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Rural vs urban residence and experience of discrimination among people with severe mental illnesses in Ethiopia.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Mental Disorders/*psychology ; Rural Population/*statistics & numerical data ; Social Discrimination/*statistics & numerical data ; Urban Population/*statistics & numerical data; Adult ; Cross-Sectional Studies ; Ethiopia ; Female ; Humans ; Male ; Middle Aged ; Social Stigma ; Young Adult
    • نبذة مختصرة :
      Background: Few studies have addressed mental illness-related discrimination in low-income countries, where the mental health treatment gap is highest. We aimed to evaluate the experience of discrimination among persons with severe mental illnesses (SMI) in Ethiopia, a low-income, rapidly urbanizing African country, and hypothesised that experienced discrimination would be higher among those living in a rural compared to an urban setting.
      Methods: The study was a cross-sectional survey of a community-ascertained sample of people with SMI who underwent confirmatory diagnostic interview. Experienced discrimination was measured using the Discrimination and Stigma Scale (DISC-12). Zero-inflated negative binomial regression was used to estimate the effect of place of residence (rural vs. urban) on discrimination, adjusted for potential confounders.
      Results: Of the 300 study participants, 63.3% had experienced discrimination in the previous year, most commonly being avoided or shunned because of mental illness (38.5%). Urban residents were significantly more likely to have experienced unfair treatment from friends (χ 2 (1) = 4.80; p = 0.028), the police (χ 2 (1) =11.97; p = 0.001), in keeping a job (χ 2 (1) = 5.43; p = 0.020), and in safety (χ 2 (1) = 5.00; p = 0.025), and had a significantly higher DISC-12 score than those living in rural areas (adjusted risk ratio: 1.66; 95% CI: 1.18, 2.33).
      Conclusions: Persons with SMI living in urban settings report more experience of discrimination than their rural counterparts, which may reflect a downside of wider social opportunities in urban settings. Initiatives to expand access to mental health care should consider how social exclusion can be overcome in different settings.
    • References:
      Arch Gen Psychiatry. 1991 Aug;48(8):764-70. (PMID: 1883262)
      Psychol Med. 1992 Feb;22(1):131-45. (PMID: 1574549)
      Br J Psychiatry. 2015 Apr;206(4):289-96. (PMID: 25657358)
      Schizophr Bull. 2009 May;35(3):646-54. (PMID: 18448478)
      Soc Psychiatry Psychiatr Epidemiol. 2001 Jun;36(6):299-303. (PMID: 11583460)
      Lancet. 2014 Apr 19;383(9926):1385-94. (PMID: 24612754)
      BMC Psychiatry. 2012 Dec 29;12:239. (PMID: 23272796)
      Lancet. 2009 Jan 31;373(9661):408-15. (PMID: 19162314)
      PLoS One. 2016 Nov 28;11(11):e0163103. (PMID: 27893745)
      Lancet. 2016 Mar 12;387(10023):1123-1132. (PMID: 26410341)
      JAMA. 2004 Jun 2;291(21):2581-90. (PMID: 15173149)
      PLoS Med. 2012;9(12):e1001359. (PMID: 23300387)
      Int J Equity Health. 2016 Jul 26;15(1):121. (PMID: 27460038)
      Br J Psychiatry. 2016 Jan;208 Suppl 56:s4-12. (PMID: 26447174)
      Bull World Health Organ. 2010 Nov 1;88(11):815-23. (PMID: 21076562)
      Br J Psychiatry. 2016 Jan;208 Suppl 56:s47-54. (PMID: 26447169)
      AJS. 2015 Nov;121(3):783-825. (PMID: 26640277)
      Psychiatry Res. 2013 Jun 30;208(1):33-40. (PMID: 23582210)
      Epidemiol Psychiatr Sci. 2019 Apr;28(2):156-167. (PMID: 29862937)
      Int J Soc Psychiatry. 2016 Dec;62(8):685-695. (PMID: 27887028)
      BMC Psychiatry. 2018 Mar 6;18(1):61. (PMID: 29510751)
      Lancet. 2008 Nov 8;372(9650):1661-9. (PMID: 18994664)
      N Engl J Med. 2013 Jul 4;369(1):66-73. (PMID: 23822778)
      BMC Int Health Hum Rights. 2014 Feb 21;14:2. (PMID: 24555444)
      Dtsch Arztebl Int. 2017 Feb 24;114(8):121-127. (PMID: 28302261)
      Epidemiol Psychiatr Sci. 2015 Oct;24(5):382-94. (PMID: 25937022)
      Health Qual Life Outcomes. 2017 Apr 5;15(1):64. (PMID: 28381230)
      Psychol Med Monogr Suppl. 1992;20:1-97. (PMID: 1565705)
    • Grant Information:
      16/136/54 United Kingdom DH_ Department of Health; R01 MH100470 United States MH NIMH NIH HHS; MR/M025470/1 United Kingdom MRC_ Medical Research Council; MR/R023697/1 United Kingdom MRC_ Medical Research Council; MR/S001255/1 United Kingdom MRC_ Medical Research Council
    • Contributed Indexing:
      Keywords: Bipolar disorder; Discrimination; Global mental health; Mental illness; Psychotic disorders; Stigma; Urbanization
    • الموضوع:
      Date Created: 20191107 Date Completed: 20200619 Latest Revision: 20231019
    • الموضوع:
      20231019
    • الرقم المعرف:
      PMC6833167
    • الرقم المعرف:
      10.1186/s12888-019-2345-7
    • الرقم المعرف:
      31690297