精神分裂症患者报告的歧视:与人类发展指数相关的跨国变化
P C Gronholm1, S Ali1, E Brohan1
1Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Epidemiology and psychiatric sciences
|November 21, 2023
概括
人类发展指数 (HDI) 高的国家的精神分裂症患者报告更有经验的歧视. 需要进一步的研究,以了解影响不同国家背景下的歧视因素.
科学领域:
- 全球心理健康全球心理健康
- 社会精神病学是一种社会精神病学.
- 卫生经济学 卫生经济学
背景情况:
- 耻辱和歧视是精神分裂症患者面临的普遍挑战,影响了他们的福祉.
- 现有研究表明,关于歧视在不同的国家环境中如何变化,存在不一致的发现.
- 影响这些歧视差异的上下文因素仍未得到充分研究.
研究的目的:
- 调查一个国家的人类发展指数 (HDI) 与精神分裂症患者所经历的歧视之间的联系.
- 检查不同的人类发展水平不同的国家在经历和预期的歧视方面的差异.
主要方法:
- 一项全球跨部门调查 (2005-2008) 的二次分析,涉及来自29个国家的精神分裂症患者.
- 使用歧视和污名度量表 (DISC-10) 来评估歧视.
- 采用负二项式和波桑回归分析,考虑国家一级的HDI (2006年数据).
主要成果:
- 在HDI和经历或预期的歧视之间没有发现线性关联.
- 在HDI评级和经历歧视之间出现了显著的非线性关联.
- 在"高"和"非常高"的HDI国家,与"中等"HDI国家相比,个人报告的经历歧视率更高.
结论:
- 人类发展指数 (HDI) 与精神分裂症患者经历的歧视程度有关.
- 进一步高质量,跨国研究是必不可少的,特别是在"中等"和"低"的HDI国家.
- 识别潜在因素对于开发有效的,特定于环境的反耻辱干预措施至关重要.
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