The H1N1 pandemic: media frames, stigmatization and coping. BMC Public Health 2013 Dec 03;13:1116
Date
12/05/2013Pubmed ID
24299568Pubmed Central ID
PMC3907032DOI
10.1186/1471-2458-13-1116Scopus ID
2-s2.0-84888780745 (requires institutional sign-in at Scopus site) 134 CitationsAbstract
BACKGROUND: Throughout history, people have soothed their fear of disease outbreaks by searching for someone to blame. Such was the case with the April 2009 H1N1 flu outbreak. Mexicans and other Latinos living in the US were quickly stigmatized by non-Latinos as carriers of the virus, partly because of news reports on the outbreak's alleged origin in Mexican pig farms.
METHODS: In this exploratory study we examined the psychological processes of cue convergence and associative priming, through which many people likely conflated news of the H1N1 outbreak with pre-existing cognitive scripts that blamed Latino immigrants for a variety of social problems. We also used a transactional model of stress and coping to analyze the transcripts from five focus groups, in order to examine the ways in which a diverse collection of New England residents appraised the threat of H1N1, processed information about stereotypes and stigmas, and devised personal strategies to cope with these stressors.
RESULTS: Twelve themes emerged in the final wave of coding, with most of them appearing at distinctive points in the stress and coping trajectories of focus group participants. Primary and secondary appraisals were mostly stressful or negative, with participants born in the USA reporting more stressful responses than those who were not. Latino participants reported no stressful primary appraisals, but spoke much more often than Whites or Non-Hispanic Blacks about negative secondary appraisals. When interactions between participants dealt with stigmas regarding Latinos and H1N1, Latinos in our focus groups reported using far more negative coping strategies than Whites or Non-Hispanic Blacks. When discussions did not focus on stereotypes or stigmas, Latino participants spoke much more often about positive coping strategies compared to members of these same groups.
CONCLUSIONS: Participants in all five focus groups went through a similar process of stress and coping in response to the threat of H1N1, though individual responses varied by race and ethnicity. Stigmatization has often been common during pandemics, and public health and emergency preparedness practitioners can help to mitigate its impacts by developing interventions to address the social stressors that occur during outbreaks in highly-localized geographic regions.
Author List
McCauley M, Minsky S, Viswanath KMESH terms used to index this publication - Major topics in bold
Adaptation, PsychologicalAdult
Aged
Fear
Female
Focus Groups
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human
Male
Mass Media
Mexican Americans
Middle Aged
Models, Psychological
Pandemics
Stereotyping
Stress, Psychological
United States
