Stuart Heather, Patten Scott B, Koller Michelle, Modgill Geeta, Liinamaa Tiina
Professor and Bell Canada Mental Health and Anti-Stigma Research Chair, Department of Public Health Sciences, Queen's University, Kingston, Ontario; Senior Consultant, Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Calgary, Alberta.
Principal Investigator, Health Professionals, Opening Minds Anti-Stigma Initiative, Mental Health Commission of Canada, Calgary, Alberta; Professor, Departments of Community Health Sciences and Psychiatry, University of Calgary, Calgary, Alberta; Member, Mathison Centre for Research & Education in Mental Health, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta.
Can J Psychiatry. 2014 Oct;59(10 Suppl 1):S27-33. doi: 10.1177/070674371405901s07.
Our paper presents findings from the first population survey of stigma in Canada using a new measure of stigma. Empirical objectives are to provide a descriptive profile of Canadian's expectations that people will devalue and discriminate against someone with depression, and to explore the relation between experiences of being stigmatized in the year prior to the survey among people having been treated for a mental illness with a selected number of sociodemographic and mental health-related variables.
Data were collected by Statistics Canada using a rapid response format on a representative sample of Canadians (n = 10 389) during May and June of 2010. Public expectations of stigma and personal experiences of stigma in the subgroup receiving treatment for a mental illness were measured.
Over one-half of the sample endorsed 1 or more of the devaluation discrimination items, indicating that they believed Canadians would stigmatize someone with depression. The item most frequently endorsed concerned employers not considering an application from someone who has had depression. Over one-third of people who had received treatment in the year prior to the survey reported discrimination in 1 or more life domains. Experiences of discrimination were strongly associated with perceptions that Canadians would devalue someone with depression, younger age (12 to 15 years), and self-reported poor general mental health.
The Mental Health Experiences Module reflects an important partnership between 2 national organizations that will help Canada fulfill its monitoring obligations under the United Nations Convention on the Rights of Persons with Disabilities and provide a legacy to researchers and policy-makers who are interested in monitoring changes in stigma over time.
我们的论文展示了加拿大首次使用一种新的耻辱感测量方法进行的耻辱感人口调查结果。实证目标是提供加拿大人对患有抑郁症的人会贬低和歧视他人的期望的描述性概况,并探讨在调查前一年接受过精神疾病治疗的人群中,耻辱经历与选定的一些社会人口学和心理健康相关变量之间的关系。
加拿大统计局在2010年5月和6月期间,采用快速反应格式对具有代表性的加拿大人样本(n = 10389)收集数据。测量了公众对耻辱感的期望以及接受精神疾病治疗亚组中的耻辱感个人经历。
超过一半的样本认可1项或更多贬低歧视项目,表明他们认为加拿大人会歧视患有抑郁症的人。最常被认可的项目是雇主不考虑有抑郁症病史者的求职申请。在调查前一年接受过治疗的人中,超过三分之一的人报告在1个或更多生活领域受到歧视。歧视经历与认为加拿大人会贬低患有抑郁症的人的看法、较年轻年龄(12至15岁)以及自我报告的总体心理健康状况不佳密切相关。
心理健康经历模块反映了两个国家组织之间的重要合作关系,这将有助于加拿大履行其在《联合国残疾人权利公约》下的监测义务,并为有兴趣监测耻辱感随时间变化的研究人员和政策制定者留下遗产。