Case
Literature Review report for Literature Review (AM_1251)
- Course
- Institution
This is a literature review conducted on the impact of social stigma on scabies transmission and treatment.
[Show more]
Seller
Follow
yaralangeveld
Reviews received
Content preview
The Influence of Social Stigma on ScabiesTransmission and Treatment: A Literature Review
Duo 1: Annefleur Arp (2663896), Yara Langeveld (2760223) - Results Chapter 3.2.
Duo 2: André de Barros Cruz (2779712), Iris van Hese (2726833) - Results Chapter 3.3.
Group 18 - Literature review - Workgroup 1 (Bobby Duintjer) - Supervised by Lea Lösch
Management, Policy Analysis and Entrepreneurship in Health and Life Sciences (MPA)
October 27 2023
7923 words (excluding tables, references and appendix)
1
,Table of content
1. Introduction 3
2. Methodology 5
2.1. Search strategy 5
2.2. Eligibility criteria 5
2.3. Selection process 6
2.4. Data extraction and synthesis 7
3. Results 9
3.1. Background included studies 9
3.2. Influence of stigma on scabies 10
3.2.1. Social isolation and exclusion 10
3.2.2. Association with poor hygiene and poverty 11
3.2.3. Delay in care-seeking behaviour 12
3.2.4. Lack of knowledge 13
3.3. Alleviation of the burden of stigma 13
3.3.1. Education and acknowledgement 14
3.3.2. Psychological and emotional support 15
3.3.3. Healthcare provision 16
3.3.4. Integrative and comprehensive strategies 16
4. Discussion 17
4.1. Key findings 17
4.2. Relation to existing literature 18
4.3. Strengths and limitations 18
4.4. Research implications 19
4.5. Conclusion 20
5. Reference list 21
6. Appendices 24
6.1. Appendix: Data extraction form 24
2
, 1. Introduction
Treatment of skin-related neglected tropical diseases (NTDs) is often hampered by social stigma.
People affected with skin-NTDs commonly express they experience feelings of rejection,
embarrassment and shame (Lopes et al., 2021). The stigma associated with skin diseases carries
significant social and psychological consequences, including social exclusion, reduced quality of life
(QoL) and compromised mental health, affecting both the infected people and their families
(Hofstraat & Van Brakel, 2016; Koschorke et al., 2022). Consequently, people often postpone seeking
healthcare or travel large distances to seek healthcare and avoid societal judgement, resulting in a
higher risk of disease transmission and disrupted treatment adherence (Hofstraat & Van Brakel,
2016; Lopes et al., 2021). Therefore, acknowledging the relation between skin-NTDs and stigma is
critical to ensure that health programmes fulfil the needs of persons affected and to guarantee that
disease management has maximum effect (Koschorke et al., 2022).
An important type of skin-NTD is scabies, which is caused by a parasitic infection of the mite
Sarcoptes scabiei (WHO, 2023). Because the mite can transfer to other people via skin-to-skin
contact, this disease is identified as highly contagious. People affected with scabies often experience
skin sores and itching skin, but, in a few cases, scabies could also lead to complications in the heart
and kidneys, such as acute post-streptococcal glomerulonephritis, causing morbidity (Heukelbach &
Feldmeier, 2006). Scabies occurs across the world but finds its stronghold in hot, tropical countries
and areas characterised by a high population density (WHO, 2023). Furthermore, especially
low-income countries are heavily affected by scabies outbreaks, possibly due to the limited access to
healthcare. Globally scabies affects over 200 million individuals, according to the WHO (2023).
Therefore, this disease is recognised as a significant public health concern and disease control
necessitates treating the infected individuals as well as everyone with whom they have been in
contact. However, treatment is frequently impeded by incorrect or delayed diagnosis, poor
treatment adherence, and improper use of topical medications (Heukelbach & Feldmeier, 2006).
Furthermore, scabies transmission and treatment might also be affected by the social stigma on the
disease.
With regard to existing literature, several reviews report findings indicating the existence of social
stigma linked to NTDs in general. In a systematic review, Koschorke et al. (2022) for example
discovered that NTD-patients frequently experience discrimination from others in their environment
by being shunned and stared at and receiving embarrassing insults, resulting in social exclusion.
Furthermore, it is reported that many people with an NTD are ashamed of their appearance and
therefore often hide visible symptoms (Hofstraat & van Brakel, 2016). There are also often
misconceptions about how NTDs are contracted. However, in these reviews the experiences and
challenges associated with stigma on scabies are often missing, as they focus on broader and
multiple NTDs and often do not even include scabies in their analysis at all. Research on scabies
specifically often mainly focuses on identifying the best methods for diagnosis and treatment.
Hereby, the impact of social stigma is sometimes briefly mentioned, such as in the study of Amro &
Hamarsheh (2012), who claimed scabies patients are hesitant to seek medical treatment. Moreover,
other reviews stated that scabies affects the skin and is highly contagious and therefore can cause
stigma, shame and a lower QoL (Engelman et al., 2016; Leung et al., 2020). However, these reviews
do not go in-depth into the burden of stigma or the experiences of different involved stakeholders,
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller yaralangeveld. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.57. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
66579 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now