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Levels of stigma among community mental health staff in Guangzhou, China

BACKGROUND: Stigma and discrimination are widely experienced by people with mental illness, even in healthcare settings. The purposes of this study were to assess mental health stigma among community mental health staff in Guangzhou, China and in doing so also to assess the psychometric properties o...

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Autores principales: Li, Jie, Li, Juan, Thornicroft, Graham, Huang, Yuanguang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149249/
https://www.ncbi.nlm.nih.gov/pubmed/25115221
http://dx.doi.org/10.1186/s12888-014-0231-x
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author Li, Jie
Li, Juan
Thornicroft, Graham
Huang, Yuanguang
author_facet Li, Jie
Li, Juan
Thornicroft, Graham
Huang, Yuanguang
author_sort Li, Jie
collection PubMed
description BACKGROUND: Stigma and discrimination are widely experienced by people with mental illness, even in healthcare settings. The purposes of this study were to assess mental health stigma among community mental health staff in Guangzhou, China and in doing so also to assess the psychometric properties of the Reported and Intended Behaviour Scale (RIBS) - Chinese version. METHODS: A cross-sectional survey was undertaken among 214 community mental health staff in Guangzhou from September to November, 2013. The Mental Health Knowledge Schedule (MAKS) and RIBS were administered together with the Mental Illness: Clinicians’ Attitudes Scale (MICA) to evaluate staff stigma from the perspective of knowledge, attitudes and behaviour. RESULTS: The total scores of RIBS, MAKS and MICA were (11.97 ± 3.41), (16.80 ± 5.39) and (51.69 ± 6.94) respectively. Female staff members were more willing to contact people with mental illness than males (t(212) = −2.85,P = 0.005) and had more knowledge about mental illness (t(212) = −2.28,P = 0.024). The Chinese version of RIBS had good internal consistency (alpha = 0.82), test-retest reliability (r = 0.68,P < 0.001) and adequate convergent validity, as indicated by a significant negative correlation with the Chinese version of MICA(r = −0.43, P < 0.001). CONCLUSIONS: Our results show relatively high levels of stigma toward people with mental illness among community mental health staff in Guangzhou, China. There are slightly gender differences in discriminatory behaviours and stigma related knowledge of mental illness among community mental health staff, with female staff in general less stigmatising. Accordingly, anti-stigma programmes should be established among healthcare staff. In addition, the Chinese version of RIBS is a reliable, valid and acceptable measure which can be used to assess the willingness of participants to contact people with mental illness in future anti-stigma campaigns.
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spelling pubmed-41492492014-08-30 Levels of stigma among community mental health staff in Guangzhou, China Li, Jie Li, Juan Thornicroft, Graham Huang, Yuanguang BMC Psychiatry Research Article BACKGROUND: Stigma and discrimination are widely experienced by people with mental illness, even in healthcare settings. The purposes of this study were to assess mental health stigma among community mental health staff in Guangzhou, China and in doing so also to assess the psychometric properties of the Reported and Intended Behaviour Scale (RIBS) - Chinese version. METHODS: A cross-sectional survey was undertaken among 214 community mental health staff in Guangzhou from September to November, 2013. The Mental Health Knowledge Schedule (MAKS) and RIBS were administered together with the Mental Illness: Clinicians’ Attitudes Scale (MICA) to evaluate staff stigma from the perspective of knowledge, attitudes and behaviour. RESULTS: The total scores of RIBS, MAKS and MICA were (11.97 ± 3.41), (16.80 ± 5.39) and (51.69 ± 6.94) respectively. Female staff members were more willing to contact people with mental illness than males (t(212) = −2.85,P = 0.005) and had more knowledge about mental illness (t(212) = −2.28,P = 0.024). The Chinese version of RIBS had good internal consistency (alpha = 0.82), test-retest reliability (r = 0.68,P < 0.001) and adequate convergent validity, as indicated by a significant negative correlation with the Chinese version of MICA(r = −0.43, P < 0.001). CONCLUSIONS: Our results show relatively high levels of stigma toward people with mental illness among community mental health staff in Guangzhou, China. There are slightly gender differences in discriminatory behaviours and stigma related knowledge of mental illness among community mental health staff, with female staff in general less stigmatising. Accordingly, anti-stigma programmes should be established among healthcare staff. In addition, the Chinese version of RIBS is a reliable, valid and acceptable measure which can be used to assess the willingness of participants to contact people with mental illness in future anti-stigma campaigns. BioMed Central 2014-08-13 /pmc/articles/PMC4149249/ /pubmed/25115221 http://dx.doi.org/10.1186/s12888-014-0231-x Text en © Li et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Li, Jie
Li, Juan
Thornicroft, Graham
Huang, Yuanguang
Levels of stigma among community mental health staff in Guangzhou, China
title Levels of stigma among community mental health staff in Guangzhou, China
title_full Levels of stigma among community mental health staff in Guangzhou, China
title_fullStr Levels of stigma among community mental health staff in Guangzhou, China
title_full_unstemmed Levels of stigma among community mental health staff in Guangzhou, China
title_short Levels of stigma among community mental health staff in Guangzhou, China
title_sort levels of stigma among community mental health staff in guangzhou, china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149249/
https://www.ncbi.nlm.nih.gov/pubmed/25115221
http://dx.doi.org/10.1186/s12888-014-0231-x
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