Cargando…
Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study
This study investigates three domains of public stigma (perceived negative reactions, perceived discrimination, and dangerousness) against older adults with depression. The sample comprised of older adults registered with primary care clinics (n = 1,291) and primary health care professionals (n = 46...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924821/ https://www.ncbi.nlm.nih.gov/pubmed/27352293 http://dx.doi.org/10.1371/journal.pone.0157719 |
_version_ | 1782439930367049728 |
---|---|
author | Scazufca, Marcia P. de Paula Couto, Maria Clara Huang, Hsiang Kester, Rachel Braga, Patrícia Emília Peluso, Érica T. P. Blay, Sérgio L. R. Menezes, Paulo E. Ribeiro, Euler |
author_facet | Scazufca, Marcia P. de Paula Couto, Maria Clara Huang, Hsiang Kester, Rachel Braga, Patrícia Emília Peluso, Érica T. P. Blay, Sérgio L. R. Menezes, Paulo E. Ribeiro, Euler |
author_sort | Scazufca, Marcia |
collection | PubMed |
description | This study investigates three domains of public stigma (perceived negative reactions, perceived discrimination, and dangerousness) against older adults with depression. The sample comprised of older adults registered with primary care clinics (n = 1,291) and primary health care professionals (n = 469) from São Paulo and Manaus, Brazil. Participants read a vignette describing a 70-year-old individual (Mary or John) with a depressive disorder and answered questions measuring stigma. The prevalence of the three stigma domains was between 30.2 and 37.6% among older participants from São Paulo and between 27.6 and 35.4% among older participants from Manaus. Older adults from both cities reported similar prevalence of perceived stigma. Key factors associated with stigmatizing beliefs among older participants were reporting depressive symptoms, having physical limitations, and identifying the case of the vignette as a case of mental disorder. Among health professionals, the prevalence of the three stigma domains was between 19.8 and 34.8% in São Paulo and 30.2 and 44.6% in Manaus. The key factor associated with stigma among primary health care professionals was city, with consistently higher risk in Manaus than in São Paulo. Findings confirm that public stigma against older adults in Brazil is common. It is important to educate the public and primary health care providers in Brazil on stigma related to mental illness in order to reduce barriers to adequate mental health treatment. |
format | Online Article Text |
id | pubmed-4924821 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-49248212016-07-18 Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study Scazufca, Marcia P. de Paula Couto, Maria Clara Huang, Hsiang Kester, Rachel Braga, Patrícia Emília Peluso, Érica T. P. Blay, Sérgio L. R. Menezes, Paulo E. Ribeiro, Euler PLoS One Research Article This study investigates three domains of public stigma (perceived negative reactions, perceived discrimination, and dangerousness) against older adults with depression. The sample comprised of older adults registered with primary care clinics (n = 1,291) and primary health care professionals (n = 469) from São Paulo and Manaus, Brazil. Participants read a vignette describing a 70-year-old individual (Mary or John) with a depressive disorder and answered questions measuring stigma. The prevalence of the three stigma domains was between 30.2 and 37.6% among older participants from São Paulo and between 27.6 and 35.4% among older participants from Manaus. Older adults from both cities reported similar prevalence of perceived stigma. Key factors associated with stigmatizing beliefs among older participants were reporting depressive symptoms, having physical limitations, and identifying the case of the vignette as a case of mental disorder. Among health professionals, the prevalence of the three stigma domains was between 19.8 and 34.8% in São Paulo and 30.2 and 44.6% in Manaus. The key factor associated with stigma among primary health care professionals was city, with consistently higher risk in Manaus than in São Paulo. Findings confirm that public stigma against older adults in Brazil is common. It is important to educate the public and primary health care providers in Brazil on stigma related to mental illness in order to reduce barriers to adequate mental health treatment. Public Library of Science 2016-06-28 /pmc/articles/PMC4924821/ /pubmed/27352293 http://dx.doi.org/10.1371/journal.pone.0157719 Text en © 2016 Scazufca et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Scazufca, Marcia P. de Paula Couto, Maria Clara Huang, Hsiang Kester, Rachel Braga, Patrícia Emília Peluso, Érica T. P. Blay, Sérgio L. R. Menezes, Paulo E. Ribeiro, Euler Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title | Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title_full | Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title_fullStr | Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title_full_unstemmed | Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title_short | Public Stigma towards Older Adults with Depression: Findings from the São Paulo-Manaus Elderly in Primary Care Study |
title_sort | public stigma towards older adults with depression: findings from the são paulo-manaus elderly in primary care study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924821/ https://www.ncbi.nlm.nih.gov/pubmed/27352293 http://dx.doi.org/10.1371/journal.pone.0157719 |
work_keys_str_mv | AT scazufcamarcia publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT pdepaulacoutomariaclara publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT huanghsiang publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT kesterrachel publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT bragapatriciaemilia publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT pelusoericatp publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT blaysergiol publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT rmenezespaulo publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy AT eribeiroeuler publicstigmatowardsolderadultswithdepressionfindingsfromthesaopaulomanauselderlyinprimarycarestudy |