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Abstract

Background: In the border trade communities of Mae Hong Son Province, Thailand, misinformation and fear surrounding COVID-19 led to increased discrimination.

Method: This study aims to: (1) examine the different forms of stigma, (2) understand how affected individuals manage and cope with stigma, and (3) investigate community-based interventions to reduce stigma in border regions. An interpretative paradigm was used in a qualitative research design. A total of 18 participants—including local traders, housewives facing mobility challenges, a community leader, and healthcare workers were interviewed semi-structurally from August to December 2022. Key data patterns were identified by thematic analysis.

Results: There are three primary forms of stigma: accusatory stigma, which involves blaming individuals for bringing the virus; and social stigma and exclusion, which lead to avoidance and discrimination. Participants tended to avoid confrontation and seek social support. Positive community support, clear communication, and accurate information and timely updates are some of the key strategies for preventing stigma.

Conclusion: This study highlights the need for tailored stigma-reduction interventions in border trade communities. Clear communication, timely information, community engagement, and integrated mental health support are essential strategies. Implementing these approaches early can help build trust, reduce stigma, and strengthen resilience in future epidemics.

Keywords: Border communities, COVID-19, Social stigma, Disease management, Health behavior, Thailand

References

[1] World Health Organization [WHO]. The impact of COVID19 on mental health cannot be made light of. [updated: 2022 Jun 16; cited 2025 Feb 6]. Available from: https://www.who.int/news-room/feature-stories/detail/the-impact-of-covid-19-on-mental-health-cannot-be-made-light-of.

[2] World Health Organization [WHO]. COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. [updated: 2022 Mar 2; cited 2025 Feb 6]. Available from: https://www.who.int/news/item/02-03-2022covid-19-pandemic-triggers-25-increase-in-prevalence-ofanxiety-and-depression-worldwide.

[3] Sonmez D, Hocaoglu C. Psychosocial impact of COVID-19 e stigma and xenophobia. In: Hernandez-Sanchez B, SanchezGarcía JC, Moreira AC, Monteiro AA, editors. Psychosocial, educational, and economic impacts of COVID-19. IntechOpen; 2021. https://doi.org/10.5772/intechopen.101527 [cited 2025 Feb 6].

[4] Bagcchi S. Stigma during the COVID-19 pandemic. Lancet Infect Dis 2020;20(7):782. https://doi.org/10.1016/S14733099(20)30498-9.

[5] Gronholm PC, Nose M, van Brakel WH, Eaton J, Ebenso B, Fiekert K, et al. Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations. Epidemiol Psychiatr Sci 2021;30: e15. https://doi.org/10.1017/S2045796021000056.

[6] World Health Organization [WHO]. Social stigma associated with COVID-19: a guide to preventing and addressing social stigma. [updated: 2020 Feb 24; cited 2025 Feb 6]. Available from: https://www.who.int/docs/default-source/coronaviruse/covid19-stigma-guide.pdf.

[7] Lugito NPH, Damay V, Chyntya H, Sugianto N. Social media exposure and mental health problems during coronavirus disease 2019 pandemic in Indonesia. J Educ Health Promot 2021;10(1):200. https://doi.org/10.4103/jehp.jehp_1032_20.

[8] Sijariya R, Roy C, Jindal L, Sharma Y, Suri A. Social media misinformation effect on mental health in COVID-19: a review study. J Commer Trade 2022;17(1):70e5. https://doi.org/10.26703/JCT.v17i1-12.

[9] Shahbazi M, Bunker D. Social media trust: fighting misinformation in the time of crisis. Int J Inf Manag 2024;77:102780. https://doi.org/10.1016/j.ijinfomgt.2024.102780.

[10] Waqas A, Malik S, Fida A, Abbas N, Mian N, Miryala S, et al. Interventions to reduce stigma related to mental illnesses in educational institutes: a systematic review. Psychiatr Q 2020; 91(3):887e903. https://doi.org/10.1007/s11126-020-09751-4.

[11] Zhao L, Wang Z, Guan J, Shen P, Zhao W, Zuo G. Coronavirus disease 2019-related stigma in China: a descriptive study. Front Psychol 2021;12:694988. https://doi.org/10.3389/fpsyg.2021.694988.

[12] Mae Hong Son Provincial Office. Border trade. Mae Hong Son Provincial Office. [updated: 2024 Sep 30; cited 2025 Apr 17]. Available from: https://www.maehongson.go.th/new/border-trading/ [in Thai].

[13] Davis S, Samudra M, Dhamija S, Chaudhury S, Saldanha D. Stigma associated with COVID-19. Ind Psychiatry J 2021; 30(Suppl 1):S270e2. https://doi.org/10.4103/0972-6748.328827.

[14] Yu CC, Tang B, Low JA, Mathew M, Straus S, Fahim C. A qualitative study on health stigma and discrimination in the first year of the COVID-19 pandemic: lessons learnt from a public health perspective. Front Public Health 2023;11: 1143640. https://doi.org/10.3389/fpubh.2023.1143640.

