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阿根廷对精神疾病患者的歧视和社会污名化。

Discrimination and social stigma against people with mental illnesses in Argentina.

机构信息

Universidad de Palermo, Buenos Aires, Argentina.

出版信息

Int J Soc Psychiatry. 2023 Mar;69(2):334-341. doi: 10.1177/00207640221089533. Epub 2022 Apr 15.

Abstract

BACKGROUND

Individuals with mental and neurological illnesses face stigma and discrimination every day. There are only a few studies regarding the degree of discrimination in the comparison between the illnesses, and no recent research has been found in Argentina about this topic.

AIMS

The aim of this research is to study and compare stigma and discrimination toward people with mental illnesses (schizophrenia, substance use disorder, and bipolar disorder) and with neurological disorders (epilepsy) in Argentina, while analyzing the social distance toward them. The level of responsibility attributed to individuals with these disorders were also assessed and compared.

METHOD

Individuals from Buenos Aires, Argentina, were surveyed in order to measure the social distance given to people with mental illnesses and a neurological disease. For that purpose a modified version of the Bogardus scale was used, with a sample of 500 individuals contacted online in January 2021.

RESULTS

Social distance toward people with mental illnesses was higher than those with a neurological disorder (epilepsy). A significant difference was found in the level of responsibility attributed to people with substance use disorder in comparison to the other illnesses. On the contrary, there were no significant differences of discrimination according to age or sex. Finally, the research outcomes showed that people with substance use disorder are the most discriminated against and stigmatized.

CONCLUSION

A significant level of discrimination was found against individuals with mental disorders and, specially, toward people with substance use disorder. Moreover, they are perceived as responsible for their disorder. For this reason, anti-stigma campaigns should be directed to end the misconceptions toward the most discriminated groups. More support is needed to counteract the stigmatization and exclusion of individuals with mental and neurological disorders in our society.

摘要

背景

患有精神和神经疾病的个体每天都面临着耻辱和歧视。关于这些疾病之间的歧视程度,仅有少数研究,而且在阿根廷,没有找到关于这个话题的最新研究。

目的

本研究旨在研究和比较阿根廷精神疾病(精神分裂症、物质使用障碍和双相情感障碍)和神经疾病(癫痫)患者的耻辱和歧视程度,并分析对他们的社会距离。还评估和比较了这些疾病患者的责任程度。

方法

在阿根廷布宜诺斯艾利斯,对个体进行了调查,以衡量对精神疾病和神经疾病患者的社会距离。为此,使用了博加达斯量表的修改版,对 2021 年 1 月在线联系的 500 名个体进行了抽样调查。

结果

对精神疾病患者的社会距离高于对神经疾病(癫痫)患者的社会距离。在与其他疾病相比,对物质使用障碍患者的责任程度方面发现了显著差异。相反,根据年龄或性别,没有发现歧视的显著差异。最后,研究结果表明,物质使用障碍患者受到的歧视和污名化最为严重。

结论

发现对精神障碍患者存在显著程度的歧视,特别是对物质使用障碍患者。此外,他们被认为对自己的疾病负责。因此,反污名化运动应该针对结束对受歧视最严重群体的误解。需要更多的支持来对抗我们社会中精神和神经障碍患者的污名化和排斥。

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