Evans-Lacko Sara, Henderson Claire, Thornicroft Graham
Health Service and Population Research Department, Box PO29, Institute of Psychiatry, King's College London, London, UK.
Br J Psychiatry Suppl. 2013 Apr;55:s51-7. doi: 10.1192/bjp.bp.112.112979.
Public stigma against people with mental health problems is damaging to individuals with mental illness and is associated with substantial societal burden.
To investigate whether public knowledge, attitudes and behaviour in relation to people with mental health problems have improved among the English population since the inception of the Time To Change programme in 2009.
We analysed longitudinal trends in public knowledge, attitudes and behaviour between 2009 and 2012 among a nationally representative sample of English adults.
There were improvements in intended behaviour (0.07 standard deviation units, 95% CI 0.01-0.14) and a non-significant trend for improvement in attitudes (P = 0.08) among the English population. There was, however, no significant improvement in knowledge or reported behaviour.
The findings provide support for effectiveness of the national Time to Change programme against stigma and discrimination in improving attitudes and intended behaviour, but not knowledge, among the public in England.
公众对有心理健康问题者的污名化对患有精神疾病的个体具有伤害性，并与巨大的社会负担相关。
调查自2009年“改变时机”项目启动以来，英国人群体中与有心理健康问题者相关的公众知识、态度和行为是否有所改善。
我们分析了2009年至2012年间具有全国代表性的英国成年人群体样本中的公众知识、态度和行为的纵向趋势。
英国人群体中，预期行为有改善（0.07标准差单位，95%置信区间0.01 - 0.14），态度有改善的趋势但不显著（P = 0.08）。然而，知识或报告的行为没有显著改善。
研究结果支持了全国性的“改变时机”项目在消除污名和歧视方面的有效性，即在改善英国公众的态度和预期行为方面有效，但在改善知识方面无效。