[15] Bhanot D, Singh T, Verma SK, Sharad S. Stigma and discrimination during COVID-19 pandemic. Front Public Health 2021;8:577018. https://doi.org/10.3389/fpubh.2020.577018.

[16] Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3(2):77e101. https://doi.org/10.1191/1478088706qp063oa.

[17] Yuan K, Huang XL, Yan W, Zhang YX, Gong YM, Su SZ, et al. A systematic review and meta-analysis on the prevalence of stigma in infectious diseases, including COVID-19: a call to action. Mol Psychiatr 2021;27(1):19e33. https://doi.org/10.1038/s41380-021-01295-8.

[18] Saeed F, Mihan R, Mousavi SZ, Reniers RLEP, Bateni FS, Alikhani R, et al. A narrative review of stigma related to infectious disease outbreaks: what can be learned in the face of the COVID-19 pandemic? Front Psychiatr 2020;11:565919. https://doi.org/10.3389/fpsyt.2020.565919.

[19] Al-Ghuraibi MA, Aldossry TM. Social stigma as an outcome of the cultural repercussions toward COVID-19 in Saudi Arabia. Cogent Soc Sci 2022;8(1):2053270. https://doi.org/10.1080/23311886.2022.2053270.

[20] Goffman E. Stigma: notes on the management of spoiled identity. New Jersey: Prentice-Hall; 1963.

[21] SeyedAlinaghi S, Afsahi AM, Shahidi R, Afzalian A, Mirzapour P, Eslami M, et al. Social stigma during COVID19: a systematic review. SAGE Open Med 2023;11: 20503121231208273. https://doi.org/10.1177/20503121231208273.

[22] Gunasekeran DV, Chew A, Chandrasekar EK, Rajendram P, Kandarpa V, Rajendram M, et al. The impact and applications of social media platforms for public health responses before and during the COVID-19 pandemic: systematic literature review. J Med Internet Res 2022;24(4):e33680. https://doi.org/10.2196/33680.

[23] Maleewat N, Jamjuree P, Siemuang P, Butsakorn S, Chaowai S, Deemark N. A study of online social stigma that affects the mental health of college students. J Technol Manag Digit Innov 2024;1(1):22e31.

[24] Rocha YM, de Moura GA, Desiderio GA, de Oliveira CH, Lourenço FD, de Figueiredo Nicolete LD. The impact of fake news on social media and its influence on health during the COVID-19 pandemic: a systematic review. J Public Health 2021;31(1):1007e16. https://doi.org/10.1007/s10389-021-01658-z.

[25] Sickel AE, Seacat J, Nabors N. Mental health stigma update: a review of consequences. Adv Ment Health 2014;12(3): 202e15. https://doi.org/10.1080/18374905.2014.11081898.

[26] Kisa S, Kisa A. A comprehensive analysis of COVID-19 misinformation, public health impacts, and communication strategies: scoping review. J Med Internet Res 2024;26:e56931. https://doi.org/10.2196/56931.

[27] Caceres MMF, Sosa JP, Lawrence JA, Sestacovschi C, TiddJohnson A, Ui Rasool MH, et al. The impact of misinformation on the COVID-19 pandemic. AIMS Public Health 2022; 9(2):262e77. https://doi.org/10.3934/publichealth.2022018.

[28] McGinnity F, Quinn E, McCullough E, Enright S, Curristan S. Measures to combat racial discrimination and promote diversity in the labour market. A review of evidence. Econ Soc Res Inst; 2021. https://doi.org/10.26504/sustat110.

[29] Telles EE, Bailey SR, Davoudpour S, Freeman NC. Racial and ethnic inequality in Latin America. Washington, D.C: InterAmerican Development Bank; 2023.

[30] Lee J, Brazeal M, Poehling C, Chun JS. The role of psychological resilience and community resilience in psychological responses to COVID-19 among Korean college students entering the post-pandemic era. J Coll Stud Ment Health 2025. https://doi.org/10.1080/28367138.2025.2453169.

[31] Hu Y, Huang Y, Zhang H, Fang M, Chen G. Insights from China: understanding the impact of community resilience and government trust in psychological resilience and anxiety during COVID-19. Front Public Health 2023;11:1298269. https://doi.org/10.3389/fpubh.2023.1298269.

[32] Giurgiu LR, Damian C, Sabau AM, Caciora T, Calin FM. Depression related to COVID-19, coping, and hopelessness in sports students. Brain Sci 2024;14(6):563. https://doi.org/10.3390/brainsci14060563.

[33] McClaughlin E, Vilar-Lluch S, Parnell T, Knight D, Nichele E, Adolphs S, et al. The reception of public health messages during the COVID-19 pandemic. Appl Corpus Linguist 2023;3(1):100037. https://doi.org/10.1016/j.acorp.2022.100037.

[34] Damste C, Gronholm PC, de Groot T, Gurung D, Makhmud A, Peters RMH, et al. Social contact as a strategy to reduce stigma in low- and middle-income countries: a systematic review and expert perspectives. PLOS Glob Public Health 2024;4(3):e0003053. https://doi.org/10.1371/journal.pgph.0003053.

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