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Health Education Research Advance Access published online on January 17, 2007
Health Education Research, doi:10.1093/her/cyl158
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Iatrogenic stigma in outpatient treatment for Hansen's disease (leprosy) in Brazil

Cassandra White

Department of Anthropology, Georgia State University, PO Box 3998, Atlanta, GA 30302-3998, USA

Correspondence to: Correspondence to: C. White. E-mail: cwhite{at}gsu.edu

This paper explores how iatrogenic stigma, or stigma that is produced through a patient's encounter with physicians or with biomedicine in general, might emerge in outpatient treatment for Hansen's disease, or leprosy. Based on in-depth interviews with people affected by Hansen's disease and observations conducted at several public health clinics in Rio de Janeiro, Brazil, this research identified several aspects of the biomedical encounter that generated or contributed to stigma, either felt or enacted. Also noted in the research were positive examples of techniques used by physicians and health care workers for minimizing or circumventing stigma. The paper touches upon several topics, such as culturally mediated responses to medication side effects and communication between health care workers and patients, that might be salient or useful for health educators and others who are attempting to reduce health-related stigma.


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