Cheung Gloria, Ronaldson Amy, Henderson Claire
Hull York Medical School, Siwards Way, Heslington, York, YO10 5DD, UK.
York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
Soc Psychiatry Psychiatr Epidemiol. 2025 May 14. doi: 10.1007/s00127-025-02927-y.
Discrimination against people with mental health problems in the workplace is still prominent. Characteristics of occupations can influence aspects of stigma and attitudes to mental health problems in the workplace context. We investigated occupational differences in mental health stigma, and attitudes to mental health in the workplace.
Data from the British Social Attitudes 2015 survey were used. Logistic and linear regression models were conducted to investigate associations between occupational categories, stigma as measured by desire for social distance, and attitudes towards mental health in the workplace.
We found occupational differences in attitudes towards mental health in the workplace, but not in levels of stigma. Compared to managerial and professional workers, lower supervisory and technical workers (group 4), semi-routine and routine workers (group 5) were less likely to believe that paid work is good for mental health (group 4: odds ratio (OR) = 0.38, 95% confidence interval (CI) = 0.24-0.61; group 5: OR = 0.34, 95% CI = 0.24-0.49) and people with depression should return to work when they can do some or most of the job (group 4: OR = 0.67, 95% CI = 0.48-0.94; group 5: OR=0.52, 95% CI=0.41-0.66). People in semi-routine and routine occupations were less likely to believe that having schizophrenia should not affect promotion at work (OR = 0.78, 95% CI = 0.62-0.97) than managerial and professional workers.
Our findings reinforce the importance of job characteristics on attitudes to mental health in the workplace. More support is needed for small companies to help them develop mental health policies. Modifications are needed to improve job control and ensure adjustments can be made.
职场中对有心理健康问题者的歧视现象仍然突出。职业特征会影响职场环境中对心理健康问题的污名化程度及态度。我们调查了职场中心理健康污名及对心理健康态度的职业差异。
使用2015年英国社会态度调查的数据。采用逻辑回归和线性回归模型来研究职业类别、以社交距离渴望度衡量的污名以及职场中对心理健康态度之间的关联。
我们发现职场中对心理健康的态度存在职业差异，但污名化程度不存在职业差异。与管理和专业人员相比，基层监督和技术工人（第4组）、半常规和常规工人（第5组）不太可能认为有偿工作对心理健康有益（第4组：比值比（OR）=0.38，95%置信区间（CI）=0.24 - 0.61；第5组：OR = 0.34，95% CI = 0.24 - 0.49），也不太可能认为抑郁症患者在能够完成部分或大部分工作时就应重返工作岗位（第4组：OR = 0.67，95% CI = 0.48 - 0.94；第5组：OR = 0.52，95% CI = 0.41 - 0.66）。从事半常规和常规职业的人比管理和专业人员更不太可能认为患有精神分裂症不应影响工作晋升（OR = 0.78，95% CI = 0.62 - 0.97）。
我们的研究结果强化了工作特征对职场中心理健康态度的重要性。小公司需要更多支持以帮助它们制定心理健康政策。需要进行调整以改善工作控制并确保能够做出调整。
