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大众媒体OBERTAMENT运动对西班牙加泰罗尼亚地区民众耻辱感水平的影响。

Impact of the mass media OBERTAMENT campaign on the levels of stigma among the population of Catalonia, Spain.

作者信息

Rubio-Valera M, Fernández A, Evans-Lacko S, Luciano J V, Thornicroft G, Aznar-Lou I, Serrano-Blanco A

机构信息

Department of Teaching and Research, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain; Department of Pharmacology and Therapeutic Chemistry, School of Pharmacy, University of Barcelona, Barcelona, Spain; Spanish Network for Preventive Activities and Health Promotion in Primary Care (redIAPP), Spain.

Department of Teaching and Research, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain; Spanish Network for Preventive Activities and Health Promotion in Primary Care (redIAPP), Spain.

出版信息

Eur Psychiatry. 2016 Jan;31:44-51. doi: 10.1016/j.eurpsy.2015.10.005. Epub 2015 Dec 7.

Abstract

Reducing public stigma could improve patients' access to care, recovery and social integration. The aim of the study was to evaluate a mass media intervention, which aimed to reduce the mental health, related stigma among the general population in Catalonia (Spain). We conducted a cross-sectional population-based survey of a representative sample of the Catalan non-institutionalized adult population (n=1019). We assessed campaign awareness, attitudes to people with mental illness (CAMI) and intended behaviour (RIBS). To evaluate the association between campaign awareness and stigma, multivariable regression models were used. Over 20% of respondents recognized the campaign when prompted, and 11% when unprompted. Campaign aware individuals had better attitudes on the benevolence subscale of the CAMI than unaware individuals (P=0.009). No significant differences in authoritarianism and support for community mental health care attitudes subscales were observed. The campaign aware group had better intended behaviour than the unaware group (P<0.01). The OBERTAMENT anti-stigma campaign had a positive impact to improve the attitudes and intended behaviour towards people with mental illness of the Catalan population. The impact on stigma was limited to attitudes related to benevolence. A wider range of anti-stigma messages could produce a stronger impact on attitudes and intended behaviour.

摘要

减少公众污名化有助于改善患者获得医疗服务、康复及社会融入的状况。本研究旨在评估一项大众媒体干预措施,该措施旨在减少加泰罗尼亚地区(西班牙)普通人群中与心理健康相关的污名化现象。我们对加泰罗尼亚非机构化成年人群的代表性样本(n = 1019)进行了基于人群的横断面调查。我们评估了活动知晓度、对精神疾病患者的态度(CAMI)以及预期行为(RIBS)。为评估活动知晓度与污名化之间的关联,我们使用了多变量回归模型。超过20%的受访者在提示后认出了该活动,未提示时这一比例为11%。知晓活动的个体在CAMI的仁爱子量表上比不知晓的个体态度更好(P = 0.009)。在威权主义和对社区精神卫生保健态度子量表方面未观察到显著差异。知晓活动的群体比不知晓的群体有更好的预期行为(P < 0.01)。OBERTAMENT反污名化活动对改善加泰罗尼亚人群对精神疾病患者的态度和预期行为产生了积极影响。对污名化的影响仅限于与仁爱相关的态度。更广泛的反污名化信息可能会对态度和预期行为产生更强的影响。

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