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孟加拉国土著社区的精神疾病污名:一项横断面研究。

Mental illness stigma among indigenous communities in Bangladesh: a cross-sectional study.

机构信息

Department of Clinical Psychology, University of Dhaka, Dhaka, Bangladesh.

School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia.

出版信息

BMC Psychol. 2023 Jul 31;11(1):216. doi: 10.1186/s40359-023-01257-5.

DOI:10.1186/s40359-023-01257-5
PMID:37525224
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10391860/
Abstract

BACKGROUND

Mental illnesses stigma is a universal and transcultural phenomenon. While mental illnesses stigma is pervasive in Bangladesh, very little research exists on stigma toward mental illnesses among indigenous communities. This study aimed to investigate the prevailing stigma and the risk factors among different indigenous communities in the Chattogram Hill Tracts (CHT) in Bangladesh.

METHODS

A cross-sectional survey was carried out and participants were recruited purposively from Rangamati, a South-Eastern district of Bangladesh in the CHT. Participants from various indigenous communities including Chakma, Marma, Rakhine, Tripura, and Pangkhua were recruited. The 28- item Bangla translated version of the Mental Illnesses Stigma Scale was used. Independent-samples t-test, ANOVA, and multiple regression were performed.

RESULTS

The results indicate evidence of a gender difference with females reporting more stigma than their male counterparts. Age, gender, socioeconomic status, and monthly income are associated with stigma among indigenous people. Further analyses of the subscales indicated significant differences among sociodemographic variables.

CONCLUSIONS

The results provide an insight into the prevailing stigma and associate risk factors among indigenous communities. The results may help inform anti-stigma interventions targeting indigenous communities in Bangladesh.

摘要

背景

精神疾病污名是一种普遍存在且跨文化的现象。虽然孟加拉国普遍存在对精神疾病的污名,但针对土著社区对精神疾病的污名研究却很少。本研究旨在调查孟加拉国 Chattogram Hill Tracts(CHT)不同土著社区普遍存在的污名和相关风险因素。

方法

本研究采用横断面调查,从孟加拉国东南部的 Chattogram Hill Tracts(CHT)的兰加马蒂区有目的地招募参与者。参与者来自不同的土著社区,包括 Chakma、Marma、Rakhine、Tripura 和 Pangkhua。使用 28 项孟加拉语翻译版的精神疾病污名量表。进行独立样本 t 检验、方差分析和多元回归分析。

结果

结果表明,存在性别差异,女性比男性报告更多的污名。年龄、性别、社会经济地位和月收入与土著人民的污名有关。对亚量表的进一步分析表明,社会人口变量之间存在显著差异。

结论

研究结果深入了解了土著社区普遍存在的污名和相关风险因素。结果可能有助于为孟加拉国针对土著社区的反污名干预措施提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6f/10391860/c72f11877167/40359_2023_1257_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6f/10391860/c72f11877167/40359_2023_1257_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6f/10391860/c72f11877167/40359_2023_1257_Fig1_HTML.jpg

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