The effect of social alienation on stigma among stroke inpatients in China: a cross-sectional study

作者：Yu Wu, Jian Liu, Lovel Fornah, Jun Zhao, Shicai Wu · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-25009-9 · 被引用次数：5 · 研究领域：Stroke Rehabilitation and Recovery、Mental Health Treatment and Access、Patient-Provider Communication in Healthcare

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 ...