Risk factors associated with experienced stigma among people diagnosed with mental ill-health: a cross-sectional study

Nugent, Chris; Rosato, Michael; Hughes, Lynette; Leavey, Gerard

doi:10.1007/s11126-020-09827-1

Cited by 12 publications

(15 citation statements)

References 43 publications

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“…Another study in Liberia among Ebola virus disease survivors found that older adults were at a lower risk of stigma than those aged 20–49 years ( Kelly et al, 2019 ). Similar findings have also been reported in other studies investigating the level of stigma among patients with mental health illnesses ( Nugent et al, 2021 ; Mackenzie et al, 2019 ). One possible explanation for the lower prevalence of stigma among older adults is that they are more skilled at emotion regulation in stressful situations than young adults ( Knight et al, 2007 ; Urry & Gross, 2010 ; Abuhammad, Alzoubi & Khabour, 2021 ).…”

Section: Discussionsupporting

confidence: 91%

Stigma and its associated factors among patients with COVID-19 in Dhaka City: evidence from a cross-sectional investigation

Kibria

Islam

et al. 2022

PeerJ

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Background Coronavirus disease 2019 (COVID-19) has become a significant disease pandemic. Dhaka City alone has contributed about one-third to the total COVID-19 cases in Bangladesh. Globally, patients with infectious diseases, including COVID-19, experience stigma. There was no quantitative estimate of stigma experienced by patients with COVID-19 in the country. Therefore, this study aimed to assess the prevalence of stigma and its associated factors among patients with COVID-19 in Dhaka. Methods A cross-sectional study was conducted among 384 respondents aged 18 years or older who had been hospitalized or had stayed at home and were tested negative 15 days to 6 months before the day of data collection. Data collection was done through in-person and telephone interviews using a semi-structured survey questionnaire. A 15-item COVID-19-related stigma scale questionnaire was used to assess stigma. Binary logistic regression analysis was performed to identify the predictors of stigma. Results More than half (53.1%) of the respondents experienced stigma when they were COVID-19 positive. Females were at a 3.24 times higher risk of experiencing stigma than their male counterparts. Respondents from the 60+ age group and 40–59 age group were 63.0% and 48.0% less likely to experience stigma than those from the 18–39 age group. Non-hospitalised patients had 1.67 times higher odds of facing stigma than those hospitalised. Conclusions This study reported a high prevalence of stigma among the patients with COVID-19 in Dhaka City. The current evidence base of stigma experience among patients with COVID-19 offers a solid foundation for creating effective strategies and policies and designing appropriate interventions to counter stigma, which will improve the psychological well-being of patients with COVID-19 in Bangladesh.

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Section: Discussionsupporting

confidence: 91%

Stigma and its associated factors among patients with COVID-19 in Dhaka City: evidence from a cross-sectional investigation

Kibria

Islam

et al. 2022

PeerJ

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“…Nevertheless, further research is needed to elucidate the specific mechanisms underlying this relationship. Notably, other recent research suggests that younger people with mental illness report more mental illness stigma ( Bhavsar et al, 2019 ; Nugent et al, 2020 ). In the present study, however, age was associated with acceptability of home treatment independently of the influence of social distance or other factors related to stigma-related mental illness knowledge.…”

