Enacted Ebola Stigma and Health-related Quality of Life in Post Ebola Epidemic: A Psychosocial Mediation Framework Through Social Support, Self-Efficacy, and Coping

Kokou-Kpolou, CK (通讯作者),Univ Ottawa, Sch Psychol, 136 Jean Jacques Lussier 5045,Vanier Hall, Ottawa, ON K1N 6N5, Canada.;Kokou-Kpolou, CK (通讯作者),Laval Univ, Sch Psychol, Pavillon Felix Antoine Savard 2325, Quebec City, PQ G1V 0A6, Canada.
2022-10
On-site experiences and reports have shown that the multiple outbreaks of Ebola virus disease (EVD) in the Democratic Republic of the Congo (DRC) resulted in pervasive experience of stigma against many people who have recovered from EVD as well as their families and close relatives. Three evidence-based protective factors which are supposed to mitigate the impact of enacted Ebola stigma on health-related quality of life (HRQoL) of individuals in this epidemic context were identified. We expected that positive religious coping, perceived social support, and general self-efficacy would mediate the relationship between enacted Ebola stigma and HRQoL. These hypotheses were tested through multiple mediation model using the structural equation modeling among a large sample of adult populations (N = 1614; 50% women) in the province of Equateur in the DRC, in the aftermath of the 9th Ebola outbreak. The mediation model yielded adequate fit statistics and the results provided strong evidence that higher levels of enacted Ebola stigma were associated with lower HRQoL. They confirmed the synergetic mediating effects of positive religious coping, perceived social support from family (but not from others sources) and general self-efficacy. Futher exploratory findings revealed that the perceived social support from family buffered the impact of enacted Ebola stigma on HRQoL. If replicated by a longitudinal study, our findings lay a solid foundation for empirical-based community mental health interventions for reducing enacted Ebola stigma and promoting HRQoL during epidemics, especially in the DRC.
APPLIED RESEARCH IN QUALITY OF LIFE
卷号:17|期号:5|页码:2809-2832
ISSN:1871-2584|收录类别:SSCI
语种
英语
来源机构
University of Ottawa; Universite de Bourgogne; McGill University; Universite de Kinshasa; Laval University
资助机构
International Development Research Center (IDRC)
资助信息
This article was supported by the grant #108968 from the International Development Research Center (IDRC). The funders did not have any role in the study design, data collection, management, analyses, interpretation of data or writing of this manuscript.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
3
2013以来使用计数
3
EISSN
1871-2576
出版年
2022-10
DOI
10.1007/s11482-022-10039-x
WOS学科分类
Social Sciences, Interdisciplinary
学科领域
循证社会科学-综合
关键词
Ebola epidemics Stigma Quality of life Social support General self-efficacy Religious coping