Chan S K W, Lee K W, Hui C L M, Chang W C, Lee E H M, Chen E Y H
Department of Psychiatry, The University of Hong Kong, Queen Mary Hospital, Room 219, New Clinical Building, 102 Pokfulam Road, Hong Kong Special Administrative Region (SAR), China.
The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Queen Mary Hospital, Room 219, New Clinical Building, 102 Pokfulam Road, Hong Kong Special Administrative Region (SAR), China.
Soc Psychiatry Psychiatr Epidemiol. 2017 Mar;52(3):259-267. doi: 10.1007/s00127-016-1317-1. Epub 2016 Dec 1.
Public stigma is an important barrier to the recovery of patients with psychosis. The current study aimed to investigate the change in stigma towards psychosis and knowledge about psychosis between 2009 and 2014 among the Chinese population in Hong Kong, with a specific focus on gender role.
Random telephone survey of general population in Hong Kong was conducted in 2009 and 2014. Stigma was measured with the revised Link's Perceived Discrimination-Devaluation Scale (LPDDS). Logistic regression was used to explore the effect of time on the change of knowledge of psychosis, and linear regression was used to explore the effect of time on the change of stigma. Change of knowledge and stigma based on gender was specifically explored.
In total, 1016 and 1018 subjects completed the survey in 2009 and 2014, respectively. Significantly, more people agreed with medication treatment for psychosis and fewer people had misunderstanding about psychosis. However, there was no significant change in stigma levels. Males were found to have a significant deterioration of stigma (B = 0.099, SE = 0.033, β = 0.100, p = 0.003) but not females. Significantly, more males endorsed medication treatment for psychosis (χ = 5.850, df = 1, p = 0.016) but no change for females (χ = 1.401, df = 1, p = 0.238).
Results of this study suggested that there was an improvement in the biological understanding of psychosis but no change of public stigma within the Hong Kong Chinese population. The specific role of gender in relation to stigma and level of knowledge about psychosis indicates that this should be a consideration in designing future anti-stigma campaigns.
公众污名是精神病患者康复的重要障碍。本研究旨在调查2009年至2014年间香港华人对精神病污名的变化以及对精神病的认知情况，特别关注性别角色。
于2009年和2014年对香港普通人群进行随机电话调查。使用修订后的林克感知歧视-贬低量表（LPDDS）测量污名。采用逻辑回归探讨时间对精神病认知变化的影响，采用线性回归探讨时间对污名变化的影响。具体探讨了基于性别的认知和污名变化。
2009年和2014年分别有1016名和1018名受试者完成了调查。值得注意的是，更多人认同对精神病进行药物治疗，对精神病存在误解的人减少。然而，污名水平没有显著变化。发现男性的污名有显著恶化（B = 0.099，标准误 = 0.033，β = 0.100，p = 0.003），而女性没有。值得注意的是，更多男性认同对精神病进行药物治疗（χ = 5.850，自由度 = 1，p = 0.016），而女性没有变化（χ = 1.401，自由度 = 1，p = 0.238）。
本研究结果表明，香港华人对精神病的生物学理解有所改善，但公众污名没有变化。性别在污名和精神病认知水平方面的具体作用表明，这在设计未来的反污名运动时应予以考虑。