Section: Discussionmentioning

confidence: 96%

At home or in hospital: Home treatment and mental health stigma

Hubbeling

Smith

2021

Int J Soc Psychiatry

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Background: Stigmatized attitudes towards people with mental illness may influence treatment choice for oneself and others. Aim: To gauge the attitudes of the UK general public towards treatment at home for mental illness and to assess the extent to which non-acceptability was related to stigmatized attitudes. Methods: Two hundred and two (101 female) people living in the UK completed an online (vignette) questionnaire in which we asked demographic details and personal experience of mental illness. To measure stigma, we used an adapted version of the Attitudes to Mental Illness Questionnaire (AMIQ) with vignettes asking about treatment at home and using scales for social distance and poor expectations; participants also filled in the Mental Health Knowledge Schedule (MAKS). Results: Participants did not evidence overall agreement with treatment at home for mental illness (i.e. >0; range = −16-to-+16, Mean ( M) = 0.86, 95% confidence interval (CI) = −0.08, 1.80, p = .073), although they showed significant agreement with treatment at home should they experience mental illness themselves (range = −8-to-+8, M = 1.36, CI = 0.82, 1.89, p < .001). Acceptability for treatment at home differed according to specific mental illness considered (range = −4-to-+4); depression ( M = 0.47, CI = 0.13, 0.81, p = .006) and alcohol abuse ( M = 1.46, CI = 1.14,1.77, p < .001) were considered suitable for being treated at home but schizophrenia was not ( M = −0.78, CI = −1.13,−0.43, p < .001). Multivariate analyses revealed that older age and attitudes indicating comfort with less social distance from people with mental illness were independently associated with treatment at home agreeability. Conclusions: Public acceptability of home treatment for mental illness remains ambivalent in the UK, most obviously when considering treatment approaches for individuals other than themselves and for people with schizophrenia. Disagreement with home treatment is particularly evident in younger people and those who prefer less social contact with people with mental illness.

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“…[ 5 ] We also found that SUD patients with higher perceived social support were less likely to perceived stigma, which is consistent with earlier studies of Birtel et al .,[ 29 ] Akdağ et al .,[ 30 ] and Nugent et al . [ 31 ] who showed that perceived social support is negatively associated with perceived stigma. A possible explanation is that SUD patients with high levels of social support are able to utilize their supports in a way that allows for effective coping with stigma and its negative consequences, i.e., patients who perceived close others (e.g., family or friends) to be supportive may help decrease the society's negative evaluation and help them develop a more positive sense of self, leading to less perceived stigma.…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation is that SUD patients with high levels of social support are able to utilize their supports in a way that allows for effective coping with stigma and its negative consequences, i.e., patients who perceived close others (e.g., family or friends) to be supportive may help decrease the society's negative evaluation and help them develop a more positive sense of self, leading to less perceived stigma. [ 29 31 ] Meanwhile, people with SUDs often experience more socially excluded, less social interaction, and withdraw from their support network (e.g., family, friends, or significant others). As a result, they may be perceived discrimination and lose social support as an important coping strategy, which can lead to increases perceived stigma of addiction.…”

Section: Discussionmentioning

confidence: 99%

Relationship between psychological factors and perceived stigma of addiction among women with substance use disorders, Thailand

Yangyuen

Kanato

Somdee

2022

Journal of Education and Health Promotion

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BACKGROUND: Substance use disorders (SUDs) are one of the most stigmatized health conditions that impact drug user's treatment engagement. However, to date, little is known about perceived stigma and its correlates with psychological factors among high-risk groups such as people with SUDs in the criminal justice system. This study aimed to determine the association of psychological factors and perceived stigma of addiction among women with SUDs. MATERIALS AND METHODS: This cross-sectional design was conducted on 652 women with SUDs who were treated in all 7 compulsory drug detention centers in Thailand with consecutive sampling technique. The data were collected by standardized interviewers with interviewing questionnaire. Multiple logistic regression was applied to examine the effect of psychological factors and perceived stigma. RESULTS: More than half of SUD patients (57.2%) were methamphetamine abuse or dependence, approximately 69.9% reported high level of perceived stigma, 56.7% had mild depression, 34.8% had low level of perceived social support, and the average perceived stress score was 19.2 (standard deviation, 7.5). The perceived stigma was positively related to depressive symptom and perceived stress while was inversely related to perceived social support. CONCLUSION: The psychological factors were strongly associated with perceived stigma of addiction. Thus, the detection of psychological problems among SUD patients may be benefit clinicians for identifying which patients are most at risk of perceived stigma and are the potential targets of intervention to reduce stigma in clinical practice.

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Risk factors associated with experienced stigma among people diagnosed with mental ill-health: a cross-sectional study

Cited by 12 publications

References 43 publications

Stigma and its associated factors among patients with COVID-19 in Dhaka City: evidence from a cross-sectional investigation

Stigma and its associated factors among patients with COVID-19 in Dhaka City: evidence from a cross-sectional investigation

At home or in hospital: Home treatment and mental health stigma

Relationship between psychological factors and perceived stigma of addiction among women with substance use disorders, Thailand

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