90 ‘People say it is dangerous’. psychosocial effects of labelling people with mild hypertension: a qualitative study

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Abstract

Objectives

The aim of this study was to assess the potential psychosocial labelling effects in people diagnosed with mild hypertension.

Method

10 Single and 5 focus group interviews were conducted in São Paulo, Brazil among persons labelled with mild hypertension without comorbidities. Volunteers were selected among general population either from a list of patients from a primary healthcare clinic or social media and social network, with a broad range of characteristics including sex, age, level of education, ethnic origin and time from diagnosis. Data was subjected to qualitative content analysis by three of the authors independently followed by discussions to generate themes and categories.

Results

Preliminary results confirm that the label has impacts in a broad range of psychosocial dimensions, e.g. trust in own body, psychological reactions, social stigma and overmedicalization. Although informants had a broad range of characteristics, they shared similar stories, understandings and effects of labelling. The empirical material is still being analysed and final results will be presented at the conference.

Conclusions

The diagnosis of mild hypertension is a relevant milestone and has impact on daily life. Most of the impact is regarded as a negative consequence or harm; however, sometimes it might be ambiguous.

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