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患者对医疗服务提供者偏见和歧视的认知及其与精神障碍的关系:来自2012年加拿大社区健康与心理健康调查数据的结果

Patient Perceptions of Prejudice and Discrimination by Health Care Providers and its Relationship with Mental Disorders: Results from the 2012 Canadian Community Health-Mental Health Survey Data.

作者信息

Marchand Kirsten, Palis Heather, Oviedo-Joekes Eugenia

机构信息

Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, 588B-1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.

School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Community Ment Health J. 2016 Apr;52(3):294-301. doi: 10.1007/s10597-015-9949-2. Epub 2015 Sep 26.

Abstract

Using data from a nationally representative survey, the Canadian Community Health Survey-Mental Health, this secondary analysis aimed to determine the prevalence of perceived prejudice by health care providers (HCPs) and its relationship with mental disorders. Respondents accessing HCPs in the prior year were asked if they experienced HCP prejudice. A hypothesis driven multivariable logistic regression analysis was conducted to determine the relationship between type of mental disorders and HCP prejudice. Among the 3006 respondents, 10.9 % perceived HCP prejudice, 62.4 % of whom reported a mental disorder. The adjusted odds of prejudice was highest for respondents with anxiety (OR 3.12; 95 % CI 1.60, 6.07), concurrent mood or anxiety and substance disorders (OR 3.08; 95 % CI 1.59, 5.95) and co-occurring mood and anxiety disorders (OR 2.89; 95 % CI 1.68, 4.97) compared to respondents without any mental disorders. These findings are timely for informing discussions regarding policies to address HCP prejudice towards people with mental disorders.

摘要

本二次分析使用了具有全国代表性的加拿大社区健康调查——心理健康调查的数据,旨在确定医疗服务提供者(HCP)的感知偏见患病率及其与精神障碍的关系。询问了上一年访问过HCP的受访者是否经历过HCP的偏见。进行了一项假设驱动的多变量逻辑回归分析,以确定精神障碍类型与HCP偏见之间的关系。在3006名受访者中,10.9%的人感知到HCP的偏见,其中62.4%的人报告患有精神障碍。与没有任何精神障碍的受访者相比,焦虑症受访者的调整后偏见几率最高(比值比[OR]3.12;95%置信区间[CI]1.60,6.07),同时患有情绪或焦虑及物质使用障碍的受访者(OR 3.08;95%CI 1.59,5.95)以及同时患有情绪和焦虑障碍的受访者(OR 2.89;95%CI 1.68,4.97)。这些发现对于为有关解决HCP对精神障碍患者偏见的政策讨论提供信息而言很及时。

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