- Title
- The role of causal knowledge in stigma considerations in African genomics research
- Creator
- Matshabane, Olivia P, Campbell, Megan M, Appelbaum, Paul S, Marshall, Patricia A, Stein, Dan J, de Vries, Jantina
- Subject
- To be catalogued
- Date
- 2021
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/302578
- Identifier
- vital:58209
- Identifier
- xlink:href="https://doi.org/10.1016/j.socscimed.2021.113902"
- Description
- Introduction: Advances in genomics research have raised several ethical concerns. One concern is the potential impact of genomics research on stigma experienced by people affected by a disease. Studies have found that the type of illness as well as disease causal beliefs impact on the relation between genetic attribution and stigma. This study explored the potential impact of genetic attribution of disease on stigma among Xhosa people with Rheumatic Heart Disease (RHD). Methods: Study participants were 46 Xhosa people with RHD living in the Western Cape Province of South Africa. Using video vignettes in 7 focus group discussions we explored whether and how genetic attribution may impact on disease-stigma. Vignettes introduced participants to non-genetic and genetic causal explanations and were followed-up with a series of open-ended questions eliciting their perceptions of non-genetic disease causes as well as genetic causation and its impact on internalised stigma. Results: This study found that Xhosa people with RHD have a general understanding of genetics and genetic attribution for disease. Additionally, and not withstanding their genetic knowledge, these participants hold multiple disease causal beliefs including genetic, infectious disease, psychosocial, behavioural and cultural explanations. While there was evidence of internalised stigma experiences among participants, these appeared not to be related to a genetic attribution to the disease. Discussion: The findings of this study provide clues as to why it is unlikely that a genetic conceptualisation of disease impacts internalised stigma experiences of Xhosa people. The causal explanations provided by participants reflect their cultural understandings and their context, namely, living in low-income and poverty-stricken environments. Divergence in these findings from much of the evidence from high-income countries emphasises that context matters when considering the impact of genetic attribution on stigma and caution against generalising findings from one part of the globe to another.
- Format
- computer, online resource, application/pdf, 1 online resource (7 pages), pdf
- Publisher
- Elsevier
- Language
- English
- Relation
- Social Science and Medicine, Matshabane, O.P., Campbell, M.M., Faure, M.C., Appelbaum, P.S., Marshall, P.A., Stein, D.J. and de Vries, J., 2021. The role of causal knowledge in stigma considerations in African genomics research: Views of South African Xhosa people. Social Science and Medicine, 277, p.113902, Social Science and Medicine volume 277 p. 113902 2021 0277-9536
- Rights
- Publisher
- Rights
- Use of this resource is governed by the terms and conditions of the Elsevier Terms and Conditions Statement (https://www.elsevier.com/legal/elsevier-website-terms-and-conditions)
- Rights
- Open Access
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Collections
Campbell, Megan M (Prof)
RU Department of Psychology
SDG 03. Good Health and Well-Being
| Thumbnail | File | Description | Size | Format | |||
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| View Details | SOURCE1 | The role of causal knowledge in stigma considerations in African genomics research.pdf | 482 KB | Adobe Acrobat PDF | View Details |