Scott B Patten1, Jeanne V A Williams2, Dina H Lavorato2, Andrew G M Bulloch3, Manon Charbonneau4, Mamta Gautam5, Pippa Moss6, Susan Abbey7, Heather Stuart8. 1. Department of Community Health Sciences, University of Calgary, Calgary, Alberta Department of Psychiatry, University of Calgary, Calgary, Alberta Mathison Centre for Research & Education in Mental Health, Hotchkiss Brain Institute, Calgary, Alberta Alberta Innovates, Health Solutions, Edmonton, Alberta patten@ucalgary.ca. 2. Department of Community Health Sciences, University of Calgary, Calgary, Alberta. 3. Department of Community Health Sciences, University of Calgary, Calgary, Alberta Department of Psychiatry, University of Calgary, Calgary, Alberta Mathison Centre for Research & Education in Mental Health, Hotchkiss Brain Institute, Calgary, Alberta. 4. University of Montreal, Montreal, Quebec. 5. Department of Psychiatry, University of Ottawa, Ottawa, Ontario Department of Psychiatry, Ottawa Hospital, Ottawa, Ontario. 6. Western and Northern Health Zones, Tatamagouche, Nova Scotia. 7. Department of Psychiatry, University of Toronto, Toronto, Ontario. 8. Department of Public Health Sciences, Queen's University, Kingston, Ontario.
Abstract
OBJECTIVES: The Mental Health Experiences Scale is a measure of perceived stigma, the perception of negative attitudes and behaviours by people with mental disorders. A recent Canadian survey (Canadian Community Health Survey-Mental Health) included this scale, providing an opportunity to describe perceived stigma in relation to diagnosis for the first time in the Canadian general population. METHODS: The survey interview began with an assessment of whether respondents had utilised services for an "emotional or mental health problem" in the preceding 12 months. The subset reporting service utilisation were asked whether others "held negative opinions" about them or "treated them unfairly" for reasons related to their mental health. The analysis reported here used frequencies, means, cross-tabulation, and logistic regression, all incorporating recommended replicate sampling weights and bootstrap variance estimation procedures. RESULTS: Stigma was perceived by 24.4% of respondents accessing mental health services. The frequency was higher among younger respondents (<55 years), those who were not working, those reporting only fair or poor mental health, and the subset who reported having received a diagnosis of a mental disorder. Sex and education level were not associated with perceived stigma. People with schizophrenia reported stigmatization only slightly more frequently than those with mood and anxiety disorders. CONCLUSIONS: Stigmatization is a common, but not universal, experience among Canadians using services for mental health reasons. Stigmatization was a problem for a sizeable minority of respondents with mood, anxiety, and substance use disorders as well as bipolar and psychotic disorders.
OBJECTIVES: The Mental Health Experiences Scale is a measure of perceived stigma, the perception of negative attitudes and behaviours by people with mental disorders. A recent Canadian survey (Canadian Community Health Survey-Mental Health) included this scale, providing an opportunity to describe perceived stigma in relation to diagnosis for the first time in the Canadian general population. METHODS: The survey interview began with an assessment of whether respondents had utilised services for an "emotional or mental health problem" in the preceding 12 months. The subset reporting service utilisation were asked whether others "held negative opinions" about them or "treated them unfairly" for reasons related to their mental health. The analysis reported here used frequencies, means, cross-tabulation, and logistic regression, all incorporating recommended replicate sampling weights and bootstrap variance estimation procedures. RESULTS: Stigma was perceived by 24.4% of respondents accessing mental health services. The frequency was higher among younger respondents (<55 years), those who were not working, those reporting only fair or poor mental health, and the subset who reported having received a diagnosis of a mental disorder. Sex and education level were not associated with perceived stigma. People with schizophrenia reported stigmatization only slightly more frequently than those with mood and anxiety disorders. CONCLUSIONS: Stigmatization is a common, but not universal, experience among Canadians using services for mental health reasons. Stigmatization was a problem for a sizeable minority of respondents with mood, anxiety, and substance use disorders as well as bipolar and psychotic disorders.
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