2008 - 2011年英格兰使用心理健康服务人群的歧视经历。
Experiences of discrimination among people using mental health services in England 2008-2011.
作者信息
Corker E, Hamilton S, Henderson C, Weeks C, Pinfold V, Rose D, Williams P, Flach C, Gill V, Lewis-Holmes E, Thornicroft G
机构信息
Health Service and Population Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK.
出版信息
Br J Psychiatry Suppl. 2013 Apr;55:s58-63. doi: 10.1192/bjp.bp.112.112912.
BACKGROUND
Research suggests that levels of discrimination against people using mental health services are high; however, reports of these people's experiences are rare.
AIMS
To determine whether the Time to Change (TTC) programme target of 5% reduction in discrimination has been achieved.
METHOD
Separate samples of people using mental health services were interviewed annually from 2008 to 2011 using the Discrimination and Stigma Scale to record instances of discrimination.
RESULTS
Ninety-one per cent of participants reported one or more experiences of discrimination in 2008 compared with 88% in 2011 (z = -1.9, P = 0.05). The median negative discrimination score was 40% in 2008 and 28% in 2011 (Kruskal-Wallis χ(2) = 83.4, P<0.001).
CONCLUSIONS
The proportion of participants experiencing no discrimination increased significantly over the course of TTC but by less than the initial target. The overall median discrimination score fell by 11.5%. Data from 2010 and 2011 suggest that these gains may be hard to maintain during economic austerity.
背景
研究表明，针对使用心理健康服务者的歧视程度很高；然而，关于这些人经历的报告却很少见。
目的
确定“改变时机”（TTC）项目将歧视减少5%的目标是否已实现。
方法
从2008年至2011年，每年使用歧视与污名量表对使用心理健康服务的人群进行单独抽样访谈，以记录歧视事件。
结果
2008年，91%的参与者报告有一次或多次歧视经历，2011年这一比例为88%（z = -1.9，P = 0.05）。负面歧视得分中位数在2008年为40%，2011年为28%（Kruskal-Wallis χ(2) = 83.4，P<0.001）。
结论
在TTC项目实施过程中，未经历歧视的参与者比例显著增加，但增幅低于最初目标。总体歧视得分中位数下降了11.5%。2010年和2011年的数据表明，在经济紧缩期间，这些成果可能难以维持。
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