Corker E, Hamilton S, Robinson E, Cotney J, Pinfold V, Rose D, Thornicroft G, Henderson C
Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
The McPin Foundation, London, UK.
Acta Psychiatr Scand. 2016 Aug;134 Suppl 446(Suppl Suppl 446):6-13. doi: 10.1111/acps.12610.
Discrimination reported by mental health service users in England is high. The study aims to determine changes in mental health-related discrimination from 2008 to 2014.
Samples of mental health service users were interviewed from 2008 to 2014 using the Discrimination and Stigma Scale version 12. Social capital in terms of access to social resources is a marker of discrimination in terms of effects on social connections, and so from 2011, social capital also measured using the Resource Generator-UK.
Fewer participants reported discrimination in one or more life areas in 2014 compared to 2008 (OR: 0.58, 95% CI 0.36 to 0.94 P = 0.03). A weighted multiple regression model found a decrease in overall discrimination in 2014 compared to 2008 (mean difference: -13.55, 95% CI: -17.32 to -9.78, P < 0.001). There was not a consistent in discrimination decline between each year. No differences in access to social resources were found.
Discrimination has fallen significantly over 2008-2014, although there was not a consistent decline between years. There is no evidence that social capital has increased.
英国心理健康服务使用者所报告的歧视现象很严重。本研究旨在确定2008年至2014年期间与心理健康相关的歧视的变化情况。
2008年至2014年期间，使用第12版歧视与污名量表对心理健康服务使用者样本进行了访谈。就获取社会资源而言的社会资本是从对社会关系的影响方面衡量歧视的一个指标，因此从2011年起，也使用英国资源生成器来衡量社会资本。
与2008年相比，2014年报告在一个或多个生活领域遭受歧视的参与者更少（比值比：0.58，95%置信区间0.36至0.94，P = 0.03）。一个加权多元回归模型发现，与2008年相比，2014年总体歧视有所减少（平均差异：-13.55，95%置信区间：-17.32至-9.78，P < 0.001）。每年之间歧视的下降并不一致。在获取社会资源方面未发现差异。
2008 - 2014年期间歧视现象显著减少，尽管各年份之间并非持续下降。没有证据表明社会资本有所增加。
