-specific interventions to reduce the stigma should be conducted in the Pacific Rim region.

    Matched MeSH terms: Social Stigma*
  2. Rajagopal V, Stephenson J, Ousey K
    Br J Nurs, 2023 Nov 09;32(20):988-994.
    PMID: 37938989 DOI: 10.12968/bjon.2023.32.20.988
    BACKGROUND: Stigmatisation is considered a 'second illness' for people with a mental illness and is highly prevalent in Malaysia. Stigmatisation negatively impacts wellbeing, recovery and productivity. Addressing stigmatisation is integral towards people attaining a higher quality of life.

    AIM: To explore mental illness stigmatisation in Malaysian adults.

    METHOD: A systematic literature review was conducted using thematic analysis to synthesise and categorise evidence. Five key themes emerged, providing insight into mental health stigmatisation.

    FINDINGS: Cultural beliefs, limited knowledge of mental health and lack of education on mental health were factors influencing stigmatisation. Stigmatisation significantly affected the wellbeing and functioning of people with a mental illness. Interventions such as contact-based education effectively reduce stigmatising attitudes manifested by healthcare providers.

    CONCLUSION: Establishing mental health literacy, encouraging patient contact, promoting mental health awareness and strengthening mental health policies could reduce mental illness stigmatisation and its impact in Malaysia. Future research is warranted to investigate the impact on physical wellbeing and anti-stigmatising strategies targeting the general public.

    Matched MeSH terms: Social Stigma*
  3. Ei KS, Shoesmith WD
    MyJurnal
    In this study parallel scales were constructed to use to measure the levels of HIV-related stigma towards people living with HIV (PLHIV) in populations with different backgrounds in Sabah. The study also explored the components of stigma within the population. We found that there were three principle components of HIV related stigma: “Interpersonal distancing,” “Shame and blame,” and “Positive opinions about PLHIV”. The scales constructed showed adequate internal consistency (Cronbach’s Alpha of 0.69 to 0.85) in all samples. The medical students and people with more knowledge about HIV had significantly lower levels of all three factors of personal stigma. Regarding HIV-related knowledge, the non-medical university students and the rural community group were found to have poor knowledge of HIV transmission and prevention. This scale can be used by researchers or public health officials who wish to study HIV related stigma or to evaluate the impact of stigma interventions in the local context.
    Study site: Universiti Malaysia Sabah; Rural Medical Education Centre, Sikuati, Kudat, Sabah, Malaysia
    Matched MeSH terms: Social Stigma*
  4. Chew CC, Lim XJ, Chang CT, Rajan P, Nasir N, Low WY
    BMC Public Health, 2021 09 06;21(1):1623.
    PMID: 34488693 DOI: 10.1186/s12889-021-11679-8
    BACKGROUND: Social stigma against persons infected with COVID-19 is not uncommon. This qualitative study aimed to explore the experience of social stigma among COVID-19 positive patients and their family members.

    METHOD: This cross-sectional study was conducted between April to June 2020 in Malaysia. Patients who have recovered from COVID-19 for at least 1 month and their family members who were tested with negative results, Malaysian and aged 18-65 years old were purposively sampled. Cold call method was employed to recruit patients while their family members were recruited by their recommendations. Telephone interviews were conducted with the participants after obtaining their verbal consent.

    RESULTS: A total of 18 participants took part in this study. Three themes emerged from the interviews: (Ι) experience of stigmatization, (ΙΙ) perspective on disease disclosure, and (ΙΙΙ) suggestion on coping and reducing stigma. The participants expressed their experiences of being isolated, labelled, and blamed by the people surrounding them including the health care providers, neighbours, and staff at the service counters. Some respondents expressed their willingness to share their experience with others by emphasizing the importance of taking preventive measure in order to stop the chain of virus transmission and some of them chose to disclose this medical history for official purpose because of fear and lack of understanding among the public. As suggested by the respondents, the approaches in addressing social stigma require the involvement of the government, the public, health care provider, and religious leader.

