TY - JOUR KW - Adolescent KW - Adult KW - Depression KW - Epilepsy KW - Female KW - Follow-Up Studies KW - Humans KW - Incidence KW - Male KW - New York City KW - Odds Ratio KW - Residence Characteristics KW - Social stigma KW - Young Adult AU - Leaffer EB AU - Jacoby A AU - Benn E AU - Hauser A AU - Shih T AU - Dayan P AU - Green R AU - Andrews H AU - Thurman D AU - Hesdorffer D AB -

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.

BT - Epilepsy and behaviour C1 - http://www.ncbi.nlm.nih.gov/pubmed/21482485?dopt=Abstract CN - LEAFFER 2011 DO - 10.1016/j.yebeh.2011.03.007 IS - 1 J2 - Epilepsy Behav LA - eng N2 -

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.

PY - 2011 SP - 60 EP - 4 T2 - Epilepsy and behaviour TI - Associates of stigma in an incident epilepsy population from northern Manhattan, New York City. VL - 21 SN - 1525-5069 ER -