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心理健康问题患者的积极治疗和歧视感知:2017 年态度调查的结果。

Perceptions of positive treatment and discrimination towards people with mental health problems: Findings from the 2017 Attitudes to Mental Illness survey.

机构信息

Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia; King's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Biostatistics and Health Informatics Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

出版信息

Psychiatry Res. 2019 Mar;273:141-148. doi: 10.1016/j.psychres.2019.01.027. Epub 2019 Jan 9.

Abstract

Anti-stigma programme evaluations primarily measure knowledge and attitudes, and rarely assess behaviour. This study describes perceived and self-reported avoidance, discrimination and positive treatment using data from the 2017 Attitudes to Mental Illness survey. A nationally representative quota sample of 1720 English participants were interviewed about mental health-related knowledge and attitudes, reported and intended contact with people with mental health problems, awareness of the Time to Change anti-stigma programme and knowledge of anyone with a mental health problem. Participants who knew someone were asked how they thought the person was treated in different life areas, and whether they had avoided the person, treated them unfairly or treated them more positively. 30.1% of respondents knew someone with a mental health problem. Most believed the person had been treated fairly across various life domains. 5.1% of participants reported avoiding the person, 2.1% reported unfair treatment, and 58.1% reported positive treatment. Less stigmatising attitudes were associated with reduced avoidance and discrimination. Greater knowledge and reported contact were associated with positive treatment. Anti-stigma campaigns can reduce discrimination or increase positive treatment by targeting knowledge, attitudes and awareness of people with mental health problems. Evaluations should measure discrimination and positive treatment to fully assess behavioural change.

摘要

反污名化计划评估主要衡量知识和态度,很少评估行为。本研究使用 2017 年态度与心理健康调查的数据,描述了感知到的和自我报告的回避、歧视和积极对待。采用全国代表性配额样本,对 1720 名英语参与者进行了心理健康相关知识和态度、与心理健康问题者的报告和预期接触、对“改变时间”反污名化计划的认识以及任何有心理健康问题者的知识的访谈。了解某人的参与者被问及他们认为该人在不同生活领域的待遇如何,以及他们是否回避了该人、对其不公平对待或对其更积极对待。30.1%的受访者认识有心理健康问题的人。大多数人认为该人在各个生活领域都受到了公平对待。5.1%的参与者报告回避该人,2.1%报告不公平对待,58.1%报告积极对待。较少的污名化态度与减少回避和歧视有关。更多的知识和报告的接触与积极的治疗有关。反污名化运动可以通过针对有心理健康问题的人的知识、态度和意识来减少歧视或增加积极治疗。评估应衡量歧视和积极的治疗,以全面评估行为变化。

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