    CONCLUSION: Individuals recovered from COVID-19 and their families experienced social stigma. Fear and lack of public understanding of the COVID-19 disease were the key factors for non-disclosure. Some expressed their willingness to share their experience as they perceived it as method to increase public awareness and thereby reducing social stigma. Multifaceted approaches with the involvement of multiple parties including the government, non-governmental organization as well as the general public were recommended as important measures to address the issues of social stigma.

    Matched MeSH terms: Social Stigma*
  5. Ahmad S, Ismail AI, Zim MAM, Ismail NE
    Front Public Health, 2019;7:420.
    PMID: 32039131 DOI: 10.3389/fpubh.2019.00420
    Purpose: The elusive goal of asthma management guidelines is to achieve and maintain good asthma control in asthmatic patients. Against a background of long-term respiratory limitations when living with asthma, stigma and low self-esteem have also been identified as the social phenomenon among adult asthmatics. This study aimed to assess the levels of self-stigma, self-esteem, and asthma control, and to investigate the impact of self-stigma and self-esteem as psychosocial factors on asthma control in Malaysian adults living with asthma.
    Materials and Methods: In this multicenter cross-sectional study, post-ethics approval and patients' consents, 152 stable asthmatic patients (aged > 18 years old; nil cognitive disability; not diagnosed with other respiratory diseases) were recruited from four respiratory clinics in Selangor, Malaysia. The patients' socio-demographic, medical, and psychosocial (self-stigma and self-esteem) data were recorded in a pre-validated, self-designed questionnaire. All data were analyzed descriptively and inferentially (independent t-test/one-way ANOVA, and multiple linear regression) using the Statistical Package for Social Sciences (SPSS®).
    Results: The enrolled patients showed moderate levels of self-stigma (62.12 ± 6.44) and self-esteem (29.31 ± 3.29), and not well-controlled asthma (17.58 ± 3.99). The number of patients' visits to emergency rooms because of asthma [CI (-1.199, 0.317), p < 0.001] was the significant predictor to asthma control among all selected study variables from socio-demographic and medical data. Moreover, from psychosocial factors both self-stigma [CI (-0.367, 0.190), p < 0.001], and self-esteem [CI (-0.007, 0.033), p = 0.041] found to be the significant predictors of asthma control.
    Conclusion: The preliminary evidences presented in this study found that frequent emergency room visits, high self-stigma and low self-esteem in asthma patients becomes more apparent with poor asthma control. Educational interventions to reduce patients' self-stigma and improve self-esteem are needed to achieve optimal control of asthma.
    Study site: Four respiratory clinics in Selangor, Malaysia (UiTM Respiratory specialist Clinic, Hospital Selayang and Hospital Sungai Buloh)
    Matched MeSH terms: Social Stigma*
  6. Tuan Abdullah TN, Mat Min R
    AIDS Care, 2021 06;33(6):795-800.
    PMID: 32338043 DOI: 10.1080/09540121.2020.1757024
    People living with HIV (PLHIV) suffer from mental issues and need emotional support. Counselling is a part of HIV and AIDS care and management, and provides emotional support to PLHIV. Knowledge about HIV and AIDS care and management is not part of the counselling training curriculum in Malaysia. This study aims to explore the challenges experienced by registered counsellors who engage in counselling sessions with PLHIV. A total of five counsellors participated in this qualitative research. Data were gathered through a series of semi-structured interviews, and each of the interviews was conducted within one and half hours. Each of the participants was interviewed three times. The interviews were audio-recorded with the consent of the participants. The emergent themes were further explored in subsequent interviews until thematic saturation was reached, and data were analysed based on the grounded theory approach. The findings showed that lack of knowledge, limited training, and stigma among the registered counsellors contributed to resistance and poor trust among the PLHIV. Knowledge concerning the care and management of HIV and AIDS can be incorporated in a counselling training programme, and ongoing training related to HIV and AIDS are required.
    Matched MeSH terms: Social Stigma
  7. Azlan HA, Overton PG, Simpson J, Powell PA
    J Behav Med, 2020 06;43(3):377-390.
    PMID: 31865486 DOI: 10.1007/s10865-019-00130-4
    Disgust-driven stigma may be motivated by an assumption that a stigmatized target presents a disease threat, even in the absence of objective proof. Accordingly, even non-contagious diseases, such as cancer, can become stigmatized by eliciting disgust. This study had two parts: a survey (n = 272), assessing the association between disgust traits and cancer stigma; and an experiment, in which participants were exposed to a cancer surgery (n = 73) or neutral video (n = 68), in order to test a causal mechanism for the abovementioned association. Having a higher proneness to disgust was associated with an increased tendency to stigmatize people with cancer. Further, a significant causal pathway was observed between disgust propensity and awkwardness- and avoidance-based cancer stigma via elevated disgust following cancer surgery exposure. In contrast, those exposed to cancer surgery not experiencing elevated disgust reported less stigma than controls. Exposure-based interventions, which do not elicit disgust, may be profitable in reducing cancer stigma.
    Matched MeSH terms: Social Stigma
  8. Owusu AFS, Abdullah A, Pinto GH, Bentum H, Moo JTN, Ayim M, et al.
    Community Health Equity Res Policy, 2023 Apr;43(3):329-338.
    PMID: 34102924 DOI: 10.1177/0272684X211022176
    In this study, we attempted to move beyond the skewed discussions on stigma to unravel other social consequences that are experienced by persons who have recovered from COVID-19. We conducted a documentary review of published news reports from 14 highly ranked news portals in Ghana and Malaysia (published between 1st January 2020 and 30th August 2020) that contained personal accounts from the recovered patients about their lived experiences with the virus and social consequences encountered after recovery. Narratives from the recovered patients were extracted and analyzed following the narrative thematic analysis procedure. Common themes identified from the narratives included: 1) Stigma impacting mental health, 2) Assault and abuse 3) Experiences of treatment. The findings show the need for interprofessional collaboration between social and health care professionals such as social workers, community health workers, medical practitioners and psychologists to prevent and address issues of abuse and other social consequences experienced by COVID-19 survivors.
    Matched MeSH terms: Social Stigma
  9. Tang WZ, Yusuf A, Jia K, Iskandar YHP, Mangantig E, Mo XS, et al.
    Support Care Cancer, 2022 Dec 17;31(1):55.
    PMID: 36526859 DOI: 10.1007/s00520-022-07506-4
    OBJECTIVE: This study was conducted to examine the factors associated with stigma in breast cancer women.

