{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T23:31:01Z","timestamp":1783639861525,"version":"3.55.0"},"reference-count":80,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005150","name":"Chinese Academy of Medical Sciences","doi-asserted-by":"publisher","award":["2020-I2M-2-015"],"award-info":[{"award-number":["2020-I2M-2-015"]}],"id":[{"id":"10.13039\/501100005150","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Perceived stigma has greatly influenced the life quality of the COVID-19 patients who recovered and were discharged (RD hereafter). It is essential to understand COVID-19 stigma of RD and its related risk factors. The current study aims to identify the characteristics of perceived COVID-19 stigma in RD using latent profile analysis (LPA), to explore its psycho-social influencing factors, and to determine the cut-off point of the stigma scale using receiver operating characteristic (ROC) analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study was conducted among COVID-19 RD in 13 communities in Jianghan District, Wuhan City, Hubei Province, China from June 10 to July 25, 2021, enrolling total 1,297 participants. Data were collected on demographic characteristics, COVID-19 perceived stigma, post-traumatic stress disorder (PTSD), anxiety, depression, sleep disorder, fatigue, resilience, social support, and peace of mind. LPA was performed to identify different profiles of perceived COVID-19 stigma level. Univariate analysis and multinominal logistic regression analysis were conducted to explore the influencing factors in different profiles. ROC analyses was carried out to identify the cut-off value of perceived stigma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the participants, three profiles of perceived stigma were identified: \u201clow perceived COVID-19 stigma\u201d (12.8%), \u201cmoderate perceived COVID-19 stigma\u201d (51.1%), and \u201csevere perceived COVID-19 stigma\u201d (36.1%). Multinominal logistic regression analysis revealed that older age, living with other people, anxiety, and sleep disorder were positively associated with moderate perceived COVID-19 stigma, while higher educational level was negatively associated with moderate perceived COVID-19 stigma. Female, older age, living with other people, anxiety, and sleep disorder were positively associated with severe perceived COVID-19 stigma, while higher educational level, social support, and peace of mind were negatively associated with severe perceived COVID-19 stigma. ROC curve of the Short Version of COVID-19 Stigma Scale (CSS-S) for screening perceived COVID-19 stigma showed that the optimal cut-off value was \u2265\u200920.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study focuses on the issue of perceived COVID-19 stigma and its psycho-socio influencing factors. It provides evidence for implementing relevant psychological interventions to COVID-19 RD.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1111900","type":"journal-article","created":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T04:36:05Z","timestamp":1679373365000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["Perceived stigma among discharged patients of COVID-19 in Wuhan, China: A latent profile analysis"],"prefix":"10.3389","volume":"11","author":[{"given":"Yijin","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenwei","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijun","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiman","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyu","family":"Si","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqi","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmeng","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Leng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Cui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winnie W. 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Assessing Psychological Trauma and PTSD","author":"Weiss","year":"1997"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"677082","DOI":"10.3389\/fpsyt.2021.677082","article-title":"Possible vicarious traumatization among psychiatric inpatients during the remission phase of the COVID-19: a single-center cross-sectional study","volume":"12","author":"Zheng","year":"2021","journal-title":"Front Psych"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e054007","DOI":"10.1136\/bmjopen-2021-054007","article-title":"Emotional states and coping methods in nursing and non-nursing students responding to COVID-19: a cross-sectional study in 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Neurol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"740094","DOI":"10.3389\/fpsyt.2021.740094","article-title":"The mediating role of loneliness between social support and depressive symptoms among Chinese rural adolescents during COVID-19 outbreak: a comparative study between left-behind and non-left-behind students","volume":"12","author":"Hou","year":"2021","journal-title":"Front Psych"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/S0022-3999(97)00298-5","article-title":"Psychometric evaluation of the Pittsburgh sleep quality index","volume":"45","author":"Carpenter","year":"1998","journal-title":"J Psychosom Res"},{"key":"ref46","first-page":"103","article-title":"The validity and reliability of Pittsburgh sleep quality index","volume":"29","author":"Liu","year":"1996","journal-title":"Chin J Psychiatry"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/0022-3999(93)90081-P","article-title":"Development of a fatigue scale","volume":"37","author":"Chalder","year":"1993","journal-title":"J Psychosom Res"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3390\/ijerph13010147","article-title":"Reliability and construct validity of two versions of Chalder fatigue scale among the general population in mainland China","volume":"13","author":"Jing","year":"2016","journal-title":"Int J Environ Res Public Health"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1177\/1073191116683798","article-title":"Resilience style questionnaire: development and validation among college students and cardiac patients in Hong 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sex with men in China","volume":"21","author":"Li","year":"2017","journal-title":"AIDS Behav"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1007\/s10902-012-9343-5","article-title":"The construct and measurement of peace of mind","volume":"14","author":"Lee","year":"2013","journal-title":"J Happiness Stud"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1556\/2006.2020.00047","article-title":"Classification of probable online social networking addiction: a latent profile analysis from a large-scale survey among Chinese adolescents","volume":"9","author":"Li","year":"2020","journal-title":"J Behav Addict"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1093\/aje\/kwt286","article-title":"Latent class models in diagnostic studies when there is no reference standard--a systematic review","volume":"179","author":"van Smeden","year":"2014","journal-title":"Am J Epidemiol"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"820777","DOI":"10.3389\/fpsyt.2022.820777","article-title":"What is the optimal cut-off point of the 10-item Center for Epidemiologic Studies Depression Scale for screening depression among Chinese individuals aged 45 and over? 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Detecting Taxonicity using covariance of two quantitative indicators in successive intervals of a third indicator (Maxcov procedure)","volume":"78","author":"Meehl","year":"1996","journal-title":"Psychol Rep"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1016\/j.jad.2020.06.003","article-title":"The heterogeneity of social anxiety symptoms among Chinese adolescents: results of latent profile analysis","volume":"274","author":"Yu","year":"2020","journal-title":"J Affect Disord"},{"key":"ref62","first-page":"36","article-title":"Latent class models for clustering: A comparison with K-means","volume-title":"Canadian Journal of Marketing Research","author":"Magidson","year":"2002"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"381","DOI":"10.2147\/PRBM.S350931","article-title":"Associations of depression and anxiety with stigma in a sample of patients in Saudi Arabia who recovered from 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