The impact of stigma on maternal attitudes toward placement of children with disabilities in residential care facilities

This study examines willingness to consider placement of children with disabilities in residential care facilities among 81 mothers of children with disabilities. Perceived stigma is added to the Andersen and Newman model of health service utilization in order to evaluate its impact on placement att...

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Bibliographic Details
Published in:Social science & medicine (1982) 2004-08, Vol.59 (4), p.799-812
Main Author: Green, Sara E
Format: Article
Language:English
Subjects:
Adult
Andersen and Newman model
Attitude to Health
Attitudes
Biological and medical sciences
Caregiver Burden
Child
Child care
Children
Children & youth
Disability
Disabled Children
Female
Florida
Handicapped
Health Care Utilization
Health facilities
Humans
Medical sciences
Medicine
Miscellaneous
Mother-Child Relations
Mothers
Mothers - psychology
Parental Attitudes
Placement
Predictors
Prejudice
Public health. Hygiene
Public health. Hygiene-occupational medicine
Residential care
Residential care facilities
Residential Facilities - utilization
Residential Institutions
Single Mothers
Stereotyping
Stigma
Stigma Disability Children Residential care facilities Andersen and Newman model USA
Stigmatization
U.S.A
USA
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Summary:This study examines willingness to consider placement of children with disabilities in residential care facilities among 81 mothers of children with disabilities. Perceived stigma is added to the Andersen and Newman model of health service utilization in order to evaluate its impact on placement attitudes controlling for predisposing, enabling and need characteristics and health beliefs. Findings of regression analyses suggest that older, single mothers of more severely disabled children are more likely than other mothers to consider residential placement and that adequate finances and residential stability may reduce this willingness. When these variables are controlled, the expectation that people with disabilities will be stigmatized by others in the community increases willingness to consider placement and does so by increasing the degree of caregiver burden experienced. Results also suggest, however, that among mothers of young children, specific aspects of perceived stigma have direct affects on willingness to consider placement even when perceived burden is controlled.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2003.11.023