    METHODS: PubMed, Embase, the Cochrane Library, Web of Science, and two Chinese electronic databases were electronically searched to identify eligible studies that reported the correlates of stigma for patients with breast cancer from inception to July 2022. Two researchers independently performed literature screening, data extraction, and risk of bias assessment. R4.1.1 software was used for statistical analysis.

    RESULTS: Twenty articles including 4161 patients were included in the systematic review and meta-analysis. Results showed that breast cancer stigma was positively correlated with working status, type of surgery, resignation coping, depression, ambivalence over emotional expression, and delayed help-seeking behavior and negatively correlated with age, education, income, quality of life, social support, confrontation coping, psychological adaptation, self-efficacy, and self-esteem. Descriptive analysis showed that breast cancer stigma was positively correlated with intrusive thoughts, body image, anxiety, and self-perceived burden but negatively correlated with a sense of coherence, personal acceptance of the disease, sleep quality, cancer screening attendance and doctor's empathy.

    CONCLUSION: Many demographic, disease-related, and psychosocial variables are related to breast cancer stigma. Our view can serve as a basis for health care professionals to develop health promotion and prevention strategies for patients with breast cancer.

    Matched MeSH terms: Social Stigma
  10. Ju W, Sannusi SN, Mohamad E
    PMID: 36834039 DOI: 10.3390/ijerph20043347
    BACKGROUND: Stigma relating to health can result in a broad range of vulnerabilities and risks for patients and healthcare providers. The media play a role in people's understanding of health, and stigma is socially constructed through many communication channels, including media framing. Recent health issues affected by stigma include monkeypox and COVID-19.

