Title |
Cross-national variations in reported discrimination among people treated for major depression worldwide: The ASPEN/INDIGO international study
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Published in |
British Journal of Psychiatry, January 2018
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DOI | 10.1192/bjp.bp.114.156992 |
Pubmed ID | |
Authors |
Antonio Lasalvia, Tine Van Bortel, Chiara Bonetto, Geetha Jayaram, Jaap van Weeghel, Silvia Zoppei, Lee Knifton, Neil Quinn, Kristian Wahlbeck, Doriana Cristofalo, Mariangela Lanfredi, Norman Sartorius, Graham Thornicroft |
Abstract |
BackgroundNo study has so far explored differences in discrimination reported by people with major depressive disorder (MDD) across countries and cultures.AimsTo (a) compare reported discrimination across different countries, and (b) explore the relative weight of individual and contextual factors in explaining levels of reported discrimination in people with MDD.MethodCross-sectional multisite international survey (34 countries worldwide) of 1082 people with MDD. Experienced and anticipated discrimination were assessed by the Discrimination and Stigma Scale (DISC). Countries were classified according to their rating on the Human Development Index (HDI). Multilevel negative binomial and Poisson models were used.ResultsPeople living in 'very high HDI' countries reported higher discrimination than those in 'medium/low HDI' countries. Variation in reported discrimination across countries was only partially explained by individual-level variables. The contribution of country-level variables was significant for anticipated discrimination only.ConclusionsContextual factors play an important role in anticipated discrimination. Country-specific interventions should be implemented to prevent discrimination towards people with MDD. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Finland | 2 | 18% |
United States | 1 | 9% |
United Kingdom | 1 | 9% |
Japan | 1 | 9% |
Unknown | 6 | 55% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 73% |
Scientists | 2 | 18% |
Practitioners (doctors, other healthcare professionals) | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 121 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 25 | 21% |
Student > Master | 18 | 15% |
Student > Ph. D. Student | 13 | 11% |
Professor | 9 | 7% |
Other | 7 | 6% |
Other | 27 | 22% |
Unknown | 22 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 27 | 22% |
Medicine and Dentistry | 26 | 21% |
Nursing and Health Professions | 8 | 7% |
Social Sciences | 5 | 4% |
Neuroscience | 3 | 2% |
Other | 15 | 12% |
Unknown | 37 | 31% |