02165nas a2200217 4500000000100000008004100001653001100042653002100053653000900074653003200083653001900115653001500134100001600149700001800165245007600183856007600259300001000335490000600345520158200351022001401933 2016 d10aStigma10aSocial exclusion10aNTDs10aNeglected Tropical Diseases10aDiscrimination10aDisability1 aHofstraat K1 avan Brakel WH00aSocial stigma towards neglected tropical diseases: a systematic review. uhttp://inthealth.oxfordjournals.org/content/8/suppl_1/i53.full.pdf+html a53-700 v83 a

Background People affected by neglected tropical diseases (NTDs) are frequently the target of social stigmatization. To date not much attention has been given to stigma in relation to NTDs. The objective of this review is to identify the extent of social stigma and the similarities and differences in the causes, manifestations, impact of stigma and interventions used between the NTDs.

Methods A systematic review was conducted in Pubmed, ScienceDirect, PsycINFO and Web of Knowledge. The search encompassed 17 NTDs, including podoconiosis, but not leprosy as this NTD has recently been reviewed. However, leprosy was included in the discussion.

Results The 52 selected articles provided evidence on stigma related to lymphatic filariasis (LF), podoconiosis, Buruli ulcer, onchocerciasis, schistosomiasis, leishmaniasis, Chagas disease, trachoma, soil-transmitted helminthiasis (STH) and human African trypanosomiasis. The similarities predominated in stigma related to the various NTDs; only minimal differences in stigma reasons and measures were found.

Conclusion These similarities suggest that joint approaches to reduce stigmatization may be feasible. Lessons from leprosy and other stigmatized health conditions can be used to plan such joint approaches. Further research will be necessary to study the efficacy of joint interventions and to investigate stigma related to NTDs for which no evidence is available yet.

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