在中国精神分裂症患者中经历和预期的歧视:一项横截面研究
Yilu Li1, Dan Qiu1, Chengcheng Zhang1
1Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha, Hunan, 410078, China.
Social psychiatry and psychiatric epidemiology
|February 14, 2025
概括
在中国,超过三分之一的精神分裂症患者面临歧视,特别是那些生活在农村地区或处于贫困状态的人. 对文化敏感的干预措施对于解决这种耻辱至关重要.
科学领域:
- 精神病学是一个精神病学.
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
背景情况:
- 歧视和耻辱显著影响精神分裂症 (PLS) 患者.
- 了解这些经验在不同的文化背景,如中国,对于有效的干预至关重要.
- 在解决PLS面临的歧视方面,文化知情的方法是必不可少的.
研究的目的:
- 描述在中国的PLS中经历和预期的歧视.
- 确定与此种人口中的歧视相关的社会和疾病相关因素.
- 为制定有针对性的干预措施以减少歧视提供信息.
主要方法:
- 在中国四个城市的PLS随机社区采样.
- 使用歧视和污名度量表 (DISC-12) 来衡量歧视.
- 采用多变量回归来分析歧视的相关性.
主要成果:
- 在787个PLS中,38%的人报告经历过歧视;71.4%的人预计会受到歧视.
- 常见的歧视领域包括邻居,友,就业和家庭.
- 与经历过歧视相关的因素:农村生活,贫困,长期疾病,严重症状,残疾.
- 与预期歧视相关的因素:年龄较小,失业,残疾,以前经历过歧视.
- 59.3%的参与者隐了他们的精神疾病.
结论:
- 在中国,大量的PLS经历了歧视.
- 经济劣势和农村环境与更高的歧视率有关.
- 迫切需要新的,文化敏感的干预措施来打击与精神分裂症相关的歧视.
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