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Research ArticleOriginal Article
Open Access

Assessment of social stigma among multiple sclerosis patients in Saudi Arabia: A cross-sectional study

Rami M. Algahtani, Mohammad O. Abu Zahirah, Zainab I. Alsuni, Ajwaad S. Alfahmi, Asim S. Alfahmi and Najla A. Kabli
Neurosciences Journal October 2024, 29 (4) 246-251; DOI: https://doi.org/10.17712/nsj.2024.4.20240011
Rami M. Algahtani
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
MBBS
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  • ORCID record for Rami M. Algahtani
  • For correspondence: [email protected]
Mohammad O. Abu Zahirah
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
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Zainab I. Alsuni
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
Roles: Medical Student
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Ajwaad S. Alfahmi
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
Roles: Medical Student
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Asim S. Alfahmi
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
Roles: Medical Student
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Najla A. Kabli
From the Department of Medicine (Algahtani, Alfahmi, Kabli), Faculty of Medicine, Umm Al-Qura university, Internal Medicine Department (Abu Zahirah), King Faisal Hospital, Makkah, and from Faculty of Medicine (Alsuni), University of Jeddah, Jeddah Kingdom of Saudi Arabia
Roles: Medical Student
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Personal characteristics of multiple sclerosis patients, Saudi Arabia.

    Personal dataNo(%)
    Regions
    Central region77(20.2)
    Northern region25(6.6)
    Eastern region123(32.3)
    Western region144(37.8)
    Southern region12(3.1)
    Age in years
    <25105(27.6)
    26–50239(62.7)
    51–6537(9.7)
    Gender
    Male150(39.4)
    Female231(60.6)
    Marital status
    Single199(52.2)
    Married182(47.8)
    Educational level
    Below secondary25(6.6)
    Secondary112(29.4)
    University214(56.2)
    Post-graduate30(7.9)
    Employment
    Unemployed186(48.8)
    Employed158(41.5)
    Retired37(9.7)
    • View popup
    Table 2

    - RSS-MS scale responses from patients with MS.

    RSS-MS itemsNeverRarelySometimesOftenAlways
    No(%)No(%)No(%)No(%)No(%)
    Felt that having MS1 was a punishment for things I had done in the past.169(44.4)74(19.4)110(28.9)20(5.2)8(2.1)
    Felt that people were avoiding me because of my MS189(49.6)62(16.3)85(22.3)29(7.6)16(4.2)
    Feared that I would lose my friends if they found out about having MS206(54.1)50(13.1)76(19.9)33(8.7)16(4.2)
    Felt like people that I know were treating me differently because of my MS85(22.3)57(15.0)131(34.4)60(15.7)48(12.6)
    Felt like people look down on me because I have MS230(60.4)55(14.4)58(15.2)25(6.6)13(3.4)
    Avoided dating because most people don’t want a relationship with someone with MS.185(48.6)47(12.3)85(22.3)37(9.7)27(7.1)
    Avoided a situation because I was worried about people knowing I have MS150(39.4)46(12.1)120(31.5)33(8.7)32(8.4)
    Was embarrassed about having MS189(49.6)47(12.3)94(24.7)33(8.7)18(4.7)
    Felt that keeping my MS a secret was important105(27.6)47(12.3)93(24.4)63(16.5)73(19.2)
    Overall score (Range; (Mean ± SD); % of maximum)9-45 (20.0 ± 8.2); 44.4%

    MS - multiple sclerosis

      • View popup
      Table 3

      - Item loadings, eigenvalue, and variance for the final 1-factor RSS-MS solution.

      ItemsFactor loading
      Felt that having MS1 was a punishment for things I had done in the past..51
      Felt that people were avoiding me because of my MS.78
      Feared that I would lose my friends if they found out about having MS.89
      Felt like people that I know were treating me differently because of my MS.70
      Felt like people look down on me because I have MS.82
      Avoided dating because most people don’t want a relationship with someone with MS..77
      Avoided a situation because I was worried about people knowing I have MS.80
      Was embarrassed about having MS.81
      Felt that keeping my MS a secret was important.55
      Eigenvalue4.9
      Variance (cumulative)54.8%

      MS - multiple sclerosis

        • View popup
        Table 4

        - Factors associated with MS patient’s stigma score and reported differences.

        FactorsNRSS-MS scoresP-value
        MeanSD
        Region   .001*
        Central region7718.47.7 
        Northern region2525.510.0 
        Eastern region12317.37.2 
        Western region14422.28.1 
        Southern region1219.97.3 
        Age in years   .001*^
        < 2510523.38.8 
        26-5023918.07.3 
        51-653723.77.8 
        Gender   .604^
        Male15020.37.8 
        Female23119.88.4 
        Marital status   .011*^
        Single19921.08.3 
        Married18218.98.0 
        Educational level   .144
        Below secondary2523.19.6 
        Secondary11220.58.7 
        University21419.47.8 
        Post-graduate3019.97.5 
        Employment   .049*
        Unemployed18620.08.9 
        Employed15819.47.2 
        Retired3722.58.4 

        P: One Way-ANOVA,

        • ↵^ : Independent samples t-test,

        • ↵* p<0.05 (significant)

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      Assessment of social stigma among multiple sclerosis patients in Saudi Arabia: A cross-sectional study
      Rami M. Algahtani, Mohammad O. Abu Zahirah, Zainab I. Alsuni, Ajwaad S. Alfahmi, Asim S. Alfahmi, Najla A. Kabli
      Neurosciences Journal Oct 2024, 29 (4) 246-251; DOI: 10.17712/nsj.2024.4.20240011

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      Assessment of social stigma among multiple sclerosis patients in Saudi Arabia: A cross-sectional study
      Rami M. Algahtani, Mohammad O. Abu Zahirah, Zainab I. Alsuni, Ajwaad S. Alfahmi, Asim S. Alfahmi, Najla A. Kabli
      Neurosciences Journal Oct 2024, 29 (4) 246-251; DOI: 10.17712/nsj.2024.4.20240011
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