Department of Public Health, School of Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
PLoS One. 2019 Sep 5;14(9):e0221825. doi: 10.1371/journal.pone.0221825. eCollection 2019.
Stigma toward people with mental health problems (MHP) in primary health care (PHC) settings is an important public health challenge. Research on stigma toward MHP is relatively scarce in Chile and Latin America, as are instruments to measure stigma that are validated for use there. The present study aims to validate the Opening Minds Scale for Health Care Professionals (OMS-HC) among staff and providers in public Chilean PHC clinics, and examine differences in stigma by sociodemographic characteristics.
803 participants from 34 PHC clinics answered a self-administered questionnaire. Confirmatory factor analysis was completed. Average 15-item OMS-HC scores were calculated, and means were compared via t-test or ANOVA to identify group differences. Correlations of OMS-HC scores with other commonly used stigma scores were calculated to evaluate construct validity.
The 3-factor OMS-HC structure was confirmed in this population. The average OMS-HC (α = 0.69) score was 34.55 (theoretical range 15-75). Significantly lower (less stigmatizing) mean OMS-HC scores were found in those with additional training and/or personal experience with MHP.
The validated, Spanish version of OMS-HC can be of use to further research stigma toward MHP in Chile and Latin America, advancing awareness and inspiring interventions to reduce stigma in the future.
初级卫生保健（PHC）环境中人们对心理健康问题（MHP）的污名化是一个重要的公共卫生挑战。在智利和拉丁美洲，针对 MHP 的污名化研究相对较少，也缺乏经过验证可在该地区使用的污名化测量工具。本研究旨在验证智利公立 PHC 诊所工作人员和提供者的《医疗保健专业人员开放思维量表》（OMS-HC），并考察污名化在社会人口学特征方面的差异。
34 家 PHC 诊所的 803 名参与者回答了一份自我管理的问卷。完成了验证性因子分析。计算了平均 15 项 OMS-HC 评分，并通过 t 检验或 ANOVA 比较均值，以确定组间差异。计算了 OMS-HC 评分与其他常用污名评分的相关性，以评估结构效度。
该人群中确认了 OMS-HC 的 3 因素结构。平均 OMS-HC（α=0.69）得分为 34.55（理论范围 15-75）。那些接受过额外培训和/或有个人 MHP 经验的人，其 OMS-HC 评分明显更低（污名化程度更低）。
经验证的西班牙语版 OMS-HC 可用于进一步研究智利和拉丁美洲的 MHP 污名化，提高认识，并激发未来减少污名化的干预措施。
