Department of Applied Social Studies, City University of Hong Kong, Hong Kong.
Int J Soc Psychiatry. 2012 Mar;58(2):178-85. doi: 10.1177/0020764010390431. Epub 2011 Feb 9.
This study attempted to understand gender differences in knowledge of mental illness, preference for professional help, and medications and treatment methods among Australians of Chinese-speaking background.
This study adopted a cluster convenience sampling method in which subjects were taken from the four major areas in cosmopolitan Melbourne where most Chinese people are living. A total of 200 Chinese-speaking Australians participated in the study. They were presented with two vignettes describing an individual with acute depression or acute schizophrenia and then questions were asked to assess their understanding of the conditions, preference for professional help, medications and treatment methods.
More female than male respondents could correctly identify the conditions in the two vignettes. Female participants also perceived medications to be relatively more harmful than their male counterparts. In contrast, there were significantly more males than females who adhered to traditional views on the causation of mental illness; had significantly higher percentages of endorsement of 'deal with it alone'; believed 'traditional Chinese medical doctor' and 'Chinese herbal medicines' to be helpful to the person in the schizophrenia vignette; and significantly endorsed 'psychiatric ward', 'electro-convulsive treatment', 'changing fungshui' and 'traditional Chinese worship' to be helpful for the persons in both vignettes. A combination of factors, which included age, duration of migration and traditional Chinese cultural values, were put forward to explain the above differences.
Campaigns to improve the mental health literacy of Chinese-speaking Australians must take into account the gender differences between male and female Chinese-speaking Australians so that culturally relevant and gender-specific education programmes can be developed.
本研究旨在了解中文背景的澳大利亚人群中,性别差异在精神疾病知识、寻求专业帮助的偏好以及药物和治疗方法方面的表现。
本研究采用聚类便利抽样方法,从墨尔本的四个华人聚居区选取研究对象。共有 200 名华裔澳大利亚人参与了这项研究。他们被呈现了两个描述个体患有急性抑郁症或急性精神分裂症的情景,并回答了一些问题,以评估他们对这些疾病的理解、寻求专业帮助的偏好、药物和治疗方法的选择。
相较于男性,更多的女性受访者能够正确识别两个情景中的疾病。女性参与者也认为药物比男性更具危害性。相比之下,更多的男性比女性更倾向于持有传统的精神疾病病因观点;更倾向于“独自应对”;认为“中医”和“中草药”对精神分裂症情景中的人有帮助;并更倾向于认同“精神科病房”、“电抽搐治疗”、“改变风水”和“传统的中国祭祀”对两个情景中的人有帮助。包括年龄、移民时间和传统中国文化价值观等多种因素被提出,以解释上述差异。
提高华裔澳大利亚人心理健康素养的宣传活动必须考虑华裔澳大利亚男女之间的性别差异,以便制定出具有文化相关性和针对性别的教育计划。