    OBJECTIVES: This research aimed to examine how The Washington Post (WP) framed the stigma around monkeypox and COVID-19. Guided by framing theory and stigma theory, online news coverage of monkeypox and COVID-19 was analyzed to understand the construction of social stigma through media frames.

    METHODS: This research used qualitative content analysis to compare news framings in The Washington Post's online news coverage of monkeypox and COVID-19.

    RESULTS: Using endemic, reassurance, and sexual-transmission frames, The Washington Post predominantly defined Africa as the source of monkeypox outbreaks, indirectly labeled gays as a specific group more likely to be infected with monkeypox, and emphasized that there was no need to worry about the spread of the monkeypox virus. In its COVID-19 coverage, The Washington Post adopted endemic and panic frames to describe China as the source of the coronavirus and to construct an image of panic regarding the spread of the virus.

    CONCLUSIONS: These stigma discourses are essentially manifestations of racism, xenophobia, and sexism in public health issues. This research confirms that the media reinforces the stigma phenomenon in relation to health through framing and provides suggestions for the media to mitigate this issue from a framing perspective.

    Matched MeSH terms: Social Stigma
  11. Khan T, Hassali M, Tahir H, Khan A
    Iran J Public Health, 2011;40(1):50-6.
    PMID: 23113054
    To evaluate public perceptions towards the causes of depression and schizophrenia and identifications of factors resulting stigma towards mental ill.
    Matched MeSH terms: Social Stigma
  12. Wo MC, Lim KS, Choo WY, Tan CT
    Epilepsy Res, 2015 Oct;116:67-78.
    PMID: 26354169 DOI: 10.1016/j.eplepsyres.2015.06.016
    People with epilepsy were (PWE) reported to have poorer employment rate. However, the methodologies used differ greatly from one study to another, making global comparison difficult. We aimed to determine the employment rate of PWE globally using a unified definition of employment rate and to summarize the reported positive and negative factors affecting employability in PWE, using a systematic review.
    Matched MeSH terms: Social Stigma*
  13. Nadia AB, Leelavathi M, Narul Aida. S, Diana M
    Medicine & Health, 2017;12(2):230-243.
    MyJurnal
    Human Immunodeficiency Virus (HIV) epidemic remains a significant burden in Malaysia. Stigma related to HIV and its effect on the quality of life (QOL) of persons living with HIV (PLHIV) remains under-reported. The aim of the present study was to assess self-perceived stigma amongst PLHIV attending an urban community clinic and its influence on their QOL. Data was collected using HIV Stigma Scale and WHO-QOL HIV BREF Scale. The overall stigma experienced by PLHIV in this community was higher than previous studies (mean ± SD; 103.37 ±18.14). Majority participants had fear disclosing their disease status, while personalized stigma or the experience of prejudice and rejection was the least experienced. The overall QOL was low and was significantly impaired in social relationship domain (mean ± SD; 12.72 ± 3.59). However, their ability to perform daily activities was not affected by the illness (mean ± SD; 14.48 ± 2.91). PLHIV with higher spiritual values demonstrate lower perception of negative self-image and inferiority (r= -0.54). This finding was unique to PLHIV in this study and suggested the importance of spirituality and personal beliefs on their self-esteem. In conclusion, stigma remains as a significant problem among PLHIV in this community. Primary care offers the best platform to promote a holistic management of PLHIV, where the integration between counselors, religious experts, family and non-governmental associations could come together. The management of PLHIV is unique in every community, hence individualized approach based on cultural norms and beliefs could assist in the overall management of PLHIV.
    Keywords: HIV, quality of life, social stigma
    Matched MeSH terms: Social Stigma*
  14. Earnshaw VA, Jin H, Wickersham J, Kamarulzaman A, John J, Altice FL
    Trop Med Int Health, 2014 Jun;19(6):672-679.
    PMID: 24666546 DOI: 10.1111/tmi.12306
    OBJECTIVES: Stigma towards people living with HIV/AIDS (PLWHA) is strong in Malaysia. Although stigma has been understudied, it may be a barrier to treating the approximately 81 000 Malaysian PLWHA. The current study explores correlates of intentions to discriminate against PLWHA among medical and dental students, the future healthcare providers of Malaysia.
    METHODS: An online, cross-sectional survey of 1296 medical and dental students was conducted in 2012 at seven Malaysian universities; 1165 (89.9%) completed the survey and were analysed. Socio-demographic characteristics, stigma-related constructs and intentions to discriminate against PLWHA were measured. Linear mixed models were conducted, controlling for clustering by university.
    RESULTS: The final multivariate model demonstrated that students who intended to discriminate more against PLWHA were female, less advanced in their training, and studying dentistry. They further endorsed more negative attitudes towards PLWHA, internalised greater HIV-related shame, reported more HIV-related fear and disagreed more strongly that PLWHA deserve good care. The final model accounted for 38% of the variance in discrimination intent, with 10% accounted for by socio-demographic characteristics and 28% accounted for by stigma-related constructs.
    CONCLUSIONS: It is critical to reduce stigma among medical and dental students to eliminate intentions to discriminate and achieve equitable care for Malaysian PLWHA. Stigma-reduction interventions should be multipronged, addressing attitudes, internalised shame, fear and perceptions of deservingness of care.
    KEYWORDS: HIV/AIDS; Malaisie; Malasia; Malaysia; VIH/SIDA; cuidados sanitarios profesionales; discriminación; discrimination; estigma; homosexuality; professional healthcare students; stigma; stigmatisation; substance abuse; étudiants en profession de soins de santé
    Matched MeSH terms: Social Stigma*
  15. Mohammadzadeh M, Awang H, Mirzaei F
    J Psychiatr Ment Health Nurs, 2020 Dec;27(6):829-837.
    PMID: 32170971 DOI: 10.1111/jpm.12627
    WHAT IS KNOWN ON THE SUBJECT?: Four out of every five people with mental health disorders face stigma. Mental health and, consequently, mental health stigma are very common among youth living in the Middle East countries. Several studies have investigated mental health among adolescents in the Middle East, but studies on stigma are very scattered. There is no systematic review on stigma among adolescents with mental disorders across all the Middle East countries despite the common historical roots, similar cultural backgrounds, and recent widespread problems in the area. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper will aim to review and analyse the studies on stigma among adolescents with mental disorders in the Middle East countries, from different aspects such as the age rang, kind of stigma and risk factors of stigma. The study will cover studies on all kinds of stigma among Middle Eastern adolescents up to 18 years old published between 2000 and 2019. The study terms are generally focused on four categories: (a) kinds of Stigma, (b) Mental health problems, (c) Age range and (d) Region of study population. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Increasing understanding and awareness of different angles of mental health stigma among adolescents may be helpful for better coping with this challenge. Understanding the nature of stigma may give adolescents the ability of ignoring it and avoid starting self-stigma and/or stopping to seek help. ABSTRACT: Introduction Although many epidemiological and interventional investigations regarding improving mental health among youth in the Middle East have been performed, there is no systematic review specifically analysing the studies on stigma among adolescents with mental disorders (A-MDs) across all Middle East countries despite their common historical roots, similar cultural backgrounds, and recent widespread problems in the area. Purpose We will aim to systematically review and analyse the English language studies on stigma among A-MDs in the Middle East published between 2000 and 2019. Method The Web of Knowledge, Science Direct, PsycINFO and MEDLINE are electronic databases that will be included in this study. Furthermore, the bibliography lists of eligible articles will be manually searched for additional included articles. Descriptive statistics will be represented by mean score and standard deviation for continuous data and number/percentage for categorical data. Discussion This study may act as a resource for future studies attempting to assess and/or reduce stigma among children and adolescents with mental health issues specifically in the Middle East. Implications It is important for healthcare providers, including nursing professional, to improve their knowledge and vision towards stigma in their community. The outcomes of this study can be a shortcut reaching this information.
    Matched MeSH terms: Social Stigma*
  16. Owuamalam CK, Rubin M
    Scand J Psychol, 2017 Oct;58(5):458-467.
    PMID: 28901575 DOI: 10.1111/sjop.12388
    Owuamalam, Weerabangsa, Karunagharan and Rubin found that Malaysians associate people in low status groups with anger more than their higher status counterparts: the hunchback heuristic. But is this belief accurate? Here, we propose the alternative possibility that members of low-status groups might deliberately suppress anger to counter this stigma, while members of high-status groups might disinhibit their anger to assert their superiority. To test these propositions, we manipulated undergraduate students' relative group status by leading them to believe that provocative comments about their undergraduate social identity came from a professor (low-status condition) or a junior foundation year student (high-status condition). Using eye-tracking, we then measured their gaze durations on the comments, which we used as a physiological signal of anger: dwelling (Experiment 1). Results revealed that dwelling was significantly greater in the high-status condition than in the low-status condition. Experiment 2 conceptually replicated this pattern using a self-report method and found that the suppression-disinhibition effect occurred only when reputational concerns were strong.
    Matched MeSH terms: Social Stigma*
  17. Dahlui M, Azahar N, Bulgiba A, Zaki R, Oche OM, Adekunjo FO, et al.
    PLoS One, 2015;10(12):e0143749.
    PMID: 26658767 DOI: 10.1371/journal.pone.0143749
    HIV/AIDS remain a major public health concern in Nigeria. People living with HIV/AIDS (PLWHA) face not only personal medical problems but also social problems associated with the disease such as stigma and discriminatory attitudes. This study provides an insight into HIV/AIDS related stigma and discrimination against PLWHA in Nigeria.
    Matched MeSH terms: Social Stigma
  18. Osman Che Bakar, Ainsah Omar
    Medical Health Reviews, 2009;2009(2):17-26.
    MyJurnal
    The various shortcomings involving issues related to managing patients with mental health are compared to those with physical health which are mainly attributed to attitude, misconception and stigma attached to mental health. There is a strong need to have a comprehensive collective efforts and a paradigm shift on how to deal with these critical issues especially in the area of Primary care for mentally ill.
    Matched MeSH terms: Social Stigma
  19. Maruta T, Matsumoto C
    Epidemiol Psychiatr Sci, 2019 Jun;28(3):262-264.
    PMID: 30370893 DOI: 10.1017/S2045796018000598
    The movement towards renaming of schizophrenia in Japan started in 1993 upon receipt of a letter by The National Federation of Families with Mentally Ill in Japan addressed to the board of Japanese Society of Psychiatry of Neurology (JSPN), requesting to rename schizophrenia as the then-official term for the condition, Seishin-Bunretsu-Byo, or 'mind-splitting disease', was humiliating. A committee was established within JSPN to address the issue, public comments were collected, a new name 'Togo-Shitcho-Sho' ('disintegration disorder') was approved in 2002, and in 2005, the new name was adopted in the Revised Mental Health and Welfare Act. This paper describes the process of renaming, and also the current situation in Korea, Taiwan, China, Hong Kong and Malaysia, where Chinese characters are used. Also, it presents alternative names for schizophrenia that have been suggested in the process of two research projects conducted by the authors and also additional candidates suggested by others.
    Matched MeSH terms: Social Stigma
  20. Raja Nur Fakhriah Raja Zainal B, Aizan Sofia A
    Jurnal Psikologi Malaysia, 2018;32:131-145.
    Education is one of the most important aspects for every individual including people with visual impairments. Visually impaired students also have the right to a good educational opportunity to higher education. In this regard, this article explores the issues and challenges of visually impaired students in higher learning institution. This study uses a full qualitative approach, a case study in the Klang Valley. In-depth interviews were used in data collection involving 5 students with visual impairment: four males and one female. The findings showed that among the major issues faced by visually impaired students pursuing higher education in tertiary institution were self-esteem, financial and public stigma. In addition, visually impaired students also faced challenges in accessibility, peer-to-peer acceptance and difficulties in learning at the university. In conclusion, this study emphasises on issues and challenges often faced by students with visual impairments at higher learning institution so that appropriate supports and facilities can be effectively provided by the university.
    Matched MeSH terms: Social Stigma
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