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    Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school.

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    Authors
    Dyson, Simon M.
    Atkin, Karl
    Culley, Lorraine A.
    Dyson, Sue E. cc
    Evans, Hala
    Rowley, Dave T.
    Issue Date
    2010
    
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    Abstract
    Sickle cell is a leading genetic condition, both globally and in England. Little research has been conducted into the experiences of young people with sickle cell at school. A mixed methods study (May 2007–September 2008) based on 569 questionnaires and 40 taped interviews with young people living with sickle cell disorder (SCD) in England found that students with SCD are faced with a dilemma as to whether or not to disclose their sickle cell to teachers and pupils: the latent and hidden characteristics of their symptoms make it possible, in Goffmanesque terms, to “pass”. However the variable and unpredictable course of sickle cell is a reminder of Goffman’s notion of being “discreditable”. We found that teacher or pupil knowledge that a young person has sickle cell is not statistically associated with reported better treatment of young people with SCD at school. Analysis of interviews suggests most young people favour disclosing their sickle cell status (on the basis that teachers will then know what actions to take in the face of bouts of illness and in terms of making allowances for illness or school absences). A minority disagreed because disclosure was felt to attract unwarranted attention or disabling attitudes. Attitudes to disclosing to peers were more varied: either for or against disclosure to peers, or ambivalent in that they felt a tension between acknowledging the reality of their sickle cell, and not wanting it to be a central part of their identity. Some health promotion advice appears to assume that teacher and/or peer awareness is the key to improving school experience for young people with SCD, but this is not borne out by this study. Rather a change in wider school environments is required such that young people with SCD are supported irrespective of whether they themselves foreground or play down their disabled identity.
    Citation
    Dyson, Simon Martin and Atkin, Karl and Culley, Lorraine A. and Dyson, Sue E. and Evans, Hala and Rowley, Dave T. (2010) Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school. Social Science and Medicine, 70 (12). pp. 2036-2044.
    Journal
    Social Science and Medicine
    URI
    http://hdl.handle.net/10545/622797
    DOI
    10.1016/j.socscimed.2010.03.010
    Additional Links
    http://eprints.mdx.ac.uk/12231/
    Type
    Article
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.socscimed.2010.03.010
    Scopus Count
    Collections
    Health and Social Care Research Centre

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