Experienced and anticipated discrimination among people living with schizophrenia in China: a cross-sectional study.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-02-14 DOI:10.1007/s00127-025-02839-x

Yilu Li, Dan Qiu, Chengcheng Zhang, Qiuyan Wu, Anyan Ni, Zixuan Tang, Shuiyuan Xiao

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引用次数: 0

Abstract

Purpose: Understanding the experienced and anticipated discrimination of people living with schizophrenia (PLS) in China is the cornerstone of culturally informed intervention. This study aims to describe the pattern of experienced and anticipated discrimination against PLS in China and investigate which social and illness characteristics are associated with discrimination.

Methods: PLS dwelling in community were randomly recruited from four cities across China and completed measures of experienced and anticipated discrimination by discrimination and stigma scale (version 12; DISC-12). Multivariable regression was used to analyses the correlates of experienced and anticipated discrimination.

Results: A total of 787 participants (54.0% were female) were included in the analysis. 38% of participants reported experienced discrimination and 71.4% reported anticipated discrimination. The most common experienced discrimination for PLS in China were from neighborhood, making/keeping friends, finding/keeping a job, and family. 59.3% of participants had concealed their mental illness. Living in rural areas, household poverty, longer illness duration, severer symptoms and higher level of disability were associated with more experienced discrimination. Younger ages, unemployment, higher level of disability and experienced discrimination were associated with more anticipated discrimination.

Conclusion: More than a third of PLS in China have experienced discrimination in their lives. Economically disadvantage PLS and PLS living in rural setting may experience more discrimination in China. New and culturally informed intervention approaches are needed to prevent and reduce discrimination of schizophrenia.

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.