Shame, stigma, and social exclusion: The lived experiences of epileptic patients in a health facility in Ilorin, Nigeria.

Abdullahi Ali Arazeem, Ismail Tahirah Adedolapo, Oluwatobi Joseph Alabi
Author Information
  1. Abdullahi Ali Arazeem: Department of Sociology, University of Johannesburg, Gauteng, South Africa.
  2. Ismail Tahirah Adedolapo: Department of Social Work, University of Ilorin, Kwara State, Nigeria.
  3. Oluwatobi Joseph Alabi: Department of Sociology, University of Johannesburg, Gauteng, South Africa.

Abstract

BACKGROUND: The highest number of persons living with epilepsy (PLWE) are in Africa and the majority live in deplorable conditions, while dealing with varying layers of stigma, social exclusion, and discrimination.
OBJECTIVE: This study explored the lived experiences of PLWE in Ilorin.
METHODS: Adopting a qualitative design and a phenomenological lens, 10 PLWE between the ages of 18 and 60 were purposively selected from the University of Ilorin Teaching Hospital (UITH) for in-depth interviews.
RESULTS: Findings suggest that PLWE bear multiple and intersecting burdens, including physical injuries; institutional, cultural, and economic constraints; psychological strain; social exclusion; and stigma. These disadvantages are often sustained and reproduced by various assumptions about epilepsy; as such, PLWE conceal their condition, and this implicatively reinforce stigma. Difficulty sustaining intimate relationships, overt physical scars, and inferiority complexes are recurrent challenges for PLWE. The study showed that adherence to drugs, self-management, personal precautions towards seizure signs, and family support are important coping strategies.
CONCLUSION: The study recommends that it is imperative to enhance and sustain systems, processes, and attitudes that prioritise the physical, social, and emotional needs of PLWE, because this is significant for their enhanced quality of life (QoL).

Keywords

MeSH Term

Humans
Adolescent
Young Adult
Adult
Middle Aged
Quality of Life
Nigeria
Epilepsy
Social Stigma
Social Isolation
Shame
Health Facilities
Qualitative Research

Word Cloud

Created with Highcharts 10.0.0PLWEstigmasociallivingepilepsystudyIlorinphysicalexclusionlivedexperiencesseizureBACKGROUND:highestnumberpersonsAfricamajoritylivedeplorableconditionsdealingvaryinglayersdiscriminationOBJECTIVE:exploredMETHODS:Adoptingqualitativedesignphenomenologicallens10ages1860purposivelyselectedUniversityTeachingHospitalUITHin-depthinterviewsRESULTS:FindingssuggestbearmultipleintersectingburdensincludinginjuriesinstitutionalculturaleconomicconstraintspsychologicalstraindisadvantagesoftensustainedreproducedvariousassumptionsconcealconditionimplicativelyreinforceDifficultysustainingintimaterelationshipsovertscarsinferioritycomplexesrecurrentchallengesshowedadherencedrugsself-managementpersonalprecautionstowardssignsfamilysupportimportantcopingstrategiesCONCLUSION:recommendsimperativeenhancesustainsystemsprocessesattitudesprioritiseemotionalneedssignificantenhancedqualitylifeQoLShameexclusion:epilepticpatientshealthfacilityNigeriaEpilepsyactivitiesdailyculturepeople

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