02111nas a2200409 4500000000100000008004100001653001500042653001000057653001500067653001300082653001100095653002200106653001100128653001400139653000900153653001800162653001500180653003000195653001800225653001600243100001500259700001300274700001100287700001300298700001100311700001200322700001200334700001400346700001400360700001700374245010000391300000900491490000700500050001700507520116300524022001401687 2011 d10aAdolescent10aAdult10aDepression10aEpilepsy10aFemale10aFollow-Up Studies10aHumans10aIncidence10aMale10aNew York City10aOdds Ratio10aResidence Characteristics10aSocial stigma10aYoung Adult1 aLeaffer EB1 aJacoby A1 aBenn E1 aHauser A1 aShih T1 aDayan P1 aGreen R1 aAndrews H1 aThurman D1 aHesdorffer D00aAssociates of stigma in an incident epilepsy population from northern Manhattan, New York City. a60-40 v21 aLEAFFER 20113 a

OBJECTIVE: Stigma is associated with prevalent epilepsy, but its association with incident epilepsy is unknown.

METHODS: We identified 209 children and adults with incident seizures from the diverse impoverished community of northern Manhattan. We interviewed 94 participants, aged 16 and older, about lifetime history of depression, health status, medical history, and stigma.

RESULTS: At baseline, 18 (22.5%) participants reported experiencing stigma. Stigma was reported by 9 (50.0%) with depression and 9 (14.5%) without depression (P=0.002). At 1 year, 7 (8.1%) participants reported experiencing stigma. Stigma was reported by 5 (31.3%) with depression versus 1 (1.6%) without depression (P<0.0001). At both time points, odds of stigma increased when lifetime history of depression and fair/poor health was present.

CONCLUSIONS: Previous work revealed negative effects of prevalent epilepsy on stigma. In the low-income, predominantly Hispanic community of northern Manhattan, we found incident epilepsy was associated with stigma when lifetime history of depression or fair/poor health was present.

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