COVID-19-related stigmatization among a sample of Egyptian healthcare workers

Mostafa, Aya; Sabry, Walaa; Mostafa, Nayera S.

OBJECTIVES: To explore coronavirus disease 2019 (COVID-19)-related stigma and its associated factors among Egyptian physicians. METHODS: A cross-sectional study using an anonymous online questionnaire was conducted from 7 to 21 June 2020. The survey was distributed via social media and email to physicians working in Egypt through convenience sampling. RESULTS: 509 physicians participated in the study (mean age: 41.5±10.2). 138 (27.1%) participants were directly involved in the care of COVID-19 patients. 159 (31.2%) participants reported severe level of COVID-19-related stigma. Participants’ mean overall COVID-19-related stigma score was 40.6±8.0. The mean subscale scores were: personalized stigma 26.0±5.7, disclosure concerns 9.3±2.2, negative self-image 6.9±1.6, and concern with public attitudes 24.4±4.9. In the multivariable regression analyses, the overall COVID-19-related stigma score was higher in participants with lower qualifications (β = -0.19, 95% CI: 2.32, -0.64, p = 0.001), and in those working in a quarantine hospital (β = 0.08, 95% CI: 0.01, 7.14, p = 0.050). CONCLUSIONS: A considerable proportion of Egyptian physicians in this exploratory study experienced COVID-19-related stigmatization. These preliminary findings highlight the need for specific research and targeted interventions particularly addressing COVID-19-related stigmatization among healthcare workers.