02234nas a2200241 4500000000100000008004100001260001000042653001900052653001000071653001200081100001200093700002400105700001200129700001100141700001200152700001400164245009600178856009800274300000800372490000700380520159100387022001401978 2024 d bLepra10aSocial aspects10aHausa10astigma 1 aAlio AP1 aMalam Mamane Sani I1 aAbdou Y1 aGado M1 aLewis J1 aHarouna I00aA linguistic approach to understanding leprosy stigma among Hausa-speaking peoples of Niger uhttps://leprosyreview.org/admin/public/api/lepra/website/getDownload/67502bc2afaac12339676802 a1-90 v953 a

Background: Language is one of the most common ways that stigma and prejudice are manifested, and labeling is a key element of the perpetuation of stigma.

Objectives: This paper examines the labeling of leprosy and of persons affected by the disease within the context of stigma among the Hausa-speaking people of Niger.

Methods: Data were collected from 69 (30 females) persons with a history of leprosy among 5 communities within the regions of Maradi and Zinder, in Niger. We conducted 9 focus group discussions on language and stigma beginning with the freelisting method to identify terms associated with leprosy, followed by a discussion of the terms’ contextual meaning and effects. Dedoose software was used for the management and analysis of the qualitative data.

Results: Findings highlight the labels ascribed to leprosy and persons affected, who uses the terms and in what context, the level of stigmatization associated, and patients’ preferred language to reduce stigmatization. Terms identified were stigmatizing based on the degree of visible physical disability (e.g., not being able to walk properly) and/or disfigurement (face, fingers or toes) and their association with beliefs about leprosy’s divine or spiritual origins.

Conclusions: Our findings provide linguistic and contextual information to inform the development of interventions to address leprosy stigma among Hausa-speaking peoples in Niger and potentially beyond